Pain in adults with cerebral palsy after single-event multilevel surgery

• Verfasst von: Götze, Marco [VerfasserIn]
• Verfasst von: Geisbüsch, Andreas [VerfasserIn]
• Verfasst von: Thielen, Mirjam [VerfasserIn]
• Verfasst von: Döderlein, Leonhard [VerfasserIn]
• Verfasst von: Wolf, Sebastian Immanuel [VerfasserIn]
• Verfasst von: Dreher, Thomas [VerfasserIn]
• Verfasst von: Putz, Cornelia [VerfasserIn]
• Titel: Pain in adults with cerebral palsy after single-event multilevel surgery
• Verf.angabe: Marco Götze, Andreas Geisbüsch, Mirjam Thielen, Leonhard Döderlein, Sebastian I. Wolf, Thomas Dreher, Cornelia Putz
• E-Jahr: 2022
• Jahr: February 2022
• Umfang: 5 S.
• Fussnoten: Gesehen am 29.07.2022
• Titel Quelle: Enthalten in: American journal of physical medicine & rehabilitation
• Ort Quelle: Baltimore, Md. : Lippincott Williams & Wilkins, 1952
• Jahr Quelle: 2022
• Band/Heft Quelle: 101(2022), 2, Seite 119-123
• ISSN Quelle: 1537-7385
• DOI: doi:10.1097/PHM.0000000000001741
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 181198472X

Abstract

Objective - The aim of the investigation was to assess the contribution of pain to functional, social, and health-related quality-of-life outcomes in adults with cerebral palsy. - Design - This monocentric, prospective study included long-term data for ambulant adults with cerebral palsy and at levels I-III in the Gross Motor Function Classification System who had received orthopedic multilevel surgery in adulthood and in whom preoperative and postoperative three-dimensional gait analysis was conducted, including the Gait Profile Score. A questionnaire including the Visual Analog Scale, Oswestry Disability Index, and European Quality of Life 5 Dimensions 3 Level was analyzed. - Results - Twenty-four adults at a mean age of 38.0 yrs were included. Sixteen patients (66.7%) indicated that they experienced pain and 10 patients (41.7%) had pain for more than 6 mos. Overall, 13 patients (54%) experienced both pain and anxiety. There was no correlation of the Gait Profile Score with pain, Gross Motor Function Classification System, and Oswestry Disability Index. The Oswestry Disability Index showed a positive correlation with the Gross Motor Function Classification System (r = 0.39, P = 0.05) and pain (r = 0.57, P = 0.004). - Conclusions - Pain and anxiety represent relevant comorbidities in adults with cerebral palsy. The occurrence of pain correlates with the Oswestry Disability Index and is higher than in children with cerebral palsy.