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Pain, anxiety, and cooperativeness in children with cerebral palsy after rhizotomy: changes throughout rehabilitation

Pain, anxiety, and cooperativeness in children with cerebral palsy after rhizotomy: changes throughout rehabilitation
Pain, anxiety, and cooperativeness in children with cerebral palsy after rhizotomy: changes throughout rehabilitation
Assessed pain, anxiety, physical functioning, and cooperativeness in 32 children with spastic cerebral palsy. This is the first study to assess children throughout rehabilitation following selective posterior rhizotomy. Results of the Observational Scale of Behavioral Distress and observer Likert ratings confirmed the hypothesis that children's pain and anxiety decrease over time. Children's physical functioning and cooperativeness improve over time. No significant correlation was found between pain and changes in physical functioning. Cognitive impairment, parental involvement, and children's pain behaviors explained 77% and 56% of the variance in two forms of cooperativeness. Research and clinical implications are discussed, and special considerations regarding pain assessment and management in this population are addressed.
pain, distress, cooperativeness, rehabilitation, children, cerebral palsy, rhizotomy
0146-8693
689-705
Miller, A. Cate
4d9bde0e-ad12-444e-a6da-8d55e76267c7
Johann-Murphy, Marjorie
ab57727a-880c-4436-b9f8-cbfd30276ddc
Pit-ten Cate, Ineke M.
0b59b1db-965e-4192-aec7-104c9f9e3765
Miller, A. Cate
4d9bde0e-ad12-444e-a6da-8d55e76267c7
Johann-Murphy, Marjorie
ab57727a-880c-4436-b9f8-cbfd30276ddc
Pit-ten Cate, Ineke M.
0b59b1db-965e-4192-aec7-104c9f9e3765

Miller, A. Cate, Johann-Murphy, Marjorie and Pit-ten Cate, Ineke M. (1997) Pain, anxiety, and cooperativeness in children with cerebral palsy after rhizotomy: changes throughout rehabilitation. Journal of Pediatric Psychology, 22 (5), 689-705. (doi:10.1093/jpepsy/22.5.689).

Record type: Article

Abstract

Assessed pain, anxiety, physical functioning, and cooperativeness in 32 children with spastic cerebral palsy. This is the first study to assess children throughout rehabilitation following selective posterior rhizotomy. Results of the Observational Scale of Behavioral Distress and observer Likert ratings confirmed the hypothesis that children's pain and anxiety decrease over time. Children's physical functioning and cooperativeness improve over time. No significant correlation was found between pain and changes in physical functioning. Cognitive impairment, parental involvement, and children's pain behaviors explained 77% and 56% of the variance in two forms of cooperativeness. Research and clinical implications are discussed, and special considerations regarding pain assessment and management in this population are addressed.

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More information

Published date: 1997
Keywords: pain, distress, cooperativeness, rehabilitation, children, cerebral palsy, rhizotomy

Identifiers

Local EPrints ID: 39970
URI: http://eprints.soton.ac.uk/id/eprint/39970
ISSN: 0146-8693
PURE UUID: f5c1ed26-15fb-4365-bd60-6d75e50e9e79

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Date deposited: 21 Jul 2006
Last modified: 15 Mar 2024 08:16

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Contributors

Author: A. Cate Miller
Author: Marjorie Johann-Murphy
Author: Ineke M. Pit-ten Cate

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