Assessments of pain in children and adolescents with cerebral palsy: a retrospective population‐based registry study

Westbom, Lena; Rimstedt, Amanda Burman; Nordmark, Eva

doi:10.1111/dmcn.13459

Cited by 69 publications

(119 citation statements)

References 26 publications

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“…The pain prevalence (32–49%) depended on recall period and cut‐off value and was similar to previous estimates in children and adolescents with CP . The most common pain sites were similar to previous descriptions . In earlier studies including children and adolescents with CP, the prevalence of pain has been reported as slightly higher in GMFCS‐ER level V but otherwise fairly evenly distributed within GMFCS‐ER levels I to IV .…”

Section: Discussionsupporting

confidence: 88%

“…The Bodily Pain domain in the SF‐36v2 combines prevalence and severity, and the findings show that pain in young adults with CP was reported to a similar extent as in population norms, with only small sex differences. The pain prevalence (32–49%) depended on recall period and cut‐off value and was similar to previous estimates in children and adolescents with CP . The most common pain sites were similar to previous descriptions .…”

Section: Discussionsupporting

confidence: 87%

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Health‐related quality of life, pain, and fatigue in young adults with cerebral palsy

Jacobson

Löwing

Tedroff

2019

Develop Med Child Neuro

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Aim To describe health‐related quality of life (HRQoL), pain, fatigue, and other health variables in young adults with cerebral palsy (CP), and to explore associations with the Gross Motor Function Classification System – Expanded and Revised (GMFCS‐ER) and physical activity. Method This was a cross‐sectional study of 61 young adults at a mean age of 21 years 2 months (standard deviation 8mo, range 20–22y) with CP, from a geographically defined area. Data collection included: Short Form 36 version 2 for HRQoL, Brief Pain Inventory – Short Form, Fatigue Severity Scale, level of physical activity, medical history, and physical examination. Results Overall HRQoL equalled that of population norms; however self‐reported physical health was lower in GMFCS‐ER levels III to V compared to GMFCS‐ER levels I to II. Self‐reported mental health was, inversely, lower in GMFCS‐ER levels I to II compared to GMFCS‐ER levels III to V. Pain prevalence was 49%, and pain was present across all GMFCS‐ER levels. Fatigue, as well as sleep problems, had 41% prevalence, with fatigue severity decreasing with increasing level of physical activity. Interpretation General HRQoL in young adults with CP was comparable to population norms. Pain and fatigue are important to address in high motor‐functioning individuals also. Physical activity could be a possible protective factor against fatigue. What this paper adds Health‐related quality of life in young adults with cerebral palsy (CP) was comparable to population norms. Pain, fatigue, and sleep problems occurred at all Gross Motor Function Classification System levels. There is a possible protective effect of physical activity on fatigue.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 87%

Health‐related quality of life, pain, and fatigue in young adults with cerebral palsy

Jacobson

Löwing

Tedroff

2019

Develop Med Child Neuro

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“…Pain in CP has now been identified as one of the most important factors decreasing participation in daily activities and negatively affecting all aspects of self‐perceived quality of life . The article by Westbom et al . has again identified that pain in individuals with CP is common: 37% in their population‐representative screened sample.…”

mentioning

confidence: 97%

“…Screening and identifying pain is a good start. Westbom et al . have provided evidence that this is possible.…”

mentioning

confidence: 99%

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Pain in cerebral palsy: a neglected comorbidity

Fehlings

2017

Develop Med Child Neuro

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Enhanced nociceptive behavior and expansion of associated primary afferents in a rabbit model of cerebral palsy

Genry

Singer

Cavarsan

et al. 2022

J of Neuroscience Research

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Spastic cerebral palsy (CP) is a movement disorder marked by hypertonia and hyperreflexia; the most prevalent comorbidity is pain. Since spinal nociceptive afferents contribute to both the sensation of painful stimuli as well as reflex circuits involved in movement, we investigated the relationship between prenatal hypoxia-ischemia (HI) injury which can cause CP, and possible changes in spinal nociceptive circuitry. To do this, we examined nociceptive afferents and mechanical and thermal sensitivity of New Zealand White rabbit kits after prenatal HI or a sham surgical procedure. As described previously, a range of motor deficits similar to spastic CP was observed in kits born naturally after HI (40 min at ~70%-80% gestation). We found that HI caused an expansion of peptidergic afferents (marked by expression of calcitonin gene-related peptide) in both the superficial and deep dorsal horn at postnatal day (P)5. Nonpeptidergic nociceptive afferent arborization (labeled by isolectin B4) was unaltered in HI kits, but overlap of the two populations (peptidergic and non-peptidergic nociceptors) was increased by HI. Density of glial fibrillary acidic protein was unchanged within spinal cord white matter regions important in nociceptive transmission at P5.

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Assessments of pain in children and adolescents with cerebral palsy: a retrospective population‐based registry study

Cited by 69 publications

References 26 publications

Health‐related quality of life, pain, and fatigue in young adults with cerebral palsy

Health‐related quality of life, pain, and fatigue in young adults with cerebral palsy

Pain in cerebral palsy: a neglected comorbidity

Enhanced nociceptive behavior and expansion of associated primary afferents in a rabbit model of cerebral palsy

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