《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2018, Vol. 24 ›› Issue (2): 196-202.doi: 10.3969/j.issn.1006-9771.2018.02.015

• CONTENTS • Previous Articles     Next Articles

Pain Characteristics of Spastic and Dyskinetic Cerebral Palsy and Influence on Rehabilitation

ZHANG Shang1, LI Xiao-jie2, GUO Shuang1   

  1. 1. College of Rehabilitation Medicine, Jiamusi University, Jiamusi, Heilongjiang 154002, China;
    2. Prevention and Treatment Center for Children with Cerebral Palsy in Heilongjiang Province, Children Neural Rehabilitation Laboratory of Jiamusi University, Jiamusi, Heilongjiang 154002, China
  • Received:2017-11-07 Revised:2018-01-03 Published:2018-02-25 Online:2018-03-02
  • Contact: LI Xiao-jie. E-mail:xiaojljms@vip163.com

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 Independence Measure (WeeFIM), and the adductor angle, popliteal angle and foot dorsiflexion angle were recorded 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 after treatment, all the indexes improved in both groups (P<0.01). There was no significant difference in all the indexes 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 affect their rehabilitation and functional independence.

Key words: cerebral palsy, children, pain, rehabilitation

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