Survey results of pain treatments in adults with cerebral palsy.
Survey results of pain treatments in adults with cerebral palsy.
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DOI：
10.1097/phm.0b013e3182063bc9
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发表时间：
2011-03
影响因子：
3
通讯作者：
Jensen MP
中科院分区：
文献类型：
--
作者：
Hirsh AT;Kratz AL;Engel JM;Jensen MP
确定脑瘫（CP）患者使用的疼痛治疗的类型和频率;检查这些治疗的感知有效性;并确定获得疼痛相关服务的医疗保健提供者的类型。采用横断面调查设计。83名CP成人（平均年龄=40.3岁，SD=13.6）在过去3个月内指出了他们的疼痛部位和强度。接下来，他们指出了他们使用的24种不同的疼痛治疗方法以及每种方法的有效性。最后，参与者指出了过去6个月内向特定提供者进行疼痛相关医疗保健访问的频率。63%的参与者报告经历过慢性疼痛，并将过去一周的疼痛强度平均评为5.1/10。最常见的疼痛部位是下背部、臀部和腿部。物理干预（例如，物理治疗、强化）是据报道使用的最常见的疼痛治疗，并且被评定为中等有效。还使用了许多其他治疗方法，参与者从各种提供者那里寻求与疼痛相关的护理。虽然据报道，参与者从各种提供者那里获得疼痛护理，并认为几种类型的治疗是有效的，但许多被评为有效的治疗很少使用或提供。使用临床试验方法的未来研究将进一步阐明对CP成人最有益的特定疼痛治疗。
To identify the types and frequencies of pain treatments used by individuals with cerebral palsy (CP); examine the perceived effectiveness of these treatments; and identify the types of healthcare providers that were accessed for pain-related services. A cross-sectional survey design was employed. 83 adults (mean age=40.3 years, SD=13.6) with CP indicated their pain location and intensity during the past 3 months. Next, they indicated their use of 24 different pain treatments and the effectiveness of each. Finally, participants indicated the frequency of pain-related healthcare visits to specific providers over the past 6 months. 63% of participants reported experiencing chronic pain and rated their pain intensity over the past week as 5.1/10, on average. The most common pain locations were the lower back, hips, and legs. Physical interventions (e.g., physical therapy, strengthening) were the most common pain treatments reportedly used, and were rated as moderately effective. Many other treatments were also used, and participants sought pain-related care from a variety of providers. Although participants reportedly accessed pain care from a variety of providers, and perceived that several types of treatments were effective, many of the treatments rated as effective were rarely used or provided. Future research using clinical trial methods would further elucidate the specific pain treatments that are most beneficial for adults with CP.