Zuculo Gabriela Melloni, Knap Cintia Cristina Fadini, Pinato Luciana
Graduate Program in Speech Language Pathology and Audiology, Universidade Estadual Paulista Júlio de Mesquita Filho, Marília, SP, Brasil.
Graduate Program in Speech Language Pathology and Audiology, Departamento of Speech Language Pathology and Audiology, Universidade Estadual Paulista Júlio de Mesquita Filho, Marília, SP, Brazil.
Codas. 2014 Nov-Dec;26(6):447-56. doi: 10.1590/2317-1782/20140201435. Epub 2014 Dec 1.
To investigate and correlate the sleep pattern and quality of life in individuals with cerebral palsy (CP) compared to healthy controls.
Seventy-eight subjects (aged 4-18 years, both genders) comprised two groups: CP, composed of 43 individuals with CP, and control, composed of 35 individuals without neurodevelopmental disorders. General Sleep Habits Questionnaire, Sleep Disturbance Scale for Children, sleep diary, Child Health Questionnaire, and Children's Quality of Life Scale were used.
This study identified that 60.5% individuals with CP had sleep disorders. The respiratory disorders (25.6%) and the sleep hyperhidrosis (34.9%) were the most common disturbances in the group with CP. Moreover, 23.2% individuals of the group with CP reported awaking in the middle of the night and 37.2% of them snore, both percentages were higher than those in the control group. The sleep diary showed that individuals in the group with CP spend more time to initiate sleep (around 21 minutes). The group with CP also showed deficits in all parameters analyzed by the Child Health Questionnaire, except in family activity and the sleep-wake pattern, and quality of life showed negative correlation in several respects.
The altered pattern of sleep in individuals with CP directly affects their physical and emotional well-being.
与健康对照组相比,调查和关联脑瘫(CP)患者的睡眠模式和生活质量。
78名受试者(年龄4 - 18岁,男女皆有)分为两组:CP组,由43名CP患者组成;对照组,由35名无神经发育障碍的个体组成。使用了一般睡眠习惯问卷、儿童睡眠障碍量表、睡眠日记、儿童健康问卷和儿童生活质量量表。
本研究发现60.5%的CP患者有睡眠障碍。呼吸障碍(25.6%)和睡眠多汗症(34.9%)是CP组最常见的干扰因素。此外,CP组中有23.2%的个体报告半夜醒来,37.2%的个体打鼾,这两个百分比均高于对照组。睡眠日记显示,CP组个体入睡时间更长(约21分钟)。CP组在儿童健康问卷分析的所有参数中均表现出缺陷,但家庭活动和睡眠 - 觉醒模式除外,并且生活质量在几个方面呈负相关。
CP患者睡眠模式的改变直接影响他们的身心健康。