Pain in young people aged 13 to 17 years with cerebral palsy: cross-sectional, multicentre European study
Identifieur interne : 001D01 ( Main/Corpus ); précédent : 001D00; suivant : 001D02Pain in young people aged 13 to 17 years with cerebral palsy: cross-sectional, multicentre European study
Auteurs : Kathryn N. Parkinson ; Heather O. Dickinson ; Catherine Arnaud ; Alan Lyons ; Allan Colver ; Eva Beckung ; Jackie Parkes ; Jérôme Fauconnier ; Alan Lyons ; Susan Michelsen ; Marco Marcelli ; Catherine Arnaud ; Ute Thyen ; Marion RappSource :
- Archives of Disease in Childhood [ 0003-9888 ] ; 2013-06.
Abstract
Objective To determine the prevalence and associations of self- and parent-reported pain in young people with cerebral palsy (CP). Design and setting Cross-sectional questionnaire survey conducted at home visits in nine regions in seven European countries. Participants were 13 to 17-year-olds (n=667) drawn from population CP registers in eight regions and from multiple sources in one region. 429 could self-report; parent-reports were obtained for 657. Data were collected on: severity, frequency, site and circumstances of pain in previous week; severity of pain associated with therapy in previous year. Results The estimated population prevalence of any pain in previous week was 74% (95% CI 69% to 79%) for self-reported pain and 77% (95% CI 73% to 81%) for parent-reported pain. 40% experienced leg pains, 34% reported headaches and 45% of those who received physiotherapy experienced pain during therapy. Girls reported more pain than boys (OR=2.1, 95% CI 1.5 to 3.0) and young people reported more pain if they had emotional difficulties (comparing highest and lowest quartiles: OR=3.1, 95% CI 1.7 to 5.6). Parents reported more pain in children with emotional difficulties (OR=4.2, 95% CI 2.7 to 6.6), or with more impaired walking ability. Conclusions Pain in young people with CP is highly prevalent. Because pain causes immediate distress and is associated with lower subjective well-being and reduced participation, clinicians should routinely assess pain. Clinical interventions to reduce pain should be implemented and evaluated. The efficacy of medical and therapeutic interventions causing pain should be re-examined to establish if their benefit justifies the pain and fear of pain that accompany them.
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DOI: 10.1136/archdischild-2012-303482
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Dickinson</name><affiliation><mods:affiliation>Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK</mods:affiliation></affiliation></author><author><name sortKey="Arnaud, Catherine" sort="Arnaud, Catherine" uniqKey="Arnaud C" first="Catherine" last="Arnaud">Catherine Arnaud</name><affiliation><mods:affiliation>INSERM, UMR1027, Université Paul-Sabatier, CHU Purpan, Service d'Epidémiologie Clinique, Toulouse, France</mods:affiliation></affiliation></author><author><name sortKey="Lyons, Alan" sort="Lyons, Alan" uniqKey="Lyons A" first="Alan" last="Lyons">Alan Lyons</name><affiliation><mods:affiliation>Enable Ireland, Lavanagh Centre, Ballintemple, Cork, Ireland</mods:affiliation></affiliation></author><author><name sortKey="Colver, Allan" sort="Colver, Allan" uniqKey="Colver A" first="Allan" last="Colver">Allan Colver</name><affiliation><mods:affiliation>Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK</mods:affiliation></affiliation></author><author wicri:is="80%"><name sortKey="Beckung, Eva" sort="Beckung, Eva" uniqKey="Beckung E" first="Eva" last="Beckung">Eva Beckung</name></author><author wicri:is="80%"><name sortKey="Parkes, Jackie" sort="Parkes, Jackie" uniqKey="Parkes J" first="Jackie" last="Parkes">Jackie Parkes</name></author><author wicri:is="80%"><name sortKey="Fauconnier, Jerome" sort="Fauconnier, Jerome" uniqKey="Fauconnier J" first="Jérôme" last="Fauconnier">Jérôme Fauconnier</name></author><author wicri:is="80%"><name sortKey="Lyons, Alan" sort="Lyons, Alan" uniqKey="Lyons A" first="Alan" last="Lyons">Alan Lyons</name></author><author wicri:is="80%"><name sortKey="Michelsen, Susan" sort="Michelsen, Susan" uniqKey="Michelsen S" first="Susan" last="Michelsen">Susan Michelsen</name></author><author wicri:is="80%"><name sortKey="Marcelli, Marco" sort="Marcelli, Marco" uniqKey="Marcelli M" first="Marco" last="Marcelli">Marco Marcelli</name></author><author wicri:is="80%"><name sortKey="Arnaud, Catherine" sort="Arnaud, Catherine" uniqKey="Arnaud C" first="Catherine" last="Arnaud">Catherine Arnaud</name></author><author wicri:is="80%"><name sortKey="Thyen, Ute" sort="Thyen, Ute" uniqKey="Thyen U" first="Ute" last="Thyen">Ute Thyen</name></author><author wicri:is="80%"><name sortKey="Rapp, Marion" sort="Rapp, Marion" uniqKey="Rapp M" first="Marion" last="Rapp">Marion Rapp</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:60963342E1E4B54E0CEB26D167472E378EB5AF18</idno><date when="2013" year="2013">2013</date><idno type="doi">10.1136/archdischild-2012-303482</idno><idno type="url">https://api.istex.fr/document/60963342E1E4B54E0CEB26D167472E378EB5AF18/fulltext/pdf</idno><idno