Apport de la sensibilité intéroceptive dans l’identification de la co-occurrence douleurs aiguës et douleurs chroniques chez les enfants atteints de paralysie cérébrale

Abstract

People with cerebral palsy experience frequent and complex pain situations. The co-occurrence of acute and chronic pain increases complexity. To provide an appropriate response, the challenge is to identify the type of pain experienced at a given moment when assessing pain. To understand a subject's unique experience of pain, it may be necessary to adopt a bio-psycho-social model, which considers the mutual interactions between factors of different natures. Recent scientific literature emphasizes the facilitating role that interoceptive sensitivity can play in identifying the specific characteristics of a painful experience. It seems that interoceptive awareness development occurs at an early stage, based on the child's verbal exchanges with those around him. As a result, body-psychological approaches to the development of interoceptive awareness could be advantageously included in the psychological care and therapeutic education programs of children with cerebral palsy, to help them identify the sensations associated with a specific pain experience.