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

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), pp. 689-705. (doi:10.1093/jpepsy/22.5.689).

Record type: Article


Assessed pain, anxiety, physical functioning, and cooperativeness in 32 childrenn 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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Published date: 1997
Keywords: pain, distress, cooperativeness, rehabilitation, children, cerebral palsy, rhizotomy


Local EPrints ID: 39970
ISSN: 0146-8693
PURE UUID: f5c1ed26-15fb-4365-bd60-6d75e50e9e79

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Date deposited: 21 Jul 2006
Last modified: 17 Jul 2017 15:35

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

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