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Updated: Aug 2, 2025

Preterm EEG: A Multimodal Neurophysiological Protocol
Published on: February 18, 2012
Sensory processing and sleep characteristics in preterm infants in the early period of life
Gülsen Sırtbaş-Işık1, Bilge Nur Yardımcı-Lokmanoğlu1, Ayşe Livanelioğlu1
1Hacettepe University, Faculty of Physical Therapy and Rehabilitation, Developmental and Early Physiotherapy Unit, Ankara, Turkey.
Insights
Preterm infants with atypical sensory processing experience poorer sleep, including shorter sleep duration and more wakefulness. Early detection of sensory and sleep issues is crucial for intervention in these vulnerable infants.
Area of Science:
- Neonatology
- Developmental Pediatrics
- Sleep Medicine
Background:
- Preterm infants exhibit unique developmental trajectories, often facing challenges in sensory processing and sleep regulation.
- Understanding the interplay between sensory processing and sleep is critical for optimizing health outcomes in this population.
Purpose of the Study:
- To investigate sensory processing and sleep differences in preterm infants based on gestational age (<32 vs. ≥32 weeks).
- To compare sleep characteristics between preterm infants with typical versus atypical sensory processing.
- To examine the relationship between sensory processing and sleep patterns at 3 months corrected age.
Main Methods:
- 189 preterm infants (54 <32 weeks, 135 ≥32 weeks gestation) were assessed.
- Sleep characteristics were evaluated using the Brief Infant Sleep Questionnaire.
- Sensory processing was assessed using the Infant Sensory Profile-2.
Main Results:
- No significant differences in overall sensory processing or sleep were found between gestational age groups.
- Preterm infants with atypical sensory processing exhibited significantly shorter nighttime and total sleep durations.
- Atypical sensory processing was associated with increased nocturnal wakefulness and snoring compared to typical processing.
Conclusions:
- Sensory processing patterns are significantly linked to sleep characteristics in preterm infants.
- Atypical sensory processing in preterm infants correlates with disrupted sleep patterns.
- Early identification of sensory processing difficulties and sleep problems is essential for timely intervention.
Objective:
The present study aimed to investigate the following: (i) differences in sensory processing and sleep characteristics between preterm infants born at < 32 weeks', vs. those born at ≥ 32 weeks' gestation; (ii) differences in sleep characteristics between preterm infants with typical vs. atypical sensory processing; and (iii) relationship between sensory processing and sleep characteristics in preterm infants at 3 months of age.
Methods:
A total of 189 preterm infants, 54 born at < 32 weeks' gestation (26 females; mean gestational age [standard deviation (SD)], 30.1 [1.7] weeks), and 135 born at ≥ 32 weeks' gestation (78 females; mean gestational age [SD], 34.9 [0.9] weeks) were included in the present study. Sleep characteristics were evaluated using the Brief Infant Sleep Questionnaire, and sensory processing was assessed using the Infant Sensory Profile-2.
Results:
There were no significant differences in sensory processing (P > 0.05) or sleep characteristics (P > 0.05) between the preterm groups; however, more infants snored in the <32 weeks' gestation group (P = 0.035). Preterm infants with atypical sensory processing showed lower nighttime (P = 0.027) and total sleep durations (P = 0.032), and higher rates of nocturnal wakefulness (P = 0.038) and snoring (P = 0.001) than preterm infants with typical sensory processing. A significant relationship, therefore, was observed between sensory processing and sleep characteristics (P < 0.05).
Conclusions:
Sensory processing patterns may play an important role in understanding sleep problems in preterm infants. The early detection of sleep problems and sensory processing difficulties are necessary for early intervention.
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