Sleep disorders in children with cerebral palsy.

Détails

ID Serval
serval:BIB_19FE8244D246
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Sleep disorders in children with cerebral palsy.
Périodique
Developmental Medicine and Child Neurology
Auteur(s)
Newman C.J., O'Regan M., Hensey O.
ISSN
0012-1622
Statut éditorial
Publié
Date de publication
2006
Peer-reviewed
Oui
Volume
48
Numéro
7
Pages
564-568
Langue
anglais
Résumé
To determine the frequency and predictors of sleep disorders in children with cerebral palsy (CP) we analyzed the responses of 173 parents who had completed the Sleep Disturbance Scale for Children. The study population included 100 males (57.8%) and 73 females (42.2%; mean age 8y 10mo [SD 1y 11mo]; range 6y-11y 11mo). Eighty-three children (48.0%) had spastic diplegia, 59 (34.1%) congenital hemiplegia, 18 (10.4%) spastic quadriplegia, and 13 (7.5%) dystonic/dyskinetic CP. Seventy-three children (42.2%) were in Gross Motor Function Classification System Level I, 33 (19.1%) in Level II, 30 (17.3%) in Level III, 23 (13.3%) in Level IV, and 14 (8.1%) in Level V. Thirty children (17.3%) had epilepsy. A total sleep problem score and six factors indicative of the most common areas of sleep disorder in childhood were obtained. Of the children in our study, 23% had a pathological total sleep score, in comparison with 5% of children in the general population. Difficulty in initiating and maintaining sleep, sleep-wake transition, and sleep breathing disorders were the most frequently identified problems. Active epilepsy was associated with the presence of a sleep disorder (odds ratio [OR]=17.1, 95% confidence interval [CI] 2.5-115.3), as was being the child of a single-parent family (OR=3.9, 95% CI 1.3-11.6). Disorders of initiation and maintenance of sleep were more frequent in children with spastic quadriplegia (OR=12.9, 95% CI 1.9-88.0), those with dyskinetic CP (OR=20.6, 95% CI 3.1-135.0), and those with severe visual impairment (OR=12.5, 95% CI 2.5-63.1). Both medical and environmental factors seem to contribute to the increased frequency of chronic sleep disorders in children with CP.
Mots-clé
Cerebral Palsy/classification, Cerebral Palsy/complications, Child, Comorbidity, Cross-Sectional Studies, Disability Evaluation, Disabled Children/classification, Epilepsy/complications, Epilepsy/epidemiology, Female, Humans, Male, Severity of Illness Index, Sleep Disorders/classification, Sleep Disorders/epidemiology
Pubmed
Web of science
Création de la notice
18/01/2010 10:12
Dernière modification de la notice
20/08/2019 13:51
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