Pain Characteristics of Spastic and Dyskinetic Cerebral Palsy and Influence on Rehabilitation
10.3969/j.issn.1006-9771.2018.02.015
- VernacularTitle:痉挛型和不随意运动型脑性瘫痪儿童疼痛特点及对运动康复的影响
- Author:
Shang ZHANG
1
;
Xiao-Jie LI
;
Shuang GUO
Author Information
1. 佳木斯大学康复医学院
- Keywords:
cerebral palsy;
children;
pain;
rehabilitation
- From:
Chinese Journal of Rehabilitation Theory and Practice
2018;24(2):196-202
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the characteristics of pain in children with spastic and dyskinetic cerebral palsy,and to explore the influence of pain on the functional independence and rehabilitation. Methods A self-made Pain Questionnaire for Children with Cerebral Palsy was used to conduct a questionnaire survey on 125 children who were diagnosed as spastic and dyskinetic cerebral palsy from January to October,2017,and the returned questionnaires were analyzed.According to the pain questionnaires,the subjects were divided into pain group(n=40)and no pain group(n=85).Then,15 cases of spastic cerebral palsy and 15 cases of dyskinetic cerebral palsy were selected in each group.Both of them received routine rehabilitation.They were assessed with Gross Motor Function Measure-88(GMFM-88),Fine Motor Function Measure(FMFM)and Wee Functional In-dependence Measure(WeeFIM),and the adductor angle,popliteal angle and foot dorsiflexion angle were record-ed before,and four weeks and eight weeks after treatment. Results The pain characteristics of spastic and dyskinetic cerebral palsy were different.Four weeks and eight weeks af-ter treatment,all the indexes improved in both groups(P<0.01).There was no significant difference in all the in-dexes before and four weeks after treatment between two groups (t<1.732, P>0.05), however, all the indexes were significantly better in the no pain group than in the pain group eight weeks after treatment (t>2.119, P<0.05). Conclusion The pain characteristics are different in children with spastic and dyskinetic cerebral palsy.The pain may af-fect their rehabilitation and functional independence.
