Department of Physiotherapy and Rehabilitation, Kütahya Health Sciences University, Faculty of Health Sciences, Kütahya, Türkiye.
Agri. 2024 Jan;36(4):257-265. doi: 10.14744/agri.2024.28999.
To determine the phenotypes of chronic pain seen in individuals caring for children with cerebral palsy (CP).
A current classification system was used to determine the prevalence of predominant pain phenotypes in caregivers of children with CP. To this end, the Visual Analog Scale, Margolis pain diagram, Central Sensitization Inventory, and Short Form-36 questionnaire were administered to the participants. In addition, the participants underwent a quantitative sensory examination.
This study was concluded with 60 individuals. The predominant pain phenotype was nociceptive pain in 30% of the participants, nociplastic pain in 25%, and neuropathic pain in 5%. The pain duration (p=0.365) and quality of life of the individuals did not significantly differ according to the predominant pain phenotypes (p>0.05). However, there was a statistically significant difference between the pain phenotypes in terms of pain severity (p=0.016) and the Central Sensitization Inventory scores (p<0.001).
Nociceptive pain was the most common pain phenotype in caregivers of children with CP. We also concluded that among the pain phenotypes, pain intensity was highest in neuropathic pain. There is a need for further studies in this area to demonstrate the validity and reliability of the evaluated mechanism-based classification system in order for it to be included in clinical guidelines.
确定照顾脑瘫（CP）儿童的个体中慢性疼痛的表型。
使用现行分类系统确定 CP 儿童照顾者中主要疼痛表型的患病率。为此，向参与者发放了视觉模拟量表、玛戈利斯疼痛图、中枢敏化量表和简明 36 健康状况调查问卷，并对其进行了定量感觉检查。
本研究共纳入 60 名参与者。30%的参与者表现为伤害感受性疼痛，25%为神经病理性疼痛，5%为非病理性疼痛。疼痛持续时间（p=0.365）和个体的生活质量与主要疼痛表型无显著差异（p>0.05）。然而，在疼痛严重程度（p=0.016）和中枢敏化量表评分（p<0.001）方面，疼痛表型之间存在统计学差异。
伤害感受性疼痛是 CP 儿童照顾者中最常见的疼痛表型。我们还得出结论，在这些疼痛表型中，神经病理性疼痛的疼痛强度最高。需要进一步研究该领域，以证明所评估的基于机制的分类系统的有效性和可靠性，以便将其纳入临床指南。
