Sleep Disorders and Quality of Life in Children with Cerebral Palsy: Sleep and Cerebral Palsy

Ubedullah Bahalkani; Mumtaz Ali Bharo; Tayyaba Haque; Bakhtiar Ahmed Bhanbhro; Kamran Ali; Faiza Kamran Ali

doi:10.54393/pjhs.v6i1.2582

Authors

Ubedullah Bahalkani Department of Paediatrics, Khairpur Medical College, Khairpur Mir’s, Pakistan
Mumtaz Ali Bharo Department of Paediatrics, Ghulam Muhammad Mahar Medical College, Sukkur, Pakistan
Tayyaba Haque Department of Paediatrics, Khairpur Medical College, Khairpur Mir’s, Pakistan
Bakhtiar Ahmed Bhanbhro Department of Paediatrics, Abdul Qadir Shah Jilani Institute of Sciences, Gambat, Pakistan
Kamran Ali Department of Paediatrics, Khairpur Medical College, Khairpur Mir’s, Pakistan
Faiza Kamran Ali Department of Gynaecology, Rural Health Centre Atta Muhammad Hami, Khairpur, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v6i1.2582

Keywords:

Cerebral Palsy, Sleep Disorders, Motor Function, Epilepsy, Gross Motor Function Classification System, Children's Sleep Habit Questionnaire

Abstract

Sleep disorders are common in children with Cerebral Palsy (CP) and can adversely affect their health and quality of life. Objective: To investigate the factors associated with sleep disorders in children diagnosed CP with age ranged from 5 to 10 years. Methods: A cross-sectional study was conducted for six months from March 2024 to August 2024, with 150 children aged 5 to 10 years diagnosed with CP at Department of Pediatrics, Khairpur medical college Khairpur Mir’s. Data on demographics, type of CP, motor function levels (GMFCS), epilepsy presence, physiotherapy intensity, co-sleeping practices, and sleep disorder prevalence were collected. Odds Ratios (OR) and Adjusted Odds Ratios (Adjusted OR) were calculated using chi-square tests and multivariate analysis. Results: Participants were predominantly aged 8 to 10 years (53.3%), with spastic CP being the most common type (56.7%). Significant associations were found between sleep disorders and several factors: type of CP (OR = 2.57, P = 0.004), GMFCS levels III and IV (OR = 2.94, P = 0.001), epilepsy (OR = 2.67, P = 0.01), and low physiotherapy intensity (OR = 3.11, P < 0.001). Multivariate analysis confirmed that the type of CP (Adjusted OR = 2.45, P = 0.007) and motor impairment severity (Adjusted OR = 3.10, P = 0.001) were significant risk factors for sleep disorders. Conclusion: The study highlighted a high prevalence of sleep disorders among children with CP, emphasizing the need for targeted interventions addressing specific risk factors to improve sleep quality and overall well-being.

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