The University of Southampton
University of Southampton Institutional Repository

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

Record type: Article

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

PDF Hill_CM_et_al.pdf - Version of Record
Restricted to Repository staff only
Download (149kB)

Citation

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), pp. 1809-1814. (doi:10.1111/j.1651-2227.2009.01441.x).

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

Catalogue record

Date deposited: 08 Mar 2010
Last modified: 18 Jul 2017 23:49

Export record

Altmetrics

Contributors

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

University divisions


Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×