RELATIONSHIP BETWEEN SLEEP PROBLEMS AND GROSS MOTOR FUNCTION IN CHILDREN WITH CEREBRAL PALSY AND INVESTIGATION OF THEIR PARENTS' QUALITY OF LIFE
Öz
Purpose: Sleep problems commonly seen in children with cerebral palsy (CP) adversely affect daily living activities and treatment participation. The study aimed to investigate the relationship between sleep problems and gross motor function levels in children with spastic CP and to determine parents' quality of life (QOL). Methods: Sixty children with spastic CP and 60 typically developing children between the ages of 4 and 12 years and their parents were enrolled in the study. After obtaining demographic data, Gross Motor Function Classification System (GMFCS) was used to determine motor function levels. International Classification of Diseases-10 was used for cognitive function. Children's Sleeping Habits Questionnaire measured children's sleeping habits. The Nottingham Health Profile was used to evaluate parents' QOL. Results: Fifty-two (86.7%) children with CP had sleep disorders. Sleep disturbance values were significantly higher in the CP group than the controls (52.7±7.6 vs 41.5±8.01, respectively), p=0.001. There was no significant difference between GMFCS levels and sleep disorders in children with CP (p>0.05) except morning fatigue (p=0.028). There was no difference between cognition, medication use, and sleep problems (p>0.05). Parents' QOL was found to be worse in the CP group (p=0.001). Conclusion: Rate of sleep disorders in children with CP was higher than controls. Their mothers' QOL values were found to be worse. Conditions that may be associated with sleep disorders in children with CP and their parents’ conditions need to be better identified and screened.
Anahtar Kelimeler
Kaynakça
- 1. Simard-Tremblay E, Constantin E, Gruber R, Brouillette RT, Shevell M. Sleep in children with cerebral palsy: a review. J Child Neurol 2011; 26(10):1303-10.2. Zucconi M, Bruni O, editors. Sleep disorders in children with neurologic diseases. Semin Pediatr Neurol 2001; 8(4):258-275.3. Ward TM, Rankin S, Lee KA. Caring for children with sleep problems. J Pediatr Nurs 2007; 22(4):283-96.4. Hiscock H, Canterford L, Ukoumunne OC, Wake M. Adverse associations of sleep problems in Australian preschoolers: national population study. Pediatr 2007; 119(1):86-93.5. Koyuncu E, Türkkani MH, Sarikaya FG, Özgirgin N. Sleep disordered breathing in children with cerebral palsy. Sleep Med 2017; 30:146-50.6. Tietze A-L, Blankenburg M, Hechler T, Michel E, Koh M, Schlüter B, et al. Sleep disturbances in children with multiple disabilities. Sleep Med Rev 2012;16(2):117-27.7. Hemmingsson H, Stenhammar A-M, Paulsson K. Sleep problems and the need for parental night‐time attention in children with physical disabilities. Child Care Health Dev 2009; 35(1):89-95.8. Hagberg B, Hagberg G, eds. The origins of cerebral palsy. In: David TJ, editor. Recent advances in paediatrics. XI . Edinburgh Churchill Livingstone; 1993, p. 67-83.9. Owens JA, Spirito A, McGuinn M. The Children's Sleep Habits Questionnaire (CSHQ): psychometric properties of a survey instrument for school-aged children. Sleep 2000; 23(8):1043-52.10. Colver A. Study protocol: SPARCLE–a multi-centre European study of the relationship of environment to participation and quality of life in children with cerebral palsy. BMC Public Health 2006; 6(1):105.11. Kücükdeveci A, McKenna S, Kutlay S, Gürsel Y, Whalley D, Arasil T. The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res 2000;23(1):31-8.12. Meltzer LJ, Mindell JA. Impact of a child's chronic illness on maternal sleep and daytime functioning. Arch Intern Med 2006;166(16):1749-55.13. Elsayed RM, Hasanein BM, Sayyah HE, El-Auoty MM, Tharwat N, Belal TM. Sleep assessment of children with cerebral palsy: Using validated sleep questionnaire. Ann Indian Acad Neurol 2013;16(1):62.14. Romeo DM, Brogna C, Musto E, et al. Sleep disturbances in preschool age children with cerebral palsy: a questionnaire study. Sleep Med 2014;15(9):1089-93.15. Romeo DM, Brogna C, Quintiliani M, et al. Sleep disorders in children with cerebral palsy: neurodevelopmental and behavioral correlates. Sleep Med 2014;15(2):213-8.16. McCabe SM, Blackmore AM, Abbiss CR, Langdon K, Elliott C. Sleep concerns in children and young people with cerebral palsy in their home setting. Aust Paediatr J 2015; 51(12):1188-94.17. Chervin RD, Archbold KH, Panahi P, Pituch KJ. Sleep problems seldom addressed at two general pediatric clinics. Pediatr 2001; 107(6):1375-80.18. Sandella DE, O’Brien LM, Shank LK, Warschausky SA. Sleep and quality of life in children with cerebral palsy. Sleep Med 2011; 12(3):252-6.
