| Sleep quality and respiratory function in children with severe cerebral palsy using night-time postural equipment: a pilot study. | |
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MedLine Citation:
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PMID: 19627261 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Catherine M Hill; Rachel C Parker; Penny Allen; Annette Paul; Kathryn A Padoa |
Publication Detail:
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Type: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't Date: 2009-07-22 |
Journal Detail:
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Title: Acta paediatrica (Oslo, Norway : 1992) Volume: 98 ISSN: 1651-2227 ISO Abbreviation: Acta Paediatr. Publication Date: 2009 Nov |
Date Detail:
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Created Date: 2009-10-07 Completed Date: 2009-12-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9205968 Medline TA: Acta Paediatr Country: Norway |
Other Details:
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Languages: eng Pagination: 1809-14 Citation Subset: IM |
Affiliation:
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Division of Clinical Neurosciences, School of Medicine, University of Southampton, Southampton, UK. cmh2@southampton.ac.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Cerebral Palsy / physiopathology*, therapy Chi-Square Distribution Child Equipment and Supplies / adverse effects* Female Humans Male Pilot Projects Polysomnography Posture Respiratory Mechanics / physiology* Severity of Illness Index Sleep / physiology* Statistics, Nonparametric |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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