Sleep problems are common in individuals with Down syndrome, with high rates of obstructive sleep apnoea (31–66%) and behavioural (52–69%) sleep problems (Stebbens et al. ; de Miguel‐Diez et al. ; Carter et al. ; Esbensen and Hoffman ). Behavioural sleep problems include problems that can be observed, such as bedtime resistance, sleep onset delay, sleep anxiety, night waking and parasomnias (Stores and Stores ). Interventions are available or being tested to support the sleep of children with Down syndrome. Bilevel and continuous positive airway pressure (PAP) are common interventions used in the general population, but are less well tolerated among children with developmental disabilities (Shott ). Surgical otolaryngology (adenoidectomy, tonsillectomy) are the primary intervention for obstructive sleep apnoea (OSA) in children with Down syndrome, with variable rates of success reported (Marcus et al. ; Merrell and Shott ). Post‐surgery, 48–63% of children continued to have an elevated frequency of apnoea, with an equal number of parents reporting to have observed apnoea in their child post‐surgery (Merrell and Shott ; Rosen et al. ). Clinical trials of children with Down syndrome are currently underway to assess the clinical effectiveness of behavioural interventions and of hypoglossal nerve stimulators to support
Journal of Intellectual Disability Research – Wiley
Published: Jan 1, 2018
Keywords: ; ; ; ; ;
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