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

Sleep quality and respiratory function in children with severe cerebral palsy using night-time postural equipment: a pilot study
Sleep quality and respiratory function in children with severe cerebral palsy using night-time postural equipment: a pilot study
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
cerebral palsy, night-time postural equipment, respiratory function, sleep architecture, sleep systems
0803-5253
1809-1814
Hill, Catherine M.
867cd0a0-dabc-4152-b4bf-8e9fbc0edf8d
Parker, Rachel C.
826ba5b8-77c1-4590-ba2f-833dc844b515
Allen, Penny
c543cf97-f014-4d75-942a-6a1df7a6a42f
Paul, Annette
8db06fe6-b85a-4e5c-901e-decfe1823301
Padoa, Kathryn A.
e3108f07-94bd-4884-8d8a-5b52faf8a56a
Hill, Catherine M.
867cd0a0-dabc-4152-b4bf-8e9fbc0edf8d
Parker, Rachel C.
826ba5b8-77c1-4590-ba2f-833dc844b515
Allen, Penny
c543cf97-f014-4d75-942a-6a1df7a6a42f
Paul, Annette
8db06fe6-b85a-4e5c-901e-decfe1823301
Padoa, Kathryn A.
e3108f07-94bd-4884-8d8a-5b52faf8a56a

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).

Record type: Article

Abstract

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

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More information

Published date: November 2009
Keywords: cerebral palsy, night-time postural equipment, respiratory function, sleep architecture, sleep systems

Identifiers

Local EPrints ID: 73483
URI: http://eprints.soton.ac.uk/id/eprint/73483
ISSN: 0803-5253
PURE UUID: 7ad32a95-453c-4aec-81b6-c7bd4a925aac
ORCID for Catherine M. Hill: ORCID iD orcid.org/0000-0003-2372-5904

Catalogue record

Date deposited: 08 Mar 2010
Last modified: 14 Mar 2024 02:42

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Contributors

Author: Rachel C. Parker
Author: Penny Allen
Author: Annette Paul
Author: Kathryn A. Padoa

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