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Pain in children with dyskinetic and mixed dyskinetic/spastic cerebral palsy
Author(s) -
McKin Clare T,
Morgan Prue E,
Antolovich Giuliana C,
Clancy Catherine H,
Fahey Michael C,
Harvey Adrienne R
Publication year - 2020
Publication title -
developmental medicine and child neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.658
H-Index - 143
eISSN - 1469-8749
pISSN - 0012-1622
DOI - 10.1111/dmcn.14615
Subject(s) - medicine , cerebral palsy , spastic , physical therapy , dyskinesia , quality of life (healthcare) , gross motor function classification system , physical medicine and rehabilitation , population , chronic pain , parkinson's disease , disease , nursing , environmental health
Aim To evaluate pain prevalence and characteristics in children and adolescents with predominant dyskinetic and mixed (dyskinetic/spastic) cerebral palsy (CP) motor types. Method Seventy‐five participants with a diagnosis of CP and confirmed dyskinetic or mixed (dyskinetic/spastic) motor type took part in a multisite cross‐sectional study. The primary outcome was carer‐reported pain prevalence (preceding 2wks) measured using the Health Utilities Index‐3. Secondary outcomes were chronicity, intensity, body locations, quality of life, and activity impact. Results Mean participant age was 10 years 11 months (SD 4y 2mo, range 5–18y). There were 44 males and 31 females and 37 (49%) had predominant dyskinetic CP. Pain was prevalent in 85% and it was chronic in 77% of participants. Fifty‐two per cent experienced moderate‐to‐high carer‐reported pain intensity, which was significantly associated with predominant dyskinetic motor types ( p =0.008). Pain occurred at multiple body locations (5 out of 21), with significantly increased numbers of locations at higher Gross Motor Function Classification System levels ( p =0.02). Face, jaw, and temple pain was significantly associated with predominant dyskinetic motor types ( p =0.005). Poorer carer proxy‐reported quality of life was detected in those with chronic pain compared to those without ( p =0.03); however, chronic pain did not affect quality of life for self‐reporting participants. Interpretation Pain was highly prevalent in children and adolescents with predominant dyskinetic and mixed (dyskinetic/spastic) motor types, highlighting a population in need of lifespan pain management. What this paper adds Chronic pain prevalence in children and adolescents with predominant dyskinetic and mixed (dyskinetic/spastic) motor types is high. Pain occurs across multiple body locations in predominant dyskinetic and mixed (dyskinetic/spastic) motor types. Less recognized locations of pain include the face, jaw, and temple for predominant dyskinetic motor types.