Sleep quality and respiratory function in children with severe cerebral palsy using night-time postural equipment: a pilot study

Hill, Catherine M., Parker, Rachel C., Allen, Penny, Paul, Annette and Padoa, Kathryn A. (2009) Sleep quality and respiratory function in children with severe cerebral palsy using night-time postural equipment: a pilot study. Acta Paediatrica, 98, (11), 1809-1814. (doi:10.1111/j.1651-2227.2009.01441.x).


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Background: night-time postural equipment (NTPE) prevents contractures and hip subluxation in children with severe physical disabilities. However, impact on sleep quality and respiratory function has not been objectively studied.

Methods: ten children with severe cerebral palsy (CP), mean age of 10.9 (range: 5.3–16.7) years, were recruited from a community population. Polysomnography was undertaken on two nights, once with the child sleeping in their NTPE and once sleeping unsupported. Randomization to first night condition controlled for first night effects.

Results: night-time postural equipment use was associated with higher mean overnight oxygen saturation for three children but lower values for six children compared with sleeping unsupported. There were no differences in sleep quality between the conditions. The study group had lower overnight oxyhaemoglobin saturation values, less rapid eye movement (REM) sleep and higher arousal indices compared with typically developing children.

Conclusion: this pilot study indicated that children with severe CP risk respiratory compromise in sleep irrespective of positioning. Further study will determine if the observed trend for mean overnight oxygen saturation to be lower within positioning equipment reflects random night-to-night variation or is related to equipment use. We suggest that respiratory function is assessed when determining optimal positioning for children using night-time positioning equipment

Item Type: Article
Digital Object Identifier (DOI): doi:10.1111/j.1651-2227.2009.01441.x
ISSNs: 0803-5253 (print)
Related URLs:
Keywords: cerebral palsy, night-time postural equipment, respiratory function, sleep architecture, sleep systems
Subjects: R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
Divisions : University Structure - Pre August 2011 > School of Medicine > Clinical Neurosciences
ePrint ID: 73483
Accepted Date and Publication Date:
November 2009Published
Date Deposited: 08 Mar 2010
Last Modified: 31 Mar 2016 13:06

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