Article

OBJECTIVE: To evaluate musculoskeletal pain (MSP) in mothers of children with
cerebral palsy (CP), and to determine the effects of zone of pain on
health-related quality of life (QoL) and symptoms of depression. PATIENTS AND
METHODS: The study included a total of 81 children with CP, together with their
mothers (group 1), and a total of 60 healthy children, together with their
mothers (group 2). Presence of MSP, and the zone of pain in mothers were
evaluated [lower back pain (LBP), pain in other zones, without pain]. Mothers'
QoL was assessed with Short Form-36 (SF-36) scale, and presence of symptoms of
depression was assessed with Beck Depression Inventory (BDI). Multivariate
analysis of variance test analysis was performed to see the main effects of the
factors mother having a child with CP (group 1, group 2) and zone of pain (LBP,
other, no pain) on the BDI scores and SF-36 QoL sub parameters of mothers.
Logistic regression analysis was performed to determine the parameters predicting
the presence of LBP in mothers in group 1. RESULTS: MSP and LBP were found to be
significantly higher in group 1. Main effect of the mother having a child with CP
on BDI score and physical role (PR) and mental health (MH) parameters was found
to be significant. Mean BDI scores of mothers in group 1 was found to be
significantly higher as compared to the other group, and mean PR parameter and MH
values were found to be significantly lower. Main effect of the zone of pain
(arising from the group of mothers with LBP) was found to be significant on
physical functioning, bodily pain, general health perception, MH parameters and
BDI. Logistic regression analysis showed that MH and bodily pain parameters
significantly predicted the presence of LBP. CONCLUSION: Deterioration of MH in
mothers with cerebral palsied child may be causing them to experience more LBP.
Experience of increased LBP causes deterioration of health-related QoL.

Langue : ANGLAIS