Sarah Razaq, Muhammad Aleem Arshad, Tahira Amjad.
The natural predominant sleeping positions in cerebral palsy; does it correlate with the Type of cerebral palsy?.
Pak J Neurological Sci Jan ;14(3):16-20.

Objective: To see the natural positions of cerebral palsy subjects during sleep and their correlation with the particular type of cerebral palsy. Material and methods: Institution: Pakistan Aeronautical Complex Hospital Kamra, Pakistan Study design: Descriptive cross sectional study Duration of study: 1.5 years Place of study: Pakistan Aeronautical Complex Hospital Kamra, Pakistan Method: All consecutive patients of cerebral palsy (CP) fulfilling the inclusion criteria were enrolled for this study. The detailed interview was taken from the parent/caregiver of the child and the demographic data was also noted. The most commonly adopted posture during sleep (more than half of the time spent in sleep at night) was recorded along with sleep duration, daytime naps, bruxism and nocturia. A total of 162 patients with various types of cerebral palsy were enrolled. Detailed information about the type of cerebral palsy, spasticity, associated problems like mental retardation, seizures, visual impairment, hearing impairment, dental problems and speech problems was endorsed in the proforma. The data was analyzed using SPSS V21. Results: A detailed analysis of various sleep positions was obtained which revealed lateral decubitus position (37.7%) to be most common, followed by supine (24.7%) and prone (10.5%). A combination of lateral decubitus along with supine positioning (11.2%) was also noted. In remaining (6.2%) subjects, no definite pattern could be established due to frequent change of positions while asleep. Spastic diplegia (36.4%) was predominant type of cerebral palsy followed by spastic quadriplegia (17.9%), spastic hemiplegia (16.7%), hypotonia (19.8%) and dystonia/dyskinesia (9.3%). Conclusion: No statistical association was found between a particular type of cerebral palsy and different positions during sleep.

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