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학술저널
저자정보
Anina Ritterband-Rosenbaum (Elsass Foundation Charlottenlund) Mark Schram Christensen (Departments of Neuroscience University of Copenhagen Panum Institute) Mai Choe Lund (Departments of Neuroscience University of Copenhagen Panum Institute) Mia Dyhr Thomsen (Neurophysiological Unit Department of Neurology Zealand University Hospital) Maria Joy Normann Haverberg (Neurophysiological Unit Department of Neurology Zealand University Hospital) Jens Bo Nielsen (Elsass Foundation Charlottenlund) Troels Wesenberg Kjær (Zealand University Hospital)
저널정보
대한수면연구학회 Journal of sleep medicine Journal of sleep medicine Vol.18 No.2
발행연도
2021.8
수록면
106 - 116 (11page)
DOI
10.13078/jsm.210009

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Objectives: To compare night-time muscle activity in children with cerebral palsy (CP) with that in typical developing peers. Methods: Polysomnography with electroencephalography (EEG), electrocardiogram, electromyography (EMG), respiration, and electrooculography movements recorded during one night were used to characterize sleep stages in a group of children with CP (Gross Motor Function Classification Scale I?III) and a group of typically developing (TD) children (aged 3?13 years). Periods of EMG activity for the tibialis anterior and soleus (SOL) muscles were identified, and the coherence between EEG and EMG was measured to assess corticomuscular drive during sleep. Results: There were no significant differences between the groups in total sleep time, average time spent awake, or rapid eye movement, N1, and N3 sleep. Children with CP spent significantly less time in N2 than their healthy peers (43% vs. 51%, p=0.03). There was only a significant difference between TD and CP in SOL muscle activity during the wake stage. Otherwise, there were no differences between groups in coherence in EEG and EMG signals for any sleep stage. Conclusion: Mildly affected children with CP do not show altered night sleep or muscle activity patterns as compared to TD peers. Abnormal muscle activity is unlikely to contribute to sleep disturbance, development of contractures, joint deformation, pain, or general discomfort in this group of children with CP.

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