Affordable Access

Access to the full text

Pain in children and adolescents with cerebral palsy – a cross-sectional register study of 3545 individuals

Authors
  • Eriksson, Elsa1
  • Hägglund, Gunnar2
  • Alriksson-Schmidt, Ann I.2
  • 1 Lund University, Lund, Sweden , Lund (Sweden)
  • 2 Lund University, Skane University Hospital, Lund, Sweden , Lund (Sweden)
Type
Published Article
Journal
BMC Neurology
Publisher
Springer (Biomed Central Ltd.)
Publication Date
Jan 11, 2020
Volume
20
Issue
1
Identifiers
DOI: 10.1186/s12883-019-1597-7
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundPain is a common problem for individuals with cerebral palsy (CP). In Sweden, 95% of children and adolescents with CP are followed in a national follow-up programme (CPUP), which includes data on pain. The purpose of this study was to investigate the prevalence of pain based on age, sex, gross motor function and source of report (self or proxy). Pain intensity, pain site, and how much pain disturbed sleep and daily activities were also studied.MethodsThis was a cross-sectional register study based on all participants in CPUP, 4–18-years of age, with data reported in 2017–2018. Gross motor function was classified using the Gross Motor Function Classification System (GMFCS). Logistic regression was used to analyse prevalence of pain and how much pain had disturbed sleep and daily activities in the last four weeks.ResultsIn total, 3545 participants (2065 boys) were included. The overall prevalence of pain was 44%. Older age and female sex were associated with higher risk of pain with odds ratios of 1.07 (95% confidence interval (CI) 1.06–1.09) and 1.28 (CI 1.12–1.47), respectively. Pain was most common in the lower extremities. There was no statistically significant difference in prevalence of pain related to source of report. Pain intensity was higher at older ages and higher GMFCS-levels. Hip/thigh pain and abdominal pain were associated with the most intense pain.Of those who reported pain, pain disturbed sleep for 36% and daily activities for 61%.ConclusionsBoth pain frequency and pain intensity were higher at higher age. Pain intensity increased with increasing GMFCS-level. Two-thirds of all children and adolescents with CP reported that their pain disturbed their daily activities, and one-third reported that pain disturbed their sleep.

Report this publication

Statistics

Seen <100 times