Center of Excellence for Rehabilitation Medicine, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht University and De Hoogstraat Rehabilitation, Utrecht, the Netherlands.
Department of Pediatrics, CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, ON, Canada.
Dev Med Child Neurol. 2021 Nov;63(11):1344-1350. doi: 10.1111/dmcn.14920. Epub 2021 May 15.
To describe: (1) the frequency and types of sleep problems, (2) parent-rated satisfaction with their child's and their own sleep, and (3) child factors related to the occurrence of sleep problems in children with cerebral palsy (CP) and their parents. The secondary objective was to compare the sleep outcomes of children with CP with those from typically developing children and their parents.
The Sleep section of the 24-hour activity checklist was used to assess the sleep of children with CP and their parents and the sleep of typically developing children and their parents.
The sleep outcomes of 90 children with CP (median age 5y, range 0-11y, 53 males, 37 females, 84.4% ambulatory) and 157 typically developing peers (median age 5y, range 0-12y; 79 males, 78 females) and their parents were collected. Children with CP were more likely to have a sleep problem than typically developing children. Non-ambulatory children with CP were more severely affected by sleep problems than ambulatory children. The parents of non-ambulatory children were less satisfied about their child's and their own sleep. Waking up during the night, pain/discomfort in bed, and daytime fatigue were more common in children with CP and more prevalent in children who were non-ambulatory.
These findings highlight the need to integrate sleep assessment into routine paediatric health care practice. What this paper adds Children with cerebral palsy (CP) are more likely to have a sleep problem than typically developing peers. Non-ambulatory children with CP are more severely affected by sleep problems. One-third of parents of children with CP report feeling sleep-deprived often or always compared to a quarter of parents of typically developing children.
描述：（1）睡眠问题的频率和类型，（2）父母对其子女和自身睡眠的满意度，以及（3）与脑瘫（CP）儿童及其父母睡眠问题发生相关的儿童因素。次要目的是比较 CP 儿童与正常发育儿童及其父母的睡眠结果。
使用 24 小时活动清单的睡眠部分评估 CP 儿童及其父母和正常发育儿童及其父母的睡眠情况。
共收集了 90 名 CP 儿童（中位数年龄为 5 岁，范围为 0-11 岁，53 名男性，37 名女性，84.4%能行走）和 157 名正常发育同龄儿童（中位数年龄为 5 岁，范围为 0-12 岁；79 名男性，78 名女性）及其父母的睡眠结果。CP 儿童比正常发育儿童更有可能出现睡眠问题。不能行走的 CP 儿童比能行走的 CP 儿童受睡眠问题的影响更严重。不能行走的 CP 儿童的父母对其子女和自身的睡眠满意度较低。夜间醒来、床上疼痛/不适和白天疲劳在 CP 儿童中更为常见，在不能行走的儿童中更为普遍。
这些发现强调需要将睡眠评估纳入常规儿科保健实践中。本文的新发现患有脑瘫（CP）的儿童比正常发育的同龄人更有可能出现睡眠问题。不能行走的 CP 儿童受睡眠问题的影响更严重。三分之一的 CP 儿童父母经常或总是感到睡眠不足，而四分之一的正常发育儿童父母有这种情况。
