In recent decades sleep duration has declined in children (Magee, Caputi, & Iverson, 2012), and as a result of which sleep problems in children are very common, 20% to 42% children are encountered with sleep problems (Bharti, Mehta, & Malhi, 2013). Sleep is one of the most important factors to consider in any of the disorder, since it promotes healthy neurophysiologic functioning, learning and memory (Heraghty, Hilliard, Henderson, & Fleming, 2008; Wayte, McCaughey, Holley, Annaz, & Hill, 2012) . Sleep is influenced and regulated by a combination of various factors, which include genetic, biological, environmental, and behavioral factors (Magee et al., 2012). Insufficient, inefficient sleep, in children not only predisposes children to mood, behavioral and cognitive impairments but also predicts emotional problems, poorer school performance and health problems (J. E. Jan et al., 2008; Magee et al., 2012), which in turn further predispose them to sleep difficulties. These effects are more pronounced in children with underlying neurodevelopmental disabilities.
Cerebral palsy is one of the most common conditions associated with childhood disability. Cerebral palsy is defined as a group of nonprogressive disorders of movement and posture. These children are at higher risk for sleep problems because of their presented disability (Wayte et al., 2012). Children with cerebral palsy have sleep disorders which significantly affect the child development and performance, but also has a significant effect on the child caregivers and family (Magee et al., 2012; Simard-Tremblay, Constantin, Gruber, Brouillette, & Shevell, 2011). Particularly in the mother, depression and other health issues are being noticed (Wayte et al., 2012). All these factors can lead to parental anxiety and night time monitoring of the child (Wayte et al., 2012) and makes this a concerning issue.
It is very important to consider the sleep problems in children with cerebral palsy because sufficient night time sleep is important for the healthy development of children (Magee et al., 2012). Sleep loss is known to result in increased irritability, depression, poor affect modulation, and aggressiveness. There is a lack of clinical and research emphasis on sleep issues in children with cerebral palsy (J. E. Jan et al., 2008), so this needs to be considered.
Objective of the paper:
This paper is aimed to presenting the prevalence data for sleep problems in children with cerebral palsy from literature review, to understand the etiology of sleep problems and, relationship between sleep and pain. Another objective of this paper is to identify the evidence based non-pharmacological intervention and research gap from the review of literature.
Cerebral palsy is one of the most common disorders in children; 2 to 2.5 per 1000 live births suffer from cerebral palsy (m. m. s. Jan, 2006). Cerebral refers to the cerebrum and palsy means disorder in movements. In...