Article

AIM: To identify factors associated with a change in pain over time in children
with cerebral palsy (CP). METHOD: Pain was assessed at two time-points by
physicians and caregiver-rated Health Utilities Index 3 (HUI3) pain scores.
RESULTS: One hundred and forty-eight children out of 179 approached from
outpatient clinics (83% response; 104 males, 44 females mean age 8y 8mo, range
3y-16y) across all Gross Motor Function Classification System (GMFCS) levels were
included. Fifty-five percent had changes in caregiver-reported HUI3 pain. A
backward stepwise multiple linear regression retained HUI3 pain score at visit 1
and GMFCS level (F[2,144] =23.40, R2 =0.35; p<0.001) as variables associated with
a change in pain status (HUI3 pain at visit 1: beta=0.61, p<0.001; GMFCS level:
beta=-0.17, p<0.015). The association between HUI3 pain at visit 1 and GMFCS
level was significant (beta=-0.15, p<0.036). There was an association between
pain etiology and pain trajectory (F[3,144] =5.39, p=0.002). Post-hoc testing
revealed musculoskeletal pain had the greatest improvements compared with the no
pain group (p=0.006). INTERPRETATION: Children with CP with more severe initial
pain and higher gross motor function have lower pain at follow-up indicating an
improvement in pain status over time.
CI - (c) 2016 Mac Keith Press.

Langue : ANGLAIS