Pain assessment in cerebral palsy: a systematic review of measurement properties and evaluation using the COSMIN checklist

Caravau, Hilma; Rosa, Ana Filipa; Rocha, Nelson Pacheco da; Silva, Ana

doi:10.1080/09638288.2020.1783000

Cited by 10 publications

(8 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Among the 10 Arabic PROMs included in the review, none demonstrated sufficient properties for all psychometrics described in COMSIN guidelines. Our findings are consistent with the findings of previous systematic reviews that used COMSIN tools to assess the methodological quality of pediatric PROMs for participation [ 32 ], upper limb impairments [ 33 ], and pain [ 34 ]. All reviews concluded that the methodological quality of the PROMs reviewed did not reach sufficient psychometrics properties.…”

Section: Discussionsupporting

confidence: 91%

Arabic Patient-Reported Measures of Activity and Participation for Children: A Systematic Review of Psychometric Properties

Alghamdi,

Alharbi,

Alghamdi

et al. 2023

Children

View full text Add to dashboard Cite

Aim: To systematically review measurement properties of Arabic patient-reported outcome measures (PROMs) that assess activity and participation in children with and without health conditions. Method: Four databases were searched. Arabic PROMs with focus on activity and/or participation constructs were selected. Data on measurement properties were extracted and the methodological quality of the studies was assessed by COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) risk of bias checklist. Result: Of the total 149 articles screened, only 10 studies involving 10 measures that assessed activity and/or participation in children with or without health conditions were included. The focus of all PROMs is primarily on the activity of daily living at home and/or school, but dimensions of measurement differed across PROMs. None of the PROMs demonstrated sufficient properties for all psychometrics. The most studied psychometric property was internal consistency, whereas the least studied psychometric property was structural validity. Responsiveness was not investigated in any of the studies included. Conclusions: Despite the presence of Arabic PROMs on activity and participation for children, none of the reviewed measures satisfied all psychometric properties. Clinicians and researchers are encouraged to carefully select PROMs that are psychometrically sound and appropriate for the construct being measured.

show abstract

Section: Discussionsupporting

confidence: 91%

Arabic Patient-Reported Measures of Activity and Participation for Children: A Systematic Review of Psychometric Properties

Alghamdi,

Alharbi,

Alghamdi

et al. 2023

Children

View full text Add to dashboard Cite

show abstract

“…We found that the pediatric pain profile covers the described symptoms and signs of daily pain fairly adequately. This corresponds with Caraveu et al (2022), who found the pediatric pain profile (and r-FLACC) acceptable for the evaluation of pain in children with CP [ 49 ]. Only one previous study has provided partial descriptions of CCP in pain which included symptoms and signs, such as frequent nightly awakenings, irritability with feeding, facial grimacing, and crying with movement such as with diaper changes [ 24 ].…”

Section: Discussionsupporting

confidence: 83%

The Relationship between Pain and Spasticity and Tell-Tale Signs of Pain in Children with Cerebral Palsy

Wong

2023

Toxins

View full text Add to dashboard Cite

Pain and quality of life are closely interrelated in children with cerebral palsy (CCP). Even though 67% of CCP experience pain, it is overlooked and untreated. In this study, our purpose was two-fold: first, to examine the relationship between pain and spasticity by evaluating the effects of AbobotulinumtoxinA/Dysport (BoNT), and second, to describe the symptoms and location of pain in CCP. The subjects were 22 CCP in at least moderate pain. They were evaluated for spasticity by the modified Ashworth and Tardieu scale and for pain by the r-FLACC and the pediatric pain profile. After one injection of BoNT, the subjects were re-evaluated. We found a significant reduction in pain, but no significant relationship between the reduction of pain and spasticity. We found no association between the dose of BoNT and pain or spasticity. Pain in the lower extremity was located primarily in the hip region. The effect of ultrasound-guided intermuscular injections of BoNT suggests that pain in CCP has an extra-articular component. We found that pain in CCP manifests as specific tell-tale signs and problems in daily living. In conclusion, we found no relationship between pain and spasticity. Signs and manifestations of pain are described in detail. Lower extremity (hip) pain seems to have a soft tissue/extra-articular component.

show abstract

“…17 Tools included in this review will not be limited by which level of the International Classification of Functioning, Disability and Health (ICF) model they ascribe to, as long as they meet the definition of pain interference. 18 Several systematic reviews have previously been completed on observational pain assessment tools for those with cognitive impairment, [19][20][21][22] communication impairment, 23 intellectual/developmental disability, 10,24,25 and dementia. [26][27][28][29][30] However, these studies have primarily focused on acute and post-surgical pain, and on the domains of pain intensity, pain behaviour, and pain frequency.…”

mentioning

confidence: 99%

Chronic pain interference assessment tools for children and adults who are unable to self‐report: A systematic review of psychometric properties

Smith

Farrar

Gibson

et al. 2023

Develop Med Child Neuro

View full text Add to dashboard Cite

Aim To identify and evaluate psychometric properties of assessment tools for assessing pain interference in children, adolescents, and adults with chronic pain and the inability to self‐report. Method The protocol was registered with PROSPERO (CRD42022310102). A search was run in MEDLINE, Embase, and PsycInfo (29th March 2022) to identify articles reporting psychometric properties of pain interference assessment tools for children, adolescents, and adults with chronic pain and the inability to objectively self‐report pain. Retrieved studies were reviewed by two authors (MGS, LCF) and study quality was assessed using COSMIN. Results Psychometric properties of 10 pain interference tools were assessed from 33 studies. The Paediatric Pain Profile (PPP) had low‐quality evidence for content validity and internal consistency with children and adolescents who are unable to self‐report. No tools for adults had evidence for content validity and internal consistency. No tool had evidence for all nine psychometric properties. Interpretation The PPP is recommended for pain interference assessment in children and adolescents with chronic pain and the inability to self‐report. Few tools are available for adults. Three tools for children (Patient‐Reported Outcome Measurement Information System Pediatric Proxy Pain Interference Scale; Bath Adolescent Pain Questionnaire for Parents; modified Brief Pain Inventory‐Proxy [mBPI]) and three tools for adults (Doloplus‐2; Patient‐Reported Outcome Measurement Information System Pain Interference Scale‐proxy; Brief Pain Inventory‐proxy) are promising but require further investigation.

show abstract

Pain assessment in cerebral palsy: a systematic review of measurement properties and evaluation using the COSMIN checklist

Cited by 10 publications

References 29 publications

Arabic Patient-Reported Measures of Activity and Participation for Children: A Systematic Review of Psychometric Properties

Arabic Patient-Reported Measures of Activity and Participation for Children: A Systematic Review of Psychometric Properties

The Relationship between Pain and Spasticity and Tell-Tale Signs of Pain in Children with Cerebral Palsy

Chronic pain interference assessment tools for children and adults who are unable to self‐report: A systematic review of psychometric properties

Contact Info

Product

Resources

About