Article

The aim of this study was to explore the prevalence, predictors, severity,
and impact of recurrent musculoskeletal pain in children and adolescents with
cerebral palsy (CP). METHOD: One hundred and fifty-three participants (81 males,
72 females) aged 8 to 18 years were assessed by clinical examination, interview,
and questionnaires. CP type distribution was 38% unilateral spastic, 55%
bilateral spastic, 6% dyskinetic, and 1% ataxic. Gross Motor Function
Classification System (GMFCS) levels were as follows: level I, 54; level II, 56;
level III, 20; level IV, 8; and level V, 15. Sixty-four children and 89 parents
recorded pain on the Child Health Questionnaire, 56 children and 85 parents
indicated impact of pain on 0 to 10 numeric rating scales, and 72 children
indicated pain intensity on the Faces Pain Scale-Revised. RESULTS: Ninety-five
(62%) children across all GMFCS levels experienced recurrent musculoskeletal
pain. Age above 14 years was the only significant predictor (OR 2.90, 95% CI
1.22-7.80, p=0.02, adjusted for sex, CP type, gross motor function and mother's
education). Children reported recurrent musculoskeletal pain to be moderate.
Parents reported pain to be more severe and with higher impact on sleep than
their children did. Children and parents reported similar impact of pain on
general activity and walking. INTERPRETATION: Recurrent musculoskeletal pain is
the dominating pain problem in children and adolescents with CP. Monitoring of
musculoskeletal pain should be part of the medical follow-up across the whole
range of motor impairment.
CI - (c) The Authors. Developmental Medicine & Child Neurology (c) 2011 Mac Keith
Press.

Langue : ANGLAIS