Article

The aim of the study was to compare the frequency and type of sleep
disturbances in a group of Malaysian children aged 4 to 18 years with cerebral
palsy (CP) with their nearest-age, able-bodied siblings and to identify factors
associated with sleep disturbances. METHOD: The study was a case-control study of
109 children with CP (61 males, 48 females; mean age 9 y, SD 3 y 11 mo, range
4-18 y) and their healthy siblings (56 males, 53 females; mean age 10 y, SD 3 y 9
mo, range 4-18 y). The Sleep Disturbances Scale for Children (SDSC) questionnaire
was completed by the main caregiver. In children with CP, multiple regression
analysis was be used to determine factors related to higher Total SDSC sleep
scores. RESULTS: Ninety-seven children (89%) had spastic CP, 10 (9%) had
dyskinetic CP, and two (2%) had mixed CP. Based on the Gross Motor Function
Classification System (GMFSC), 34 patients (31%) were at GMFSC level I or II, 10
patients (9%) at level III, and 65 patients (60%) at level IV or V. Children with
CP scored significantly higher than their siblings on Total SDSC and four SDSC
subscale scores - difficulty in initiating and maintaining sleep, sleep breathing
disorders, sleep-wake transition disorders, and sleep hyperhidrosis. Caregiver
sleep duration of less than 7 hours (p=0.02) and caregiver sleep latency of more
than 30 minutes (p=0.03) were significantly associated with higher Total SDSC
scores. Co-sleeping was not a significant factor. INTERPRETATION: Sleep
disturbances are more common in children with CP than in their siblings.
Attention should be given to caregiver sleep when evaluating sleep disturbances
in children with CP as this factor was shown to be associated with higher Total
SDSC scores.
CI - (c) 2014 Mac Keith Press.

Langue : ANGLAIS