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Can Sleep Quality be Associated With Positional Vertigo in Children With Dizziness?
Busra Umame Sahin1, Tugce Gurel Soylemez1, Gorkem Ertugrul2
1Institute of Health Sciences, Department of Audiology, Hacettepe University, Ankara, Turkey.
Insights
Poor sleep quality is linked to more frequent and severe positional vertigo in children. Addressing sleep disturbances may improve dizziness symptoms and overall well-being in pediatric patients.
Area of Science:
- Pediatric Neurology
- Sleep Medicine
- Vestibular Disorders
Background:
- Vertigo and dizziness are common in children and adolescents.
- The impact of sleep quality on pediatric dizziness is not well understood.
Purpose of the Study:
- To investigate the relationship between sleep quality, vertigo severity, and dizziness duration in children with positional vertigo.
Main Methods:
- 26 children with dizziness underwent positional testing.
- Sleep quality was assessed using the Sleep Disturbance Scale for Children (SDSC).
- Vertigo severity and balance were measured using the Visual Analog Scale (VAS) and Pediatric Balance Scale, respectively.
Main Results:
- 42% of children experienced poor sleep quality.
- Poor sleep quality was associated with more frequent positional vertigo (p < 0.001).
- Dizziness duration correlated positively with overall SDSC scores and specific sleep disturbance subscales.
Conclusions:
- Sleep quality assessment is crucial in the clinical evaluation of pediatric dizziness.
- Improving sleep may reduce vertigo/dizziness frequency and severity.
- Addressing sleep disturbances can enhance children's daily functioning and quality of life.
Objective:
Vertigo and dizziness are more common than expected in children and adolescents. The sleep quality of children with dizziness is unknown. This study aimed to investigate the relationship between sleep quality, vertigo severity, and duration of dizziness in children with positional vertigo.
Methods:
This study consisted of 26 children with dizziness (19 female, 7 male, and mean age 14.38 ± 2.02 years). Positional tests were performed using video Frenzel glasses. The participants' sleep quality was assessed using the Sleep Disturbance Scale for Children (SDSC), the severity of vertigo was assessed using the Visual Analog Scale (VAS), and the functional balance was measured using the Pediatric Balance Scale.
Results:
While 58% of children with dizziness (15/26) had good sleep quality, 42% (11/26) had poor sleep quality. A significant positive correlation was found between the dizziness durations and SDSC scores (p = 0.03, rs: 0.42). Positional vertigo was significantly more frequent in children with dizziness who had poor sleep quality compared to those with good sleep quality (p < 0.001). Regarding the SDSC subscales, significant positive correlations were observed between dizziness duration and both the "Disorders of Initiating and Maintaining Sleep" subscale (p = 0.040, rs: 0.40) and the "Excessive Somnolence" subscale (p = 0.030, rs: 0.40).
Conclusion:
Assessing sleep quality is an essential component of the clinical vestibular evaluation in children with dizziness. Inquiring about sleep patterns and disturbances can provide valuable insights into factors affecting their overall well-being. Enhancing sleep quality may contribute to a reduction in the frequency and severity of vertigo and dizziness symptoms, thereby improving daily functioning and overall quality of life.
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