Abstract:
:Pain frequency and its association with participation, function, and health-related quality of life were evaluated in a sample of 198 children (58% male; mean age 10 years 7 months, SD 3 years 11 months; range 5 to 18 years) with moderate to severe cerebral palsy (CP). Gross Motor Functional Classification System (GMFCS) levels were III to V (23% level III, 23% level IV, 31% level V without a gastrostomy tube, and 23% were level V with a gastrostomy tube). Assessment was carried out using the parent-report Child Health Questionnaire (CHQ) and questions assessing health, medical utilization, and medication use. Pain frequency ranged from 'none' to 'every day'. Eleven percent of parents reported pain almost every day (z score=-0.38, p<0.001). Pain was related to severity of motor impairment and the presence of a gastrostomy; parents of the most severely affected children reported the highest pain frequency (p=0.05). Pain was correlated with school days missed (p=0.03) and days in bed (p=0.01). Children taking gastrointestinal medications were reported to have greater pain frequency (p<0.001). The Parental Impact--Emotional subscale of the CHQ was correlated with reported pain (r=0.38, p<0.001). Pain was frequent in children with moderate or severe CP. Pain was more prevalent with more severe impairment and was associated with educational and social consequences.
journal_name
Dev Med Child Neuroljournal_title
Developmental medicine and child neurologyauthors
Houlihan CM,O'Donnell M,Conaway M,Stevenson RDdoi
10.1017/s0012162204000507subject
Has Abstractpub_date
2004-05-01 00:00:00pages
305-10issue
5eissn
0012-1622issn
1469-8749journal_volume
46pub_type
杂志文章,多中心研究abstract:AIM:gastrostomy feeding children with spastic quadriplegic cerebral palsy (SQCP) improves weight gain but may cause excess deposition of body fat. This study was designed to investigate whether weight gain could be achieved without an adverse effect on body composition by using a low-energy feed in gastrostomy-fed chil...
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abstract::Two theories concerning the effects of surgical release of the proximal origins of the rectus femoris in spastic patients are (1) that release reduces hip flexion contracture and lumbar lordosis and diminishes crouch, and (2) that release primarily enhances early swing-phase knee flexion. A series of eight patients wi...
journal_title:Developmental medicine and child neurology
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abstract::Following the observation that many children with kwashiorkor had a deprived look in their eyes, the guardians of 107 children with kwashiorkor and 111 controls were interviewed about their home life, in a survey made at New Mulago Hospital, Kampala, between 1969 and 1972. A child's age, sex and tribe were found to ha...
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journal_title:Developmental medicine and child neurology
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journal_title:Developmental medicine and child neurology
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journal_title:Developmental medicine and child neurology
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更新日期:1983-06-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2007-09-01 00:00:00
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journal_title:Developmental medicine and child neurology
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pub_type: 杂志文章
doi:10.1017/s0012162204001124
更新日期:2004-10-01 00:00:00
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journal_title:Developmental medicine and child neurology
pub_type: 杂志文章,meta分析
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更新日期:2019-04-01 00:00:00
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pub_type: 杂志文章,评审
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journal_title:Developmental medicine and child neurology
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journal_title:Developmental medicine and child neurology
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