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The relationship between gross motor function impairment in cerebral palsy and sleeping issues of children and caregivers
Institution:1. 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;2. Municipal Educational Center for Specialized Service (CEMAE), Av. Cristina, 420, Campo Largo, Paraná, CEP 83602-340, Brazil;3. Health Sciences Sector, Federal University of Paraná, Rua Padre Camargo, 280, Alto da Glória, Curitiba, Paraná, CEP 80060-240, Brazil;4. Neuropediatric Center of the Hospital of Clinics (CENEP), Federal University of Paraná, Rua Floriano Essenfelder, 81, Alto da Glória, Curitiba, Paraná, CEP 80060-270, Brazil
Abstract:AimTo 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.MethodsFor 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).ResultsOur 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).ConclusionImpairment 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.
Keywords:Cerebral palsy  Sleep disorders  Motor activity  Evaluation  CP"}  {"#name":"keyword"  "$":{"id":"kwrd0035"}  "$$":[{"#name":"text"  "_":"cerebral palsy  SDSC"}  {"#name":"keyword"  "$":{"id":"kwrd0045"}  "$$":[{"#name":"text"  "_":"sleep disturbance scale for children  DIMS"}  {"#name":"keyword"  "$":{"id":"kwrd0055"}  "$$":[{"#name":"text"  "_":"disorders of initiating and maintaining sleep  DA"}  {"#name":"keyword"  "$":{"id":"kwrd0065"}  "$$":[{"#name":"text"  "_":"disorders of arousal  SWTD"}  {"#name":"keyword"  "$":{"id":"kwrd0075"}  "$$":[{"#name":"text"  "_":"sleep–wake transition disorders  PSQI"}  {"#name":"keyword"  "$":{"id":"kwrd0085"}  "$$":[{"#name":"text"  "_":"Pittsburgh sleep quality index  GMFM-88"}  {"#name":"keyword"  "$":{"id":"kwrd0095"}  "$$":[{"#name":"text"  "_":"gross motor function measure
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