SEREBRAL PALSİLİ ÇOCUKLARIN UYKU PROBLEMLERİ VE KABA MOTOR FONKSİYON İLİŞKİSİ VE EBEVEYNLERİNİN YAŞAM KALİTESİNİN İNCELENMESİ
Öz
Amaç: Serebral palsili (SP) çocuklarda yaygın olan uyku problemleri, günlük yaşam aktivitelerini ve tedaviye katılımı olumsuz etkilemektedir. Çalışmanın amacı, spastik SP'li çocuklarda uyku problemleriyle kaba motor fonksiyon seviyeleri arasındaki ilişkiyi ve ebeveynlerin yaşam kalitelerini araştırmak olarak belirlendi. Yöntem: Çalışmaya, 4-12 yaş aralığında 60 spastik SP'li ve 60 tipik gelişen çocuk, ebeveynleri ile birlikte dahil edildi. Demografik verilerin alınmasının ardından motor fonksiyon seviyelerini belirlemek için Kaba Motor Fonksiyon Sınıflama Sistemi (KMFSS) kullanıldı. Çocukların uyku alışkanlıkları Çocuk Uyku Alışkanlıkları Anketi ile ölçüldü. Kognitif fonksiyonlar için Uluslararası Hastalıklar Sınıflaması-10 kullanıldı. Ebeveynlerin yaşam kalitesi algıları Nottingham Sağlık Profili ile değerlendirildi. Sonuçlar: Elli iki (% 86,7) SP'li çocukta uyku bozuklukları tespit edildi. SP'li grubun uyku bozukluğu değerleri kontrol grubuna göre anlamlı şekilde yüksek bulundu (52,7±7,6 ve 41,5±8,01), p=0,001. SP'li çocukların KMFSS seviyeleri ve uyku bozuklukları arasında sabah yorgunluğu dışında (p=0.028) anlamlı farklılık yoktu (p>0.05). Kognitif durum, ilaç kullanımı ve uyku bozuklukları arasında fark yoktu (p>0.05). SP grubundaki ebeveynlerin yaşam kalitesi algılarının daha kötü olduğu bulundu (p=0,001). Tartışma: Çalışmamız SP'li çocukların uyku bozukluğu oranının kontrol grubundan daha yüksek olduğunu gösterdi. Bu çocukların ebeveynlerinin yaşam kalitesi değerlerinin daha kötü olduğu bulundu. SP'li çocuklarda uyku bozuklukları ile ilişkili olabilecek durumların ve ebeveynlerin durumlarının daha iyi tanımlanmasına ve taranmasına ihtiyaç vardır.
Anahtar Kelimeler
Kaynakça
- 1. Simard-Tremblay E, Constantin E, Gruber R, Brouillette RT, Shevell M. Sleep in children with cerebral palsy: a review. J Child Neurol 2011; 26(10):1303-10.2. Zucconi M, Bruni O, editors. Sleep disorders in children with neurologic diseases. Semin Pediatr Neurol 2001; 8(4):258-275.3. Ward TM, Rankin S, Lee KA. Caring for children with sleep problems. J Pediatr Nurs 2007; 22(4):283-96.4. Hiscock H, Canterford L, Ukoumunne OC, Wake M. Adverse associations of sleep problems in Australian preschoolers: national population study. Pediatr 2007; 119(1):86-93.5. Koyuncu E, Türkkani MH, Sarikaya FG, Özgirgin N. Sleep disordered breathing in children with cerebral palsy. Sleep Med 2017; 30:146-50.6. Tietze A-L, Blankenburg M, Hechler T, Michel E, Koh M, Schlüter B, et al. Sleep disturbances in children with multiple disabilities. Sleep Med Rev 2012;16(2):117-27.7. Hemmingsson H, Stenhammar A-M, Paulsson K. Sleep problems and the need for parental night‐time attention in children with physical disabilities. Child Care Health Dev 2009; 35(1):89-95.8. Hagberg B, Hagberg G, eds. The origins of cerebral palsy. In: David TJ, editor. Recent advances in paediatrics. XI . Edinburgh Churchill Livingstone; 1993, p. 67-83.9. Owens JA, Spirito A, McGuinn M. The Children's Sleep Habits Questionnaire (CSHQ): psychometric properties of a survey instrument for school-aged children. Sleep 2000; 23(8):1043-52.10. Colver A. Study protocol: SPARCLE–a multi-centre European study of the relationship of environment to participation and quality of life in children with cerebral palsy. BMC Public Health 2006; 6(1):105.11. Kücükdeveci A, McKenna S, Kutlay S, Gürsel Y, Whalley D, Arasil T. The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res 2000;23(1):31-8.12. Meltzer LJ, Mindell JA. Impact of a child's chronic illness on maternal sleep and daytime functioning. Arch Intern Med 2006;166(16):1749-55.13. Elsayed RM, Hasanein BM, Sayyah HE, El-Auoty MM, Tharwat N, Belal TM. Sleep assessment of children with cerebral palsy: Using validated sleep questionnaire. Ann Indian Acad Neurol 2013;16(1):62.14. Romeo DM, Brogna C, Musto E, et al. Sleep disturbances in preschool age children with cerebral palsy: a questionnaire study. Sleep Med 2014;15(9):1089-93.15. Romeo DM, Brogna C, Quintiliani M, et al. Sleep disorders in children with cerebral palsy: neurodevelopmental and behavioral correlates. Sleep Med 2014;15(2):213-8.16. McCabe SM, Blackmore AM, Abbiss CR, Langdon K, Elliott C. Sleep concerns in children and young people with cerebral palsy in their home setting. Aust Paediatr J 2015; 51(12):1188-94.17. Chervin RD, Archbold KH, Panahi P, Pituch KJ. Sleep problems seldom addressed at two general pediatric clinics. Pediatr 2001; 107(6):1375-80.18. Sandella DE, O’Brien LM, Shank LK, Warschausky SA. Sleep and quality of life in children with cerebral palsy. Sleep Med 2011; 12(3):252-6.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Rehabilitasyon |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 28 Ağustos 2020 |
| Yayımlandığı Sayı | Yıl 2020 Cilt: 31 Sayı: 2 |
