Pain Extent and Function in Youth with Physical Disabilities

Overview

Journal J Pain Res

Publisher Dove Medical Press

Date 2017 Jan 25

PMID 28115871

Citations 6

Authors

Jordi Miro

Rocio de la Vega

Catarina Tome-Pires

Elisabet Sanchez-Rodriguez

Elena Castarlenas

Mark P Jensen

Joyce M Engel

Affiliations

Soon will be listed here.

Abstract

Background: The aim of this study was to increase our understanding of the role that spatial qualities of pain (location and extent) play in functioning, among youths with disabilities and chronic pain.

Methods: One-hundred and fifteen youths (mean age 14.4 years; SD ±3.3 years) with physical disabilities and chronic pain were interviewed and were asked to provide information about pain locations and their average pain intensity in the past week, and to complete measures of pain interference, psychological function and disability. Most of the participants in this sample were males (56%), Caucasian (68%), and had a cerebral palsy (34%) or muscular dystrophy (25%) problem. Most participants did not report high levels of disability ( [Formula: see text], SD ±9.5, range 0-60) or global pain intensity ( [Formula: see text], SD ±2.4, range 0-10).

Results: Pain at more than one body site was experienced by 91% of participants. There were positive associations between pain extent with pain interference ( = 0.30) and disability ( = 0.30), and a negative association with psychological function ( = -0.38), over and above average pain intensity. Additionally, pain intensity in the back (as opposed to other locations) was associated with more pain interference ( = 0.29), whereas pain intensity in the shoulders was associated with less psychological function ( = -0.18), and pain intensity in the bottom or hips was associated with more disability ( = 0.29).

Conclusion: The findings support the need to take into account pain extent in the assessment and treatment of youths with physical disabilities and chronic pain, call our attention about the need to identify potential risk factors of pain extent, and develop and evaluate the benefits of treatments that could reduce pain extent and target pain at specific sites.

Citing Articles

Development of the Conceptualization of Pain Questionnaire: A Measure to Study How Children Conceptualize Pain.

Salvat I, Adillon C, Andres E, Monterde S, Miro J Int J Environ Res Public Health. 2021; 18(7).

PMID: 33917429 PMC: 8038728. DOI: 10.3390/ijerph18073821.

Digital Pain Mapping and Tracking in Patients With Chronic Pain: Longitudinal Study.

Galve Villa M, Palsson T, Royo A, Bjarkam C, Boudreau S J Med Internet Res. 2020; 22(10):e21475.

PMID: 33104012 PMC: 7652695. DOI: 10.2196/21475.

Evaluating the psychometric properties of the Widespread Pain Index and the Symptom Severity scale in youth with painful conditions.

Dudeney J, Law E, Meyyappan A, Palermo T, Rabbitts J Can J Pain. 2020; 3(1):137-147.

PMID: 32051925 PMC: 7015535. DOI: 10.1080/24740527.2019.1620097.

Do Commonly Used Measures of Pain Intensity Only Reflect Pain Intensity in Youths With Bothersome Pain and a Physical Disability?.

Miro J, Vega R, Gertz K, Thong I, Jensen M, Engel J Front Pediatr. 2019; 7:229.

PMID: 31281805 PMC: 6595400. DOI: 10.3389/fped.2019.00229.

Chronic pain prevalence and associated factors in adolescents with and without physical disabilities.

Vega R, Groenewald C, Bromberg M, Beals-Erickson S, Palermo T Dev Med Child Neurol. 2018; 60(6):596-601.

PMID: 29468673 PMC: 5943137. DOI: 10.1111/dmcn.13705.

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