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Clinical course of pain intensity in individuals with cerebral palsy: A prognostic systematic review.

Heather M ShearerLeslie VervillePierre CôtéSheilah Hogg-JohnsonDarcy L Fehlings
Published in: Developmental medicine and child neurology (2022)
Pain intensity was stable in children with cerebral palsy (CP) receiving usual care. Adults with CP and chronic pain receiving usual care had stable, persistent pain intensity. Children receiving continuous intrathecal baclofen via pump and botulinum neurotoxin A reported significantly lower pain intensities. Adults with chronic pain and dyskinetic CP and cervical myelopathy reported significantly lower pain intensity with exercise or cervical decompression. Limited high-quality evidence exists describing non-procedural pain changes in individuals with CP.
Keyphrases
  • chronic pain
  • pain management
  • systematic review
  • high intensity
  • cerebral palsy
  • neuropathic pain
  • healthcare
  • spinal cord
  • children with cerebral palsy
  • palliative care
  • quality improvement