The main objective is to study the effect of deep propioceptive stimulation with a heavy blanket for 2 weeks compared with a placebo blanket on sleep quality and behavior in patients with PWS
Prader-Willi syndrome (PWS) is a genetic disease associated with sleep disorders whose etiology is partly central due to the inherent hypothalamic deficit. It is associated with low cognitive performance and worsening behavior with more impulsivity, tantrums, scratches and obsession for food. Deep propioceptive stimulation with a heavy blanket (HB) stimulates the parasympathetic system and improves the state of anxiety in persons with autism or other causes of intellectual disability and/or psychopathology. To date, there are no studies evaluating the effect of HB on sleep quality or brain activity in persons with PWS. The main objective is to study the effect of HB for 2 weeks compared to a placebo blanket on sleep quality and behavior in patients with SPW. Methodology: Actigraphy, questionnaires, crossover study in 60 patients with PWS, with HB/placebo blankets (15 days each). Effect of HB on brain connectivity with functional magnetic resonance imaging in 30 patients and 30 controls. Expected results: PWS group will show worse sleep quality and behavior that will improve after using HB. Brain connectivity will be different with/without HB. These favorable changes will help to justify the use of this ecological treatment and its inclusion in the NHS clinical practice guidelines for improving the quality of life of these patients and their caregivers.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
60
Participants will start using the blanket (of the arm name), 30 days wash-out and 15d with the other blanket
Consorci Corporacio Sanitaria Parc TAuli
Sabadell, Barcelona, Spain
Changes in number of awakenings
measured by actigraphy
Time frame: 14 nights
Change in duration of awakenings
minutes measured by actigraphy
Time frame: 14 nights
Number of tantrums
caregivers report
Time frame: 15 days
number of skin injuries
physical examination by the principal investigator or collaborators
Time frame: 15 days
Interest for food
Hyperphagia questionnaire for clinical trials (9 items from 1-4, maximum score 36, more is worse)
Time frame: 15 days
Brain connectivity
functional magnetic resonance imaging
Time frame: 1 day
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