Natural history of chronic pain and pain treatment in adults with cerebral palsy
Natural history of chronic pain and pain treatment in adults with cerebral palsy
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DOI：
10.1097/00002060-200406000-00006
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发表时间：
2004-06-01
影响因子：
3
通讯作者：
Schwartz, L
中科院分区：
文献类型：
--
作者：
Jensen, MP;Engel, JM;Schwartz, L
目的：要确定是否脑瘫相关的疼痛和频率的使用疼痛治疗随时间的变化，并检查疼痛治疗和疼痛强度的变化之间的关联，设计：纵向研究50名成年人与脑瘫相关的慢性疼痛，采访5次，在2年的过程中（6个月之间每次采访）。受试者年龄从18岁到76岁不等，包括25名女性和25名男性。结果：在研究期间（2年），疼痛强度没有显着变化，尽管使用频率有显着增加。从最初到第二次采访，几种疼痛治疗方法。参与者报告说，许多疼痛治疗至少有一定的帮助，但只有三种治疗方法在研究期间开始使用这些治疗方法的患者中，漩涡疗法、超声波疗法和经皮神经电刺激疗法似乎与疼痛减轻有关。在患有脑瘫相关疼痛的成人中，在2年的时间内，疼痛似乎没有系统性的好转或恶化。尽管有几种疼痛治疗方法被报道可以缓解疼痛，但其中许多方法很少被研究参与者使用（或提供给他们）。有必要进行更多的研究，以确定哪些疼痛治疗对脑瘫相关疼痛最有帮助，并增加患者获得有效疼痛治疗的机会。
Objectives: To determine if cerebral palsy-related pain and frequency of use of pain treatments change over time and to examine the association between use of pain treatments and changes in pain intensity,Design: Longitudinal study of 50 adults with cerebral palsy-related chronic pain, interviewed five times during the course of 2 yrs (6 mos between each interview). Subjects ranged in age from 18 to 76 yrs old and included 25 women and 25 men.Results: Pain intensity did not change significantly during the time period of the study (2 yrs), although there was a substantial increase in the frequency of use of several pain treatments from the initial to the second interview. Participants reported that many pain treatments were at least moderately helpful, but only three of the treatments (whirlpool, ultrasound, and transcutaneous electrical nerve stimulation) seemed to be associated with a decrease in pain among those who started using these treatments during the study.Conclusion: Pain does not seem to become systematically better or worse during the course of a 2-yr time period in adults with cerebral palsy-related pain. Although several pain treatments are reported to provide pain relief, many of these were rarely used by (or provided to) the study participants. There is a need for more research to determine which pain treatments are most helpful for cerebral palsy-related pain and to increase patient accessibility to effective pain treatments.