Cited by 40Sleep and related disordersAttention Deficit Hyperactivity DisorderObstructive Sleep Apnea Research

Use of Ball Blanket in attention-deficit/hyperactivity disorder sleeping problems

Hvolby, Allan, Bilenberg, Niels·2011·Nordic Journal of Psychiatry

Abstract

OBJECTIVES: Based on actigraphic surveillance, attention-deficit/hyperactivity disorder (ADHD) symptom rating and sleep diary, this study will evaluate the effect of Ball Blanket on sleep for a sample of 8-13-year-old children with ADHD. DESIGN: Case-control study. SETTING: A child and adolescent psychiatric department of a teaching hospital. PARTICIPANTS: 21 children aged 8-13 years with a diagnosis of ADHD and 21 healthy control subjects. INTERVENTION: Sleep was monitored by parent-completed sleep diaries and 28 nights of actigraphy. For 14 of those days, the child slept with a Ball Blanket. MAIN OUTCOME MEASURES: The sleep latency, number of awakenings and total length of sleep was measured, as was the possible influence on parent- and teacher-rated ADHD symptom load. RESULTS: The results of this study will show that the time it takes for a child to fall asleep is shortened when using a Ball Blanket. The time it takes to fall asleep when using the Ball Blanket is found to be at the same level as the healthy control subjects. Teacher rating of symptoms show an improvement in both activity levels and attention span of approximately 10% after using the Ball Blankets. CONCLUSIONS: The results of this study show that the use of Ball Blankets is a relevant and effective treatment method with regard to minimizing sleep onset latency. We find that the use of Ball Blankets for 14-days improves the time it takes to fall asleep, individual day-to-day variation and the number of awakenings to a level that compares with those found in the healthy control group. Furthermore, we find that the use of Ball Blankets significantly reduces the number of nights that the ADHD child spends more than 30 min falling asleep from 19% to 0%.

Integrity signals

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Crossref · 10.3109/08039488.2010.501868

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42 of 42 references verified0 citation errors · 0 not checkable

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  • Ball blankets are filled with loose balls to stimulate sensory receptors in the skin, muscles and joints, which transmit inhibitory signals to the central nervous system.

    “Ball blankets (Fig. 3) are filled with loose balls to stimulate sensory receptors in the skin, muscles and joints, which transmit inhibitory signals to the central nervous system (Hvolby and Bilenberg 2011).”

    From Associations of sleep disturbance with ADHD: implications for treatment (2015) · cites this paper as Hvolby and Bilenberg 2011

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Authors
Hvolby, A., & Bilenberg, N.
Affiliations
  • Region of Southern Denmark (DK)
  • Odense University Hospital (DK)
Corresponding author
Hvolby, Allan
Venue
Nordic Journal of Psychiatry
Published
2010-07-22
Volume
65
Issue
2
Pages
89-94
ISSN
  • 0029-1455 (ISSN-L)
  • 0803-9488
  • 1502-4725
OpenAlex
W2065524494
Cited by
40
References
42
Citations by year
2025: 3 · 2024: 9 · 2023: 3 · 2022: 2 · 2021: 5 · 2020: 6 · 2019: 1 · 2018: 1 · 2017: 2 · 2015: 2 · 2014: 4 · 2013: 1 · 2012: 1
FWCI
0.83
Type
journal article
Language
en
Open access
closed
Locations
  • Nordic Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • University of Southern Denmark Research Portal (University of Southern Denmark) (submittedVersion)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
  • Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
Keywords
attention deficit hyperactivity disorder, sleep disorders, sleep latency, children, actigraphy, sleep diary, ADHD symptoms
MeSH terms
Adolescent, Attention Deficit Disorder with Hyperactivity, Bedding and Linens, Child, Equipment Design, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Personality Assessment, Physical Stimulation, Psychometrics, Wakefulness, Actigraphy

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