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Pain in children with cerebral palsy: a cross-sectional multicentre European study.
Acta Paediatr. 2010 Mar; 99(3):446-51.AP

Abstract

AIM

To determine the prevalence and associations of self-reported and parent-reported pain in children with cerebral palsy (CP) of all severities.

METHOD

Cross-sectional design using a questionnaire; analysis using ordinal regression. Children aged 8-12 years were randomly selected from population-based registers of children with CP in eight European regions; a further region recruited 75 children from multiple sources. Outcome measures were pain in the previous week among children who could self-report and parents' perception of their child's pain in the previous 4 weeks.

RESULTS

Data on pain were available from 490 children who could self-report and parents of 806 children (those who could and could not self-report). The estimated population prevalence of self-reported pain in the previous week was 60% (95% CI: 54-65%) and that of parent-reported pain in the previous 4 weeks was 73% (95% CI: 69-76%). In self-reporting children, older children reported more pain but pain was not significantly associated with severity of impairment. In parent reports, severity of child impairment, seizures and parental unemployment were associated with more frequent and severe pain.

CONCLUSION

Pain in children with CP is common. Clinicians should enquire about pain and consider appropriate physical, therapeutic or psychological management.

Authors+Show Affiliations

Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK. kathryn.parkinson@ncl.ac.ukNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study

Language

eng

PubMed ID

20003101

Citation

Parkinson, K N., et al. "Pain in Children With Cerebral Palsy: a Cross-sectional Multicentre European Study." Acta Paediatrica (Oslo, Norway : 1992), vol. 99, no. 3, 2010, pp. 446-51.
Parkinson KN, Gibson L, Dickinson HO, et al. Pain in children with cerebral palsy: a cross-sectional multicentre European study. Acta Paediatr. 2010;99(3):446-51.
Parkinson, K. N., Gibson, L., Dickinson, H. O., & Colver, A. F. (2010). Pain in children with cerebral palsy: a cross-sectional multicentre European study. Acta Paediatrica (Oslo, Norway : 1992), 99(3), 446-51. https://doi.org/10.1111/j.1651-2227.2009.01626.x
Parkinson KN, et al. Pain in Children With Cerebral Palsy: a Cross-sectional Multicentre European Study. Acta Paediatr. 2010;99(3):446-51. PubMed PMID: 20003101.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pain in children with cerebral palsy: a cross-sectional multicentre European study. AU - Parkinson,K N, AU - Gibson,L, AU - Dickinson,H O, AU - Colver,A F, Y1 - 2009/12/10/ PY - 2009/12/17/entrez PY - 2009/12/17/pubmed PY - 2010/6/17/medline SP - 446 EP - 51 JF - Acta paediatrica (Oslo, Norway : 1992) JO - Acta Paediatr VL - 99 IS - 3 N2 - AIM: To determine the prevalence and associations of self-reported and parent-reported pain in children with cerebral palsy (CP) of all severities. METHOD: Cross-sectional design using a questionnaire; analysis using ordinal regression. Children aged 8-12 years were randomly selected from population-based registers of children with CP in eight European regions; a further region recruited 75 children from multiple sources. Outcome measures were pain in the previous week among children who could self-report and parents' perception of their child's pain in the previous 4 weeks. RESULTS: Data on pain were available from 490 children who could self-report and parents of 806 children (those who could and could not self-report). The estimated population prevalence of self-reported pain in the previous week was 60% (95% CI: 54-65%) and that of parent-reported pain in the previous 4 weeks was 73% (95% CI: 69-76%). In self-reporting children, older children reported more pain but pain was not significantly associated with severity of impairment. In parent reports, severity of child impairment, seizures and parental unemployment were associated with more frequent and severe pain. CONCLUSION: Pain in children with CP is common. Clinicians should enquire about pain and consider appropriate physical, therapeutic or psychological management. SN - 1651-2227 UR - https://www.unboundmedicine.com/medline/citation/20003101/Pain_in_children_with_cerebral_palsy:_a_cross_sectional_multicentre_European_study_ L2 - https://doi.org/10.1111/j.1651-2227.2009.01626.x DB - PRIME DP - Unbound Medicine ER -