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脑瘫患儿的疼痛:对儿科物理治疗的影响

Pain in children with cerebral palsy: implications for pediatric physical therapy.

作者信息

Swiggum Mary, Hamilton Merry Lynne, Gleeson Peggy, Roddey Toni

机构信息

School of Physical Therapy, Texas Woman's University, Houston, Texas 77030, USA.

出版信息

Pediatr Phys Ther. 2010 Spring;22(1):86-92. doi: 10.1097/PEP.0b013e3181cd18a7.

DOI:10.1097/PEP.0b013e3181cd18a7
PMID:20142710
Abstract

PURPOSE

This literature review explores pain assessment tools and psychosocial pain management methods that are pertinent to physical therapy (PT) for children with cerebral palsy (CP).

SUMMARY OF KEY POINTS

Children with CP experience considerable pain that affects quality of life and cooperation during healthcare procedures. Physical therapist-led research on interventions to address pain in this population is limited, despite evidence for the prevalence of pain during PT interventions, and the preponderance of research supporting the use of psychosocial pain management during other healthcare-related pain-inducing procedures.

STATEMENT OF CONCLUSIONS AND RECOMMENDATIONS FOR PHYSICAL THERAPY PRACTICE

Research completed primarily by non-physical therapist healthcare professionals delineate assessment tools and psychosocial pain management techniques that hold promise for evaluating and reducing pain that occurs during PT procedures for children with CP.

摘要

目的

本综述探讨了与脑瘫(CP)儿童物理治疗(PT)相关的疼痛评估工具和心理社会疼痛管理方法。

要点总结

CP儿童经历着相当程度的疼痛,这会影响他们的生活质量以及医疗程序中的配合度。尽管有证据表明在PT干预期间疼痛普遍存在,且大量研究支持在其他医疗相关的疼痛诱发程序中使用心理社会疼痛管理,但由物理治疗师主导的针对该人群疼痛干预的研究有限。

物理治疗实践的结论陈述与建议

主要由非物理治疗师医疗专业人员完成的研究描述了评估工具和心理社会疼痛管理技术,这些对于评估和减轻CP儿童PT程序中出现的疼痛具有前景。

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J Pediatr Rehabil Med. 2023;16(1):83-98. doi: 10.3233/PRM-220020.
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Effect of Social Support in Pain Sensitivity in Children with Cerebral Palsy and Typically Developing Children.社会支持对脑瘫儿童和正常发育儿童疼痛敏感性的影响。
Int J Environ Res Public Health. 2021 Apr 27;18(9):4661. doi: 10.3390/ijerph18094661.
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Analgesic Effects of Botulinum Toxin in Children with CP.
肉毒毒素治疗脑瘫患儿的镇痛效果。
Toxins (Basel). 2018 Apr 19;10(4):162. doi: 10.3390/toxins10040162.
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Pain in young people aged 13 to 17 years with cerebral palsy: cross-sectional, multicentre European study.13 至 17 岁脑瘫青少年的疼痛:横断面、多中心欧洲研究。
Arch Dis Child. 2013 Jun;98(6):434-40. doi: 10.1136/archdischild-2012-303482. Epub 2013 Apr 20.
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Procedural pain management for children receiving physiotherapy.接受物理治疗的儿童的程序性疼痛管理。
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