Sleep in Children With Cerebral Palsy

Simard‐Tremblay, Elisabeth; Constantin, Evelyn; Gruber, Reut; Brouillette, Robert T.; Shevell, Michael

doi:10.1177/0883073811408902

Cited by 78 publications

(76 citation statements)

References 60 publications

(140 reference statements)

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“…It is well-known that the consequences of sleep disorders in children are broad and affect both the child and family. [17] Recent study examined between-group differences in the associations between sleep and quality of life (QOL) between children with CP and their typically developing peers. Insomnia, excessive daytime sleepiness, and functional motor abilities were associated with lower QOL in children with CP.…”

Section: Discussionmentioning

confidence: 99%

Sleep assessment of children with cerebral palsy: Using validated sleep questionnaire

Elsayed

Hasanein

Sayyah

et al. 2013

Ann Indian Acad Neurol

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Background:On the basis of clinical experience, it seems that sleep disturbances are common in children with cerebral palsy (CP); however, there is a lack of research and objective data to support this observation.Aim of Work:Our aim was to assess sleep of children with cerebral palsy, using validated sleep questionnaire.Subjects and Methods:one hundred children with diagnosis of CP were investigated via sleep questionnaires, with their ages from 2-12 years. The 100 children with CP were divided into two groups, pre-school group (52 children had a mean age 2.35 ± 1.04 years) and school ages group (48 children had a mean age 10.21 ± 3.75 years).Results:We found high incidence of sleep problem in both pre-school and school age groups. We found that pre-school children have more prevalence of early insomnia (46.2%, P value 0.028) and sleep bruxism (50%, P value 0.000), while school group suffer more sleep disordered breathing (SDB) (50%, P value 0.001), more nightmares (50%, P value 0.001), more sleep talking (12.5% P value 0.049), and more excessive daytime sleepiness (EDS) (62.5%, P value 0.001).Conclusion:Results of our study indicate that CP children have high incidence of sleep problem in both pre-school and school age groups.

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Section: Discussionmentioning

confidence: 99%

Sleep assessment of children with cerebral palsy: Using validated sleep questionnaire

Elsayed

Hasanein

Sayyah

et al. 2013

Ann Indian Acad Neurol

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“…Although much attention is focused on the adverse effects of SDB, other sleep-related disorders, for example, insomnia or parasomnias, also have a significant impact on the patients’ and families’ QoL 11. Like SDB, non-respiratory sleep-related disorders can equally lead to daytime tiredness and neurobehavioural problems.…”

Section: Introductionmentioning

confidence: 99%

Use of non-invasive ventilation in cerebral palsy

Grychtol

Chan

2018

Arch Dis Child

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Patients with cerebral palsy (CP), especially those at the severe end of the spectrum (Gross Motor Function Classification System levels IV-V equivalent), frequently suffer from sleep disturbance and sleep-disordered breathing (SDB). Non-invasive ventilation (NIV) is increasingly used in this patient group, albeit with little published evidence of its effectiveness in CP. This article aims to review the current evidence in the use of NIV in children with CP, highlighting areas of uncertainties, as well as the balance of potential risks, challenges and benefits. We would also share our experience and practical considerations in using NIV to manage SDB in this group of patients. Between January 2010 and December 2016, 21 patients (median age 11.1 (range 1.7-16.1) years) with CP were initiated on NIV at Great Ormond Street Hospital for Children following diagnosis of moderate to severe SDB on cardiorespiratory polygraphy. Over half of our patients with CP (n=11) failed to establish on NIV either due to intolerance of mask and/or ventilation pressure at the initial trial in hospital, or poor adherence during follow-up, in contrast to the overall failure rate of 8.7% among total patient population commenced on NIV. Children with CP constitute a relatively small but challenging group of patients. Decision to undertake NIV should be individualised, based on benefit outweighing the risk and burden of the treatment.

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“…The current manuscript examines common themes in sleep disturbances associated with painful conditions across illnesses. Although previous reviews have examined sleep disturbances among youth with common medical conditions [35], sleep problems associated more generally with pediatric pain [20], and the relationship between sleep and pain in specific disease populations [32][33][34], this conceptual review further extends the literature by providing a more focused examination of common themes in sleep disturbances associated with pain among specific pediatric conditions. For a summary of studies reviewed, please refer Table 1.…”

Section: Introductionmentioning

confidence: 99%