Objective
To quantify differences in fatigue and disordered sleep between adolescents with cerebral palsy (CP) and their typically developing peers. A secondary aim was to investigate the association between fatigue and disordered sleep in adolescents with CP.
Methods
A convenience sample of 36 youth with CP aged 10–18 years was matched for age and sex with 36 typically developing peers. The Fatigue Impact and Severity Self-Assessment (FISSA), the Patient-Reported Outcome Measurement Information System (PROMIS) fatigue profile, and the Sleep Disturbance Scale for Children (SDSC) were collected.
Results
Higher fatigue was reported in participants with CP than in their typically developing peers based on the FISSA total score (mean paired difference=19.06; 99% confidence interval [CI], 6.06–32.1), the FISSA impact subscale (mean paired difference=11.19; 99% CI, 3.96–18.4), and the FISSA Management and Activity Modification subscale (mean paired difference=7.86; 99% CI, 1.1–14.6). There were no differences between groups in the PROMIS fatigue profile (mean paired difference=1.63; 99% CI, -1.57–4.83) or the SDSC total score (mean paired difference=2.71; 99% CI, -2.93–8.35).
Conclusion
Youth with CP experienced significantly more fatigue than their peers as assessed by a comprehensive measure that considered both general and diagnosis-specific concerns. Sleep did not differ between youth with CP and their typically developing peers. These findings underscore the need to consider the clinical management of fatigue across the lifespan of individuals with CP to prevent the associated deterioration of functional abilities.

Citations

• Prevalence of sleep problems in children with cerebral palsy: A systematic review and meta-analysis
  Zain Ali Nadeem, Obaid Ur Rehman, Umar Akram, Muhammad Ali Iftikhar, Hamza Irfan, Eeshal Fatima, Hiba Imran, Sonia Hurjkaliani, Alishba Khan
  Sleep Medicine.2025; 132: 106552.     CrossRef
• Comparing Self-Report Fatigue Assessment Tools for Adults with Cerebral Palsy in a Danish Context
  Ro Julia Robotham, Michelle Barner Bærentzen, Frederik Lehman Dornonville de la Cour
  Developmental Neurorehabilitation.2024; 27(1-2): 34.     CrossRef
• Prevalence and associations of fatigue in childhood atopic dermatitis: A cross‐sectional study
  Stephanie M. Rangel, Theodore Kim, Anjani Sheth, Alli Blumstein, Jin‐Shei Lai, David Cella, Amy S. Paller, Jonathan I. Silverberg
  Journal of the European Academy of Dermatology and Venereology.2023; 37(4): 763.     CrossRef
• Real‐time daily fatigue, sleep, physical activity, and health‐related fitness in adults with cerebral palsy
  Olaf Verschuren, Joyce L. Benner, Astrid C. J. Balemans, Herwin Horemans, Rita Johanna G. Van Den Berg‐Emons, Wilma M. A. Van Der Slot
  Developmental Medicine & Child Neurology.2023; 65(4): 509.     CrossRef
• Prevalence of fatigue in adolescents and adults with cerebral palsy: a systematic review and meta-analysis
  Dinesh Ghatamaneni, Sarthak Kohli, Sue Peters, Joy MacDermid, Laura Brunton
  Fatigue: Biomedicine, Health & Behavior.2023; 11(2-4): 157.     CrossRef

Objective
To determine the relation of Radiographic Scoring System and Scoliosis Research Society-22 (SRS-22), a revised form of health-related quality-of-life (HRQL) questionnaire in idiopathic adolescent scoliosis patients. Method: A patient group was made up of 41 adolescents who were diagnosed as idiopathic scoliosis. A control group of 17 persons with Cobb's angle ＜10^o was established. To evaluate psychosocial condition, SRS-22 was used to collect the data on both patient and control group. Roentgenographic study was conducted to obtain the Radiographic Deformity Score and evaluate the curve pattern. Results: Pain, self image/appearance, mental health and total score of SRS domains were found to be significantly different between patient and control group (p＜0.05). Radiog raphic Deformity Score was positively correlated with pain and self image of SRS domains (p＜0.05). However, the pattern of curve was found to be not correlated with SRS score. Conclusion: We could evaluate a psychologic condition of idiopathic adolescent scoliosis using Scoliosis Research Society-22 (SRS-22) health-related quality-of-life (HRQL) questionnaire. The more severe spinal deformity, it had the more negative influence on psychologic conditions in idiopathic adolescent scoliosis patients. Therefore, the clinician who is managing idiopathic adolescent scoliosis patients should consider their psychosocial conditions. (J Korean Acad Rehab Med 2004; 28: 259-264)