Article

The aim of the study was to explore the contribution of recurrent
musculoskeletal pain and mental health to aspects of participation in children
with cerebral palsy (CP). Method A total of 105 participants (54 males, 51
females); mean age 14y (SD 3) were assessed by clinical examination, interview,
and parental questionnaires. CP type distribution was as follows: spastic
unilateral, 37%; spastic bilateral, 56%; and dyskinetic, 7%. Motor function
assessed using the Gross Motor Function Classification System was level I, 33%;
level II, 40%; level III, 15%; and level IV/V, 11%. Parents reported child
participation using the Assessment of Life Habits, child mental health problems
using the Strengths and Difficulties Questionnaire, their own mental health using
the General Health Questionnaire, and their socioeconomic status. Results
Recurrent musculoskeletal pain was associated with reduced accomplishment of
daily activities (B=-1.22, p=0.02) and social roles (B=-1.17, p=0.03), and with
reduced parental satisfaction with the accomplishment of daily activities
(B=-1.14, p=0.03) and social roles (B=-1.48, p<0.01). Increasing levels of child
mental health problems was associated with reduced accomplishment of daily
activities (B=-0.10, p=0.02) and social roles (B=-0.11, p<0.01), and with reduced
parental satisfaction with the accomplishment of social roles (B=-0.21, p<0.01).
Interpretation Pain and child mental health should be considered in most
participation models in CP. Regarding participation as an objective outcome
measure is questionable.
CI - (c) The Authors. Developmental Medicine & Child Neurology (c) 2012 Mac Keith
Press.

Langue : ANGLAIS