Every parent experiences sleepless nights sooner or later. Whether caused by a child's temporary illness or a developmental delay, sleep problems abound. Occupational therapist Anne Buckley Reen, OTR/L, promotes the S.A.N.E. approach to sleep:
S= Sleep is essential. Seep is required to replenish the body on all levels, from the cellular to the emotional. Not only can sleep-deprivation affect behavior aversely, but lack of sleep can make it hard for kids to think rationally and even, in extreme cases, lead to seizure.
A= Activity. "A 10-minute walk or slow jog, and deep breathing, especially in the morning and mid-day, are powerful regulators and reduce arousal," Reen states. She also strongly recommends established routines, beginning 30 minutes before bedtime (7:30 p.m. for preschoolers / 8:30 p.m. for school-age kids). Banish TV an hour before bedtime. Give kids a warm bath with Epsom salts for about 15 minutes, followed by a deep towel massage to arms, hands, back, legs and feet. Put on pajamas and go straight to bed, so that the body's natural cooling process can be used to soothe the child to sleep. Read only one story before lights out.
N= Nutrition. Vitamin deficiencies can hinder sleep, just as certain stimulants -- such as caffeine, sugar and chocolate -- can make it more difficult for kids to rest. Never give stimulants to kids after 4 p.m. Reen states, "Protein and B vitamins, especially at breakfast and lunch, are key to in?uencing the brain‘s ability to achieve a deep restorative sleep 12 hours later." Talk to your pediatrician about supplements that can help.
E= Environments. Anything from light seeping through the window to certain sounds can affect a child's sleep, particular a child with autism or sensory issues. Reen recommends, "For children who need lights on to fall asleep, get a dimmer switch and turn lights all the way out, once they are asleep. Any light on in the night will stimulate the pineal gland and inhibit production of sleep hormone." Music with a 60-beat-per-minute tempo to help to calm to body and mind; try Baby Go-To-Sleep Heartbeat Lullabies and Ocean Surf: Timeless and Sublime.
Anne Buckley Reen is a pediatric occupational therapist and President of OT For Kids. She can be reached at 718-318-1180. She lectures nationally with Debra Dickson, PT.
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