脑瘫青少年的慢性疼痛：活动受限与应对策略。

Chronic Pain in Young People With Cerebral Palsy: Activity Limitations and Coping Strategies.

机构信息

Schools of Medicine (Ms Carozza) and Physiotherapy (Ms Kirkman and Dr Love), University of Notre Dame, Perth, Western Australia; Department of Physiotherapy (Ms Anderson-Mackay), Fiona Stanley Fremantle Hospital Group, Perth, Western Australia, Australia; Child Disability, Telethon Kids Institute (Dr Blackmore), Western Australia, Australia; Ability Action Australia (Ms Ou), Perth, Western Australia, Australia; Department of Paediatric Rehabilitation (Ms Smith), Perth Children's Hospital, Perth, Western Australia, Australia; SensesWA (Dr Love), Perth, Western Australia, Australia.

出版信息

Pediatr Phys Ther. 2022 Oct 1;34(4):489-495. doi: 10.1097/PEP.0000000000000943. Epub 2022 Aug 2.

DOI:10.1097/PEP.0000000000000943

PMID:35943391

Abstract

PURPOSE

To describe the effect of chronic pain on the activities of children and adolescents with cerebral palsy, to describe coping strategies, and to examine associations between effect of pain on activities, coping strategies, and level of pain.

METHODS

Using an online survey, 27, 8- to 18-year-olds with cerebral palsy and chronic pain or their parents reported pain intensity, distribution, activity limitations (using the Child Activity Limitations Interview-21), and coping strategies (using the Pediatric Pain Coping Inventory).

RESULTS

Pain intensity ranged from 3 to 10, and 89% reported pain in multiple areas, principally the lower limbs. Individuals reporting higher pain intensity had more activity limitations and were more likely to use catastrophizing coping strategies.

CONCLUSIONS

Coping strategies may be an important mediator between pain and its effect on activities in children with cerebral palsy. Individualized pain management should be based on routine pain assessment.

摘要