Pain in adults with cerebral palsy: A systematic review

IF 4.3 2区医学 Q1 CLINICAL NEUROLOGY Developmental Medicine and Child Neurology Pub Date : 2025-02-12 DOI:10.1111/dmcn.16254

Jennifer M. Ryan, Jessica Burke, Rachel Byrne, Emily Capellari, Adrienne Harvey, Neil E. O'Connell, Donna Omichinski, Elisabet Rodby-Bousquet, Mark Peterson, The Adult CP Clinical Practice Guideline Working Group

{"title":"Pain in adults with cerebral palsy: A systematic review","authors":"Jennifer M. Ryan, Jessica Burke, Rachel Byrne, Emily Capellari, Adrienne Harvey, Neil E. O'Connell, Donna Omichinski, Elisabet Rodby-Bousquet, Mark Peterson, The Adult CP Clinical Practice Guideline Working Group","doi":"10.1111/dmcn.16254","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Aim</h3>\n \n <p>To describe the prevalence and incidence of pain, identify prognostic factors for pain, determine psychometric properties of tools to assess pain, and evaluate effectiveness of interventions for reducing pain among adults with cerebral palsy (CP).</p>\n </section>\n \n <section>\n \n <h3> Method</h3>\n \n <p>Six databases were searched to identify studies published since 1990 in any language that met eligibility criteria defined for each objective. Titles, abstracts, and full texts were screened by two independent reviewers.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Sixty-three studies were identified; 47 reporting prevalence, 28 reporting prognostic factors, four reporting psychometric properties, five evaluating intervention effectiveness. Pain prevalence ranged from 24% to 89%. Prevalence was higher among adults with CP than in adults without it. Communication function, sex, and age were prognostic factors for pain prevalence. Numerical, verbal, and pictorial rating scales were valid for assessing pain intensity in adults with CP. Pharmacological and surgical interventions had no effect on pain. An active lifestyle and sports intervention reduced pain in adults with CP compared with usual care.</p>\n </section>\n \n <section>\n \n <h3> Interpretation</h3>\n \n <p>Many adults with CP experience pain, although prevalence estimates vary considerably. The quality of evidence for prognostic factors and interventions is very low to low. There is a lack of evidence about effective pain management among adults with CP.</p>\n </section>\n </div>","PeriodicalId":50587,"journal":{"name":"Developmental Medicine and Child Neurology","volume":"67 7","pages":"854-874"},"PeriodicalIF":4.3000,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dmcn.16254","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Developmental Medicine and Child Neurology","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/dmcn.16254","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Aim

To describe the prevalence and incidence of pain, identify prognostic factors for pain, determine psychometric properties of tools to assess pain, and evaluate effectiveness of interventions for reducing pain among adults with cerebral palsy (CP).

Method

Six databases were searched to identify studies published since 1990 in any language that met eligibility criteria defined for each objective. Titles, abstracts, and full texts were screened by two independent reviewers.

Results

Sixty-three studies were identified; 47 reporting prevalence, 28 reporting prognostic factors, four reporting psychometric properties, five evaluating intervention effectiveness. Pain prevalence ranged from 24% to 89%. Prevalence was higher among adults with CP than in adults without it. Communication function, sex, and age were prognostic factors for pain prevalence. Numerical, verbal, and pictorial rating scales were valid for assessing pain intensity in adults with CP. Pharmacological and surgical interventions had no effect on pain. An active lifestyle and sports intervention reduced pain in adults with CP compared with usual care.

Interpretation

Many adults with CP experience pain, although prevalence estimates vary considerably. The quality of evidence for prognostic factors and interventions is very low to low. There is a lack of evidence about effective pain management among adults with CP.

Abstract Image

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

成人脑瘫患者的疼痛：一项系统综述。

目的：描述疼痛的患病率和发生率，确定疼痛的预后因素，确定评估疼痛的工具的心理测量特性，并评估减少脑瘫（CP）成人疼痛的干预措施的有效性。方法：检索六个数据库，以确定自1990年以来以任何语言发表的符合每个目标定义的资格标准的研究。题目、摘要和全文由两位独立审稿人进行筛选。结果：共纳入63项研究；47例报告患病率，28例报告预后因素，4例报告心理测量特性，5例评估干预效果。疼痛患病率从24%到89%不等。CP患者的患病率高于未患CP的成年人。沟通功能、性别和年龄是影响疼痛患病率的预后因素。数字、语言和图像评定量表对评估CP成人的疼痛强度是有效的。药物和手术干预对疼痛没有影响。与常规护理相比，积极的生活方式和运动干预减少了CP成人的疼痛。解释：许多患有CP的成年人经历疼痛，尽管患病率估计差异很大。预后因素和干预措施的证据质量非常低。目前还缺乏关于成年CP患者有效疼痛管理的证据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Developmental Medicine and Child Neurology 医学-临床神经学

CiteScore

7.80

自引率

13.20%

发文量

338

审稿时长

3-6 weeks

期刊介绍： Wiley-Blackwell is pleased to publish Developmental Medicine & Child Neurology (DMCN), a Mac Keith Press publication and official journal of the American Academy for Cerebral Palsy and Developmental Medicine (AACPDM) and the British Paediatric Neurology Association (BPNA). For over 50 years, DMCN has defined the field of paediatric neurology and neurodisability and is one of the world’s leading journals in the whole field of paediatrics. DMCN disseminates a range of information worldwide to improve the lives of disabled children and their families. The high quality of published articles is maintained by expert review, including independent statistical assessment, before acceptance.