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Published on: October 2, 2019
Sleep Macrostructure and NREM Sleep Instability Analysis in Pediatric Developmental Coordination Disorder
Maria Esposito1, Francesco Precenzano2, Ilaria Bitetti3
1Clinic of Child and Adolescent Neuropsychiatry, Department of Mental Health, Physical and Preventive Medicine, Università degli Studi della Campania "Luigi Vanvitelli," via Sergio Pansini 5, 80100 Naples, Italy. maria.esposito3@unicampania.it.
Children with Developmental Coordination Disorder (DCD) exhibit significant sleep structure abnormalities. These sleep issues, particularly rapid A-phase components, may impact motor coordination development.
Area of Science:
- Neuroscience
- Pediatrics
- Sleep Medicine
Background:
- Developmental Coordination Disorder (DCD) involves impaired motor skills without sensory, cognitive, or neurological deficits.
- DCD affects daily life activities across all age groups.
- Sleep disturbances are increasingly recognized as potential factors in neurodevelopmental disorders.
Purpose of the Study:
- To investigate sleep structure and Cyclic Alternating Pattern (CAP) parameters in children with DCD.
- To explore correlations between sleep architecture, CAP parameters, and motor coordination skills in children.
Main Methods:
- Cross-sectional study comparing 42 children with DCD to 79 typically developing children.
- Utilized overnight polysomnography (PSG) for detailed sleep analysis.
- Assessed motor coordination using the Movement Assessment Battery for Children-2 (MABC-2).
Main Results:
- Significant differences in sleep architecture and CAP parameters were observed between the DCD and non-DCD groups.
- Identified significant correlations between specific sleep parameters and motor coordination skills.
- DCD children demonstrated notable abnormalities in their sleep structure.
Conclusions:
- Children with DCD exhibit distinct sleep structure abnormalities.
- The rapid components of A phases in sleep may play a crucial role in motor coordination development.
- Findings suggest sleep monitoring and intervention could be beneficial for children with DCD.
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