Graduate Program in Child and Adolescent Health, Hospital of Clinics, Federal University of Paraná, Rua General Carneiro, 181 - 14th Floor, Alto da Glória, Curitiba, Paraná, CEP 80060-900, Brazil.
Graduate Program in Child and Adolescent Health, Hospital of Clinics, Federal University of Paraná, Rua General Carneiro, 181 - 14th Floor, Alto da Glória, Curitiba, Paraná, CEP 80060-900, Brazil.
Sleep Med. 2021 May;81:261-267. doi: 10.1016/j.sleep.2021.02.055. Epub 2021 Mar 4.
To investigate, among children and adolescents with cerebral palsy (CP), the relationship between impairment of the gross motor function and: (i) child sleep disorders; (ii) the need for nocturnal support; and (iii) the quality of sleep of their caregivers.
For children, we considered their scores on the gross motor function measure (GMFM-88) and on the sleep disturbance scale for children (SDSC), besides analyzing qualitative features about their sleep. For caregivers, we considered their scores in the Pittsburgh sleep quality index (PSQI).
Our sample was comprised of 87 participants with mean age of 11.4 years old (±3.4). We observed correlations between GMFM-88 and disorders of initiating and maintaining sleep (DIMS) (r = -0.22; p = 0.039), sleep-wake transition disorders (SWTD) (r = 0.26; p = 0.017) and disorders of arousal (DA) (r = 0.23; p = 0.033). Children receiving nocturnal support presented lower scores in the GMFM-88 (p = 0.001) and higher scores in the SDSC (p = 0.029). For the caregivers, we found no correlation between GMFM-88 and PSQI. Nonetheless, their PSQI scores correlated with the SDSC scores (r = 0.24; p = 0.027).
Impairment of the gross motor function correlated with DIMS and the need for nocturnal support but might not have an impact on the caregivers' sleep, which in turn correlated with child sleep disorders.
调查脑瘫（CP）患儿的粗大运动功能损伤与以下方面的关系：（i）儿童睡眠障碍；（ii）夜间支持需求；以及（iii）其照顾者的睡眠质量。
对于儿童，我们考虑了他们的粗大运动功能测量（GMFM-88）和儿童睡眠障碍量表（SDSC）的得分，同时还分析了他们睡眠的定性特征。对于照顾者，我们考虑了他们在匹兹堡睡眠质量指数（PSQI）中的得分。
我们的样本包括 87 名参与者，平均年龄为 11.4 岁（±3.4）。我们观察到 GMFM-88 与入睡和维持睡眠障碍（DIMS）（r = -0.22；p = 0.039）、睡眠-觉醒转换障碍（SWTD）（r = 0.26；p = 0.017）和觉醒障碍（DA）（r = 0.23；p = 0.033）之间存在相关性。接受夜间支持的儿童 GMFM-88 得分较低（p = 0.001），SDSC 得分较高（p = 0.029）。对于照顾者，我们发现 GMFM-88 与 PSQI 之间没有相关性。然而，他们的 PSQI 得分与 SDSC 得分相关（r = 0.24；p = 0.027）。
粗大运动功能损伤与 DIMS 和夜间支持需求相关，但可能不会对照顾者的睡眠产生影响，而照顾者的睡眠又与儿童睡眠障碍相关。
