1. Pain in Adults With Cerebral Palsy After Single-Event Multilevel Surgery.
- Author
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Gotze, Marco, Geisbusch, Andreas, Thielen, Mirjam, Doderlein, Leonhard, Wolf, Sebastian I., Dreher, Thomas, and Putz, Cornelia
- Subjects
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SOCIAL participation , *ORTHOPEDIC surgery , *FUNCTIONAL status , *GAIT in humans , *RESEARCH methodology , *MANN Whitney U Test , *TREATMENT effectiveness , *PRE-tests & post-tests , *PSYCHOLOGICAL tests , *QUALITY of life , *DIAGNOSIS , *QUESTIONNAIRES , *CEREBRAL palsy , *ANXIETY , *POSTOPERATIVE pain , *PAIN management , *LONGITUDINAL method , *COMORBIDITY - Abstract
Objective: The aim of the investigation was to assess the contribution of pain to functional, social, and health-related quality-of-life outcomes in adults with cerebral palsy. Design: This monocentric, prospective study included long-term data for ambulant adults with cerebral palsy and at levels I-III in the Gross Motor Function Classification System who had received orthopedic multilevel surgery in adulthood and in whom preoperative and postoperative three-dimensional gait analysis was conducted, including the Gait Profile Score. A questionnaire including the Visual Analog Scale, Oswestry Disability Index, and European Quality of Life 5 Dimensions 3 Level was analyzed. Results : Twenty-four adults at a mean age of 38.0 yrs were included. Sixteen patients (66.7%) indicated that they experienced pain and 10 patients (41.7%) had pain for more than 6 mos. Overall, 13 patients (54%) experienced both pain and anxiety. There was no correlation of the Gait Profile Score with pain, Gross Motor Function Classification System, and Oswestry Disability Index. The Oswestry Disability Index showed a positive correlation with the Gross Motor Function Classification System (r = 0.39, P = 0.05) and pain (r = 0.57, P = 0.004). Conclusions: Pain and anxiety represent relevant comorbidities in adults with cerebral palsy. The occurrence of pain correlates with the Oswestry Disability Index and is higher than in children with cerebral palsy. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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