Pain in Persons With Cerebral Palsy.Pain in Persons With Cerebral Palsy Schwartz L, Engel JM, Jensen MP (Department of Rehabilitation Medicine, University of Washington School of Medicine The University of Washington School of Medicine (UWSOM) is a public medical school located in Seattle, Washington. It is a graduate school affiliated with the University of Washington, and is the only medical school in the states of Washington, Wyoming, Alaska, and Idaho. ; University of Washington Multidisciplinary Pain Center multidisciplinary pain center (MPC), n treatment center where individuals suffering with chronic pain, addiction to painkillers, depression, etc. , Seattle, Wash), Arch Phys Med Rehabil. 1999;80:1243-1246. This study investigated pain frequency, duration, intensity and location, and the interference of pain with activities in adults with cerebral palsy (CP). The study subjects were 93 adults with CP who were recruited from medical and rehabilitation clinics at the University of Washington Medical Center The University of Washington Medical Center is a nationally renowned hospital located in the University District of Seattle, Washington, USA. It is one of the teaching hospitals affiliated with the University of Washington School of Medicine. The 2007 issue of U.S. and from local residential and community-based treatment facilities. The inclusion criteria were a primary diagnosis of CE a documented intelligence quotient (IQ) of at least 70 or a mild cognitive impairment mild cognitive impairment (MCI), n memory loss generally associated with aging; does not affect normal independent functioning of an individual. , and 18 years of age or older. The majority of the subjects were white (90%) and male (52%), with an average age of 38 years (SD=13.9 years). The majority of the subjects (84%) had CP that affected all 4 limbs (quadriplegia quadriplegia: see paraplegia. ), and 94% of the subjects were nonambulatory. Standardized face-to-face interviews assessed demographics, current pain intensity, pain intensity over the past 3 months, the interference of pain in daily activities, and factors that exacerbated and relieved the pain. Sixty-seven percent of the 93 subjects reported one or more areas of chronic pain (minimum of 3 months' duration). Fitly-three percent of the subjects reported experiencing moderate to severe pain on an almost daily basis. Lower-extremity pain (66%) and back pain (63%) were the most common complaints. Duration of pain ranged from a mean of 7.5 years for upper-extremity pain to a mean of 20 years for hip or buttock but·tock n. 1. Either of the two rounded prominences on the human torso that are posterior to the hips and formed by the gluteal muscles and underlying structures. 2. buttocks The rear pelvic area of the human body. pain. Pain interfered with activities or with subjects' ability to work only minimally. Most subjects reported that fatigue and overexertion overexertion horses appear to be able to race beyond their real capacity when they are not properly fit and develop pulmonary edema as a result. increased pain, whereas resting, activity, and movement decreased pain. The authors concluded that pain is a significant problem for the majority of subjects with CP. They also recommended that additional research is needed to carefully examine the functional impact of this pain and to determine how pain can be managed effectively in people with CP. Harriet Wittink, PT, PhD, OCS New England Medical Center Pain Management Clinic Boston, Mass |
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