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Updated: Jan 11, 2026

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Published on: February 2, 2024
Sleep Disturbances and Disorders in Children and Adolescents with Cerebral Palsy: A Narrative Review
Rebecca A Rausch1, Caroline Miller2, Amelia Hensler1
1Homer Stryker M.D. School of Medicine, Western Michigan University, Kalamazoo, MI 49008, USA.
Insights
Children and adolescents with cerebral palsy (CP) frequently experience sleep disturbances, impacting their quality of life. This review highlights recent research on CP sleep issues and associated concerns.
Area of Science:
- Pediatric Neurology
- Sleep Medicine
- Developmental Disabilities
Background:
- Cerebral palsy (CP) is associated with numerous comorbidities affecting daily life and psychosocial well-being.
- Sleep disturbances are a prevalent and recognized issue among youth with CP.
Purpose of the Study:
- To conduct an updated narrative review of recent research on sleep disturbances and disorders in children and adolescents with CP.
- To synthesize current knowledge on the prevalence, characteristics, and associated factors of sleep problems in this population.
Main Methods:
- A comprehensive literature search was performed on the PubMed database.
- Articles published between August 2019 and August 2024 focusing on sleep in youth with CP were reviewed.
Main Results:
- Sleep disturbances and disorders are more frequent in children and adolescents with CP.
- These sleep issues negatively impact quality of life and are linked to behavior, pain, comorbidities, and physical activity.
- Caregiver burden is also associated with sleep concerns in youth with CP.
Conclusions:
- Sleep disturbances are common in youth with CP, impacting multiple aspects of their health and well-being.
- Findings underscore the need for addressing sleep issues in this population.
- Treatment approaches align with those for typically developing children or those with other neurodevelopmental disorders, with future research directions identified.
Abstract:
Background/Objectives: Children and adolescents with cerebral palsy experience multiple associated comorbidities or impairments that impact their day-to-day life and psychosocial functioning. Sleep difficulties, disturbances, or disorders are a widely recognized concern for youth with cerebral palsy. We aimed to provide an updated narrative review of the most recent research on sleep disturbances or disorders in youth with cerebral palsy. Methods: A search of the literature cited in the PubMed database published between August of 2019 and August of 2024 was completed, and relevant articles were reviewed. Results: Relevant areas included the prevalence and type of sleep concerns seen in children and adolescents with cerebral palsy in addition to the relationship with sleep concerns and behavior, pain, comorbidities, physical activity, quality of life, and impact on caregivers. Sleep disturbances and disorders occur at a higher frequency in children and adolescents with cerebral palsy with adverse impact on their quality of life. Sleep concerns appear to be associated with several associated concerns. Conclusions: Sleep disturbances occur at a higher frequency in youth with cerebral palsy and are associated with a wide range of conditions, symptoms, and impact on quality of life. Treatment recommendations are in line with typically developing children or children with neurodevelopmental disorders. Future directions for research are identified.
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