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Pain in children with dyskinetic and mixed dyskinetic/spastic cerebral palsy.
- Source :
-
Developmental Medicine & Child Neurology . Nov2020, Vol. 62 Issue 11, p1294-1301. 8p. - Publication Year :
- 2020
-
Abstract
- <bold>Aim: </bold>To evaluate pain prevalence and characteristics in children and adolescents with predominant dyskinetic and mixed (dyskinetic/spastic) cerebral palsy (CP) motor types.<bold>Method: </bold>Seventy-five participants with a diagnosis of CP and confirmed dyskinetic or mixed (dyskinetic/spastic) motor type took part in a multisite cross-sectional study. The primary outcome was carer-reported pain prevalence (preceding 2wks) measured using the Health Utilities Index-3. Secondary outcomes were chronicity, intensity, body locations, quality of life, and activity impact.<bold>Results: </bold>Mean participant age was 10 years 11 months (SD 4y 2mo, range 5-18y). There were 44 males and 31 females and 37 (49%) had predominant dyskinetic CP. Pain was prevalent in 85% and it was chronic in 77% of participants. Fifty-two per cent experienced moderate-to-high carer-reported pain intensity, which was significantly associated with predominant dyskinetic motor types (p=0.008). Pain occurred at multiple body locations (5 out of 21), with significantly increased numbers of locations at higher Gross Motor Function Classification System levels (p=0.02). Face, jaw, and temple pain was significantly associated with predominant dyskinetic motor types (p=0.005). Poorer carer proxy-reported quality of life was detected in those with chronic pain compared to those without (p=0.03); however, chronic pain did not affect quality of life for self-reporting participants.<bold>Interpretation: </bold>Pain was highly prevalent in children and adolescents with predominant dyskinetic and mixed (dyskinetic/spastic) motor types, highlighting a population in need of lifespan pain management.<bold>What This Paper Adds: </bold>Chronic pain prevalence in children and adolescents with predominant dyskinetic and mixed (dyskinetic/spastic) motor types is high. Pain occurs across multiple body locations in predominant dyskinetic and mixed (dyskinetic/spastic) motor types. Less recognized locations of pain include the face, jaw, and temple for predominant dyskinetic motor types. [ABSTRACT FROM AUTHOR]
- Subjects :
- *CEREBRAL palsy
*CHILDREN with cerebral palsy
*NEWBORN infants
*PAIN management
*CHRONIC pain
*DROOLING
*CHRONIC pancreatitis
*RESEARCH
*CROSS-sectional method
*RESEARCH methodology
*MOVEMENT disorders
*FACIAL pain
*EVALUATION research
*MEDICAL cooperation
*SPASTICITY
*COMPARATIVE studies
*DISEASE prevalence
*RESEARCH funding
*DISEASE complications
Subjects
Details
- Language :
- English
- ISSN :
- 00121622
- Volume :
- 62
- Issue :
- 11
- Database :
- Academic Search Index
- Journal :
- Developmental Medicine & Child Neurology
- Publication Type :
- Academic Journal
- Accession number :
- 146250923
- Full Text :
- https://doi.org/10.1111/dmcn.14615