Assessment of Sleep-Related Problems in Children with Cerebral Palsy Using the SNAKE Sleep Questionnaire

Dreier, Larissa Alice; Kapanci, Tugba; Lonnemann, Katharina; Koch-Hogrebe, Margarete; Wiethoff-Ubrig, Lucia; Rauchenzauner, Markus; Blankenburg, Markus; Zernikow, Boris; Wager, Julia; Rostásy, Kevin

doi:10.3390/children8090772

Cited by 4 publications

(1 citation statement)

References 61 publications

(97 reference statements)

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“…45 These studies implemented OMIs across all ICF domains, 26 most commonly within 'Activity and performance'. However, these measures did not examine the 'mobility' subdomain, but rather parentreported sleep [46][47][48][49][50][51][52][53][54][55] or feeding activity. [3][4][5]56 Figure 2 provides a visual comparison of measurement domains across identified GMFCS cohorts.…”

Section: Subquestion 2: Participant Characteristicsmentioning

confidence: 99%

Community‐based respiratory health measures in children and young people with cerebral palsy: A scoping review

Knight Lozano,

Shannon,

Gilby

et al. 2024

Develop Med Child Neuro

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AimTo identify, map, and describe outcome measurement domains and instruments used within a community setting to assess respiratory health in children and young people aged 1 to 18 years, diagnosed with cerebral palsy (CP).MethodA scoping review methodology informed structured searches in nine databases, grey literature, and registries, conducted in August 2021 (updated in February 2023). Articles were screened for eligibility by two independent researchers. Any outcome measurement instruments used to assess respiratory health or associated impact were extracted, categorized, and mapped to health and health‐related domains of the International Classification of Functioning, Disability, and Health.ResultsSeventy‐six outcome measurement instruments were identified across 78 articles worldwide between 1970 and 2023. These were categorized into ‘Body functions and structures’ (n = 20), ‘Activity and performance’ (n = 22), and ‘Participation and quality of life’ (n = 19), with a further 15 mapped to ‘Health care resources use’.InterpretationNo consensus of ‘what’ to measure and ‘how’ to measure respiratory health in children and young people with CP was found. Moreover, many measures were not replicable in individuals with more severe forms of CP, excluding those at increased risk of respiratory‐related morbidity and mortality. Further research is required to agree important outcome domains and associated measures in research and clinical practice.

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Section: Subquestion 2: Participant Characteristicsmentioning

confidence: 99%

Community‐based respiratory health measures in children and young people with cerebral palsy: A scoping review

Knight Lozano,

Shannon,

Gilby

et al. 2024

Develop Med Child Neuro

View full text Add to dashboard Cite

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International consensus on sleep problems in pediatric palliative care: Paving the way

Mercante,

Owens,

Bruni

et al. 2024

Sleep Medicine

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The effect of intensive rehabilitation treatment on sleep disorder in children with motor delays

et al. 2023

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Background Although the importance of sleep problems has been increasingly emphasized due to the effects on children's development and children's and families' daytime behaviors, physical health, and quality of life, they have been overlooked in clinical practice. However, there have been few studies on the effects of rehabilitation on sleep problems. Therefore, in this study, we investigated the effects of an intensive rehabilitation program on sleep problems in children with developmental delays (DD). Methods We included 36 children with DD (30 outpatients, 6 inpatients) and their caregivers who completed all items on the Sleep Disturbance Scale for Children. Of the children with DD, 19 (59.3%) had cerebral palsy (CP) and 13 (40.7%) had DD of non-CP origins, of which 6 (18.8%) had prematurity, 4 (12.5%) had genetic causes, and 3 (9.4%) had an unknown origin. Changes in sleep problems after the intensive rehabilitation program were evaluated using a paired or unpaired t-test, depending on the distribution of the continuous variables. Results After the intensive rehabilitation program, in 36 children with DD, there was a significant improvement in the difficulty in initiating and maintaining sleep (DIMS) sub-score (p < 0.05). However, there was no significant improvement in the total score or other sub-scores, such as those for sleep breathing disorders (SBD), disorders of arousal (DA), sleep–wake transition disorders (SWTD), disorders of excessive somnolence (DOES), and sleep hyperhidrosis (SH). In the subgroup analysis according to the cause of DD, children with CP had a significant improvement in DIMS and DOES sub-scores (p < 0.05). Conclusion The intensive rehabilitation program, consisting of more than two sessions per day, effectively alleviated sleep problems in children with DD, especially in those with CP. Among the sleep problems, the intensive rehabilitative program was most effective at improving the DIMS. However, further prospective studies with a larger number of patients with DD and a more standardized protocol are necessary to generalize this effect.

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Assessment of Sleep-Related Problems in Children with Cerebral Palsy Using the SNAKE Sleep Questionnaire

Cited by 4 publications

References 61 publications

Community‐based respiratory health measures in children and young people with cerebral palsy: A scoping review

Community‐based respiratory health measures in children and young people with cerebral palsy: A scoping review

International consensus on sleep problems in pediatric palliative care: Paving the way

The effect of intensive rehabilitation treatment on sleep disorder in children with motor delays

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