scholarly journals A preliminary study of sleep disorders and daytime behaviour problems in children with Down syndrome

1993 ◽  
Vol 1 (1) ◽  
pp. 29-33 ◽  
Author(s):  
Rebecca Stores
2017 ◽  
Vol 62 (2) ◽  
pp. 115-125 ◽  
Author(s):  
A. J. Esbensen ◽  
E. K. Hoffman ◽  
D. W. Beebe ◽  
K. C. Byars ◽  
J. Epstein

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A240-A240
Author(s):  
Nisha Patel ◽  
Timothy Morgenthaler ◽  
Julie Baughn

Abstract Introduction Obstructive sleep apnea (OSA) affects 50–79% of children with Down Syndrome (CDS) prompting the development of guidelines to increase early detection of OSA. Cross-sectional survey based data shows that CDS have higher rates of bedtime resistance, sleep anxiety, night waking and parasomnias, which are also under-recognized. However, due to increased survival of CDS it may be that OSA treated in childhood returns or worsens, or that CDS may develop other sleep disorders as their life experience and exposure to comorbidities expands. Little is known about sleep disorders across the life span of CDS and screening guidelines leave a gap beyond early childhood. We determined to enhance understanding of respiratory and non-respiratory sleep disorders in a community population of CDS. Methods A retrospective population based observational study of CDS born between 1995–2011 was performed using the Rochester Epidemiology Project database. Medical records from all encounters through July 2020 were reviewed to identify sleep disorders. Sleep diagnoses, sleep test results, and treatments aimed at sleep disorders were recorded. Results 94 CDS were identified with 85 providing consent for research. 54 out of 85 individuals were diagnosed with OSA with 26 diagnosed prior to age 4 and 25 undergoing polysomnography prior to treatment. 26 individuals underwent polysomnography following surgery of which 16 continued to have clinically significant OSA requiring further treatment with secondary surgery, CPAP or anti-inflammatory therapy. Other sleep disorders observed included insomnia (n=16), restless leg syndrome (n=7), periodic limb movement disorder (n=10), idiopathic hypersomnia (n=1), nightmares (n=1), nocturnal enuresis (n=1), bruxism (n=1) and delayed sleep phase disorder (n=1). Most non-OSA sleep disorders were diagnosed during OSA evaluation by sleep medicine providers. However, many children were on melatonin without a formal sleep disorder diagnosis. Conclusion Both OSA and other sleep disorders remain under-diagnosed in CDS. This may be due to lack of validated screening tools that can be administered at the primary care level. Screening recommendations should consider the longitudinal nature of OSA in CDS and the presence of non-respiratory sleep disorders. Adenotonsillectomy is not as effective in CDS and postsurgical polysomnography is warranted along with long term follow-up to assess for further treatment needs. Support (if any):


2021 ◽  
Vol 10 (23) ◽  
pp. 5611
Author(s):  
Liliana Szyszka-Sommerfeld ◽  
Magdalena Sycińska-Dziarnowska ◽  
Krzysztof Woźniak ◽  
Monika Machoy ◽  
Sławomir Wilczyński ◽  
...  

The aim of this study was to assess the electrical activity of the superior (SOO) and inferior (IOO) orbicularis oris muscles in children with Down syndrome (DS) and in children without DS. After applying the inclusion and exclusion criteria, 30 subjects were eligible to participate in the later stages of the research—15 subjects with DS (mean age 10.1 ± 1.1) and 15 healthy controls (mean age 9.8 ± 1.0). The electrical potentials of the SOO and IOO muscles were recorded using a DAB-Bluetooth electromyography machine (Zebris Medical GmbH, Germany) during the following tasks: At clinical rest, saliva swallowing, lip protrusion, lip compression, and production of the syllable/pa/. The Mann–Whitney U test was conducted to compare the study results between the groups. An analysis of the electromyographical (EMG) recordings showed that the electrical activity of the orbicularis oris muscle in children with DS and lip incompetence was significantly higher compared to healthy children during saliva swallowing, lip compression, and when producing the syllable/pa/, and this may suggest greater muscular effort due to the need to seal the lips during these functional conditions.


2019 ◽  
Vol 20 (-1) ◽  
pp. 413-413
Author(s):  
Mina Gharibzadeh Hizal ◽  
◽  
Sanem Eryilmaz Polat ◽  
Dilber Ademhan ◽  
Nagehan Emiralioglu ◽  
...  

2007 ◽  
Vol 143A (13) ◽  
pp. 1408-1413 ◽  
Author(s):  
Gail A. Spiridigliozzi ◽  
James H. Heller ◽  
Blythe G. Crissman ◽  
Jennifer A. Sullivan-Saarela ◽  
Rebecca Eells ◽  
...  

Author(s):  
Mina Gharibzadeh Hizal ◽  
Sanem Eryılmaz Polat ◽  
Dilber Ademhsn ◽  
Nagehan Emiralioglu ◽  
Ozlem Kiper ◽  
...  

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