Use of Ball Blanket in attention-deficit/hyperactivity disorder sleeping problems
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%.
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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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Associations of sleep disturbance with ADHD: implications for treatment
Hvolby, A. (2015) · ADHD Attention Deficit and Hyperactivity Disorders · doi:10.1007/s12402-014-0151-0 · Cited by 339 · see citing works
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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
- Publisher
- Informa UK Limited
- 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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