RééDOC
75 Boulevard Lobau
54042 NANCY cedex

Christelle Grandidier Documentaliste
03 83 52 67 64


F Nous contacter

0

Article

--";3! O
     

-A +A

Care-related pain and discomfort in children with motor disabilities in rehabilitation centres

BOURSEUL JS; BROCHARD S; HOUX L; PONS C; BUE M; MANESSE I; ROPARS J; GUYADER D; LE MOINE P; DUBOIS A
ANN PHYS REHABIL MED , 2016, vol. 59, n° 5-6, p. 314-319
Doc n°: 180643
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.rehab.2016.04.009
Descripteurs : AD3 - MOTRICITE

Pain is one of the symptoms reported most by children with motor
disabilities particularly during daily living activities in institutions and
during rehabilitation. Despite the care and consideration of professionals, a
wide range of motor and cognitive disabilities, limited communication skills, the
presence of chronic pain and frequent care interventions place such children at
high risk of experiencing induced pain. OBJECTIVES: We aimed to identify care-related pain and discomfort in children with motor disabilities in
rehabilitation centres and the characteristics of children at risk of induced
pain. A further aim was to evaluate the validity of a method for the continuous
assessment of care-related pain. METHODS: Patients were recruited from 2
paediatric rehabilitation centres. The level of pain or discomfort experienced
during each daily care activity was evaluated for 5 days and 1 night by using the
FLACC-r scale and a visual analog scale (VAS) rated by the caregiver (VAS
caregiver) and the patient (VAS patient). RESULTS: We included 32 children (mean
age: 8.5+/-5 years, range: 1-15 years) with 1302 care activities evaluated.
Overall, 3.6% of the activities were rated as painful and 11% uncomfortable. The
most frequent painful activities were mouth care, transfers standing and
dressing. The most frequent uncomfortable activities were passive limb
mobilisation, dressing and transfers. Children with neurological disorders were
at increased risk of induced pain. CONCLUSIONS: Children with motor disabilities
experienced pain during daily care activities. The methodology we propose is
valid and can be used in any type of institution for children with motor
disability to evaluate and reduce the frequency of care-related pain.
CI - Copyright (c) 2016 Elsevier Masson SAS. All rights reserved.
- Enfant

Langue : ANGLAIS

Mes paniers

4

Gerer mes paniers

0