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Survey results of pain treatments in adults with cerebral palsy

HIRSH AT; KRATZ AL; ENGEL JM; JENSEN MP
AM J PHYS MED REHABIL , 2011, vol. 90, n° 3, p. 207-216
Doc n°: 150706
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1097/PHM.0b013e3182063bc9
Descripteurs : AD8 - DOULEUR, AJ23 - PARALYSIE CEREBRALE

The aims of this study were to identify the types and frequencies of
pain treatments used by individuals with cerebral palsy, examine the perceived
effectiveness of these treatments, and identify the types of healthcare providers
that were accessed for pain-related services. DESIGN: A cross-sectional survey
design was used. A total of 83 adults (mean [SD] age, 40.3 [13.6] yrs) with
cerebral palsy indicated their pain location and intensity during the past 3 mos.
Next, they indicated their use of 24 different pain treatments and the
effectiveness of each. Finally, participants indicated the frequency of
pain-related healthcare visits to specific providers over the past 6 mos.
RESULTS: Of the participants, 63% reported experiencing chronic pain and rated
their pain intensity over the past week as 5.1 of 10, on average. The most common
pain locations were the lower back, hips, and legs. Physical interventions (e.g.,
physical therapy, strengthening) were the most common pain treatments reportedly
used and were rated as moderately effective. Many other treatments were also
used, and participants sought pain-related care from a variety of providers.
CONCLUSIONS: Although participants reportedly accessed pain care from a variety
of providers and perceived that several types of treatments were effective, many
of the treatments rated as effective were rarely used or provided. Future
research using clinical trial methods would further elucidate the specific pain
treatments that are most beneficial for adults with cerebral palsy.

Langue : ANGLAIS

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