بررسي اختلالات خواب در كودكان داراي فلج مغزي بر اساس سطح عملكرد حركتي درشت

Sleep Disorders in Children with Cerebral Palsy Based on Gross Motor Function Levels

سابقه و هدف: بررسي اختلالات خواب در كودكان داراي فلج مغزي، دانشي پيچيده و چالشي است. هدف از اين مطالعه، بررسي انواع اختلالات خواب در كودكان داراي فلج مغزي بر اساس سطح عملكرد حركتي درشت آن ها در شهر اراك بود. مواد و روش ها: در اين پژوهش مقطعي، 76 كودك داراي فلج مغزي 6 تا 15 ساله مراجعه كننده به مراكز توانبخشي شهر اراك در سال 1394-1395، مورد بررسي قرار گرفتند. روش نمونه گيري به صورت در دسترس و از نوع آسان و اختلالات خواب كودكان با استفاده از پرسشنامه عمومي خواب كودكان (SDSC) تعيين گرديد. داده هاي به دست آمده با استفاده از روش هاي آماره هاي توصيفي، T-test و كاي دو با استفاده از نرم افزار SPSS نسخه 18 مورد تجزيه و تحليل قرار گرفتند. يافته ها: نتايج نشان داد كه بين اختلالات خواب و جنس، سن و نوع فلج مغزي رابطه معني دار وجود ندارد (0/05>p). بين اختلالات خواب و سطوح عملكرد حركتي درشت رابطه معني د ار وجود دارد (0/05

Background and purpose: Sleep disorders in children with cerebral palsy (CP) are complex and challenging. The aim of this study was to investigate sleep disorders in children with CP based on gross motor function levels. Materials and methods: This cross-sectional study was conducted in 76 children with CP (aged 6 to 15 years old) attending rehabilitation centers in Arak, Iran 2016. The participants were recruited by convenience sampling. The Sleep Disturbance Scale for Children (SDSC) was applied. Data analysis was performed in SPSS V.18 using descriptive statistics, T-test, and Chi-square test. Results: There were no significant differences between sleep disorders and sex and types of CP (P>0.05). But, a significant difference was found between sleep disorders and gross motor function levels (P<0.05). The most common sleep disorders were difficulty in initiating and maintaining sleep (DIMS) and sleep-disordered breathing (SDB) that were seen in the children with quadriplegic spastic in the level of V more than those with other types of CP. Conclusion: The results showed that severe level of gross motor disability (the severity of motor impairment) is related to sleep disorders in children with CP. more training is suggested for children with CP and their caregivers for improving their sleep function.