Raiter Abagail M, Burkitt Chantel C, Merbler Alyssa, Lykken Lisa, Symons Frank J
Gillette Children's Specialty Healthcare, St. Paul, Minnesota.
University of Minnesota, Educational Psychology Department, Minneapolis, Minnesota.
Arch Rehabil Res Clin Transl. 2021 Jan 18;3(1):100105. doi: 10.1016/j.arrct.2021.100105. eCollection 2021 Mar.
To investigate types and intensity of pain experienced by individuals with cerebral palsy (CP) and common pain-relieving approaches used by caregivers.
The approach was cross-sectional, using standardized interviews.
Individuals with CP were recruited from a specialty health care hospital.
Eighty-six individuals (N=86; mean age, 17.2 years; male, 58%) with CP and complex communication needs participated.
Not applicable.
Pain type, mean pain intensity (MPI) (graded on a scale of 0=no pain to 10=worst possible pain), and mean pain relief (MPR) (graded on a scale of 0=intervention did not help at all to 10=intervention completely relieved pain) were assessed by caregiver report as part of the Dalhousie Pain Interview for each type of pain experienced in the previous 7 days.
Caregivers reported that 58 participants (67%) had experienced pain in the previous 7 days. MPI was 7.7±1.8 when the pain was worst in the previous 7 days. The 2 most common types of pain included musculoskeletal pain (n=70) and gastrointestinal pain (n=11). The most frequent treatment to relieve musculoskeletal pain was changing positions (n=27, MPI=5.1±2.3, MPR=6.6±2.1), medication (n=25, MPI=7.4±1.6, MPR=5.3±1.9), and massage (n=19, MPI=6.7±1.9, MPR=5.2±1.7). To treat gastrointestinal pain, medication was typically used (n=4, MPI=4.8±1.4, MPR=5.5±1.0), although no treatment was just as common (n=4, MPI=4.5±2.3).
The results indicate that musculoskeletal pain is prevalent in individuals with CP, and changing physical positions and providing medication are strategies most used by caregivers.
调查脑瘫（CP）患者经历的疼痛类型和强度，以及照顾者常用的疼痛缓解方法。
采用横断面研究方法，使用标准化访谈。
从一家专科医院招募CP患者。
86名有复杂沟通需求的CP患者（N = 86；平均年龄17.2岁；男性占58%）参与研究。
不适用。
作为达尔豪西疼痛访谈的一部分，由照顾者报告评估疼痛类型、平均疼痛强度（MPI）（0分表示无疼痛，10分表示最严重疼痛）以及平均疼痛缓解程度（MPR）（0分表示干预完全无效，10分表示干预完全缓解疼痛），评估的是过去7天内每种经历的疼痛情况。
照顾者报告称，58名参与者（67%）在过去7天内经历过疼痛。在过去7天疼痛最严重时，MPI为7.7±1.8。两种最常见的疼痛类型包括肌肉骨骼疼痛（n = 70）和胃肠道疼痛（n = 11）。缓解肌肉骨骼疼痛最常用的治疗方法是改变体位（n = 27，MPI = 5.1±2.3，MPR = 6.6±2.1）、药物治疗（n = 25，MPI = 7.4±1.6，MPR = 5.3±1.9）和按摩（n = 19，MPI = 6.7±1.9，MPR = 5.2±1.7）。治疗胃肠道疼痛通常使用药物（n = 4，MPI = 4.8±1.4，MPR = 5.5±1.0），不过未进行治疗的情况同样常见（n = 4，MPI = 4.5±2.3）。
结果表明，肌肉骨骼疼痛在CP患者中普遍存在，改变身体姿势和提供药物是照顾者最常用的策略。
