脑瘫青少年疼痛的患病率、分布情况及影响
The prevalence, distribution, and effect of pain among adolescents with cerebral palsy.
作者信息
Doralp Samantha, Bartlett Doreen J
机构信息
Faculty of Health Sciences, The University of Western Ontario, London, Ontario, Canada N6G 1H1.
出版信息
Pediatr Phys Ther. 2010 Spring;22(1):26-33. doi: 10.1097/PEP.0b013e3181ccbabb.
PURPOSE
: To describe the prevalence, distribution, and intensity of pain and determine the relationship between pain intensity and effect on daily activities in adolescents with cerebral palsy.
METHODS
: A sample of 104 girls and 126 boys, mean ages 14.7 (SD = 1.7) and 14.8 (SD = 1.7) years, were asked "Have you experienced physical pain in the past month?"
RESULTS
: Sixty-four percent of girls and 50% of boys reported pain. Pain was most frequent in the feet and ankles, knees, and lower back of girls and boys at Gross Motor Function Classification System levels I to IV. Foot and ankle and knee pain were also frequent at level V. The Spearman rho value between intensity and effect on daily activities was 0.75 (p < 0.01) and 0.82 (p < 0.01) for girls and boys.
CONCLUSIONS
: The high prevalence of pain and its effect on daily activities suggests a need for greater focus on health promotion.
目的
描述脑瘫青少年疼痛的患病率、分布及强度，并确定疼痛强度与对日常活动影响之间的关系。
方法
对104名女孩和126名男孩进行抽样，平均年龄分别为14.7岁（标准差=1.7）和14.8岁（标准差=1.7），询问他们“在过去一个月里你是否经历过身体疼痛？”
结果
64%的女孩和50%的男孩报告有疼痛。在粗大运动功能分类系统I至IV级的女孩和男孩中，足部和脚踝、膝盖以及下背部疼痛最为常见。在V级时，足部和脚踝以及膝盖疼痛也很常见。女孩和男孩疼痛强度与对日常活动影响之间的斯皮尔曼等级相关系数分别为0.75（p<0.01）和0.82（p<0.01）。
结论
疼痛的高患病率及其对日常活动的影响表明需要更加关注健康促进。
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