type="wicri:Area/Main/Corpus">001D01</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a">Pain in young people aged 13 to 17 years with cerebral palsy: cross-sectional, multicentre European study</title><author><name sortKey="Parkinson, Kathryn N" sort="Parkinson, Kathryn N" uniqKey="Parkinson K" first="Kathryn N" last="Parkinson">Kathryn N. Parkinson</name><affiliation><mods:affiliation>Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK</mods:affiliation></affiliation></author><author><name sortKey="Dickinson, Heather O" sort="Dickinson, Heather O" uniqKey="Dickinson H" first="Heather O" last="Dickinson">Heather O. Dickinson</name><affiliation><mods:affiliation>Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK</mods:affiliation></affiliation></author><author><name sortKey="Arnaud, Catherine" sort="Arnaud, Catherine" uniqKey="Arnaud C" first="Catherine" last="Arnaud">Catherine Arnaud</name><affiliation><mods:affiliation>INSERM, UMR1027, Université Paul-Sabatier, CHU Purpan, Service d'Epidémiologie Clinique, Toulouse, France</mods:affiliation></affiliation></author><author><name sortKey="Lyons, Alan" sort="Lyons, Alan" uniqKey="Lyons A" first="Alan" last="Lyons">Alan Lyons</name><affiliation><mods:affiliation>Enable Ireland, Lavanagh Centre, Ballintemple, Cork, Ireland</mods:affiliation></affiliation></author><author><name sortKey="Colver, Allan" sort="Colver, Allan" uniqKey="Colver A" first="Allan" last="Colver">Allan Colver</name><affiliation><mods:affiliation>Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK</mods:affiliation></affiliation></author><author wicri:is="80%"><name sortKey="Beckung, Eva" sort="Beckung, Eva" uniqKey="Beckung E" first="Eva" last="Beckung">Eva Beckung</name></author><author wicri:is="80%"><name sortKey="Parkes, Jackie" sort="Parkes, Jackie" uniqKey="Parkes J" first="Jackie" last="Parkes">Jackie Parkes</name></author><author wicri:is="80%"><name sortKey="Fauconnier, Jerome" sort="Fauconnier, Jerome" uniqKey="Fauconnier J" first="Jérôme" last="Fauconnier">Jérôme Fauconnier</name></author><author wicri:is="80%"><name sortKey="Lyons, Alan" sort="Lyons, Alan" uniqKey="Lyons A" first="Alan" last="Lyons">Alan Lyons</name></author><author wicri:is="80%"><name sortKey="Michelsen, Susan" sort="Michelsen, Susan" uniqKey="Michelsen S" first="Susan" last="Michelsen">Susan Michelsen</name></author><author wicri:is="80%"><name sortKey="Marcelli, Marco" sort="Marcelli, Marco" uniqKey="Marcelli M" first="Marco" last="Marcelli">Marco Marcelli</name></author><author wicri:is="80%"><name sortKey="Arnaud, Catherine" sort="Arnaud, Catherine" uniqKey="Arnaud C" first="Catherine" last="Arnaud">Catherine Arnaud</name></author><author wicri:is="80%"><name sortKey="Thyen, Ute" sort="Thyen, Ute" uniqKey="Thyen U" first="Ute" last="Thyen">Ute Thyen</name></author><author wicri:is="80%"><name sortKey="Rapp, Marion" sort="Rapp, Marion" uniqKey="Rapp M" first="Marion" last="Rapp">Marion Rapp</name></author></analytic><monogr></monogr><series><title level="j">Archives of Disease in Childhood</title><title level="j" type="abbrev">Arch Dis Child</title><idno type="ISSN">0003-9888</idno><idno type="eISSN">1468-2044</idno><imprint><publisher>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</publisher><date type="published" when="2013-06">2013-06</date><biblScope unit="volume">98</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="434">434</biblScope></imprint><idno type="ISSN">0003-9888</idno></series><idno type="istex">60963342E1E4B54E0CEB26D167472E378EB5AF18</idno><idno type="DOI">10.1136/archdischild-2012-303482</idno><idno type="href">archdischild-98-434.pdf</idno><idno type="ArticleID">archdischild-2012-303482</idno><idno type="PMID">23606716</idno><idno type="local">archdischild;98/6/434</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0003-9888</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Objective To determine the prevalence and associations of self- and parent-reported pain in young people with cerebral palsy (CP). Design and setting Cross-sectional questionnaire survey conducted at home visits in nine regions in seven European countries. Participants were 13 to 17-year-olds (n=667) drawn from population CP registers in eight regions and from multiple sources in one region. 429 could self-report; parent-reports were obtained for 657. Data were collected on: severity, frequency, site and circumstances of pain in previous week; severity of pain associated with therapy in previous year. Results The estimated population prevalence of any pain in previous week was 74% (95% CI 69% to 79%) for self-reported pain and 77% (95% CI 73% to 81%) for parent-reported pain. 40% experienced leg pains, 34% reported headaches and 45% of those who received physiotherapy experienced pain during therapy. Girls reported more pain than boys (OR=2.1, 95% CI 1.5 to 3.0) and young people reported more pain if they had emotional difficulties (comparing highest and lowest quartiles: OR=3.1, 95% CI 1.7 to 5.6). Parents reported more pain in children with emotional difficulties (OR=4.2, 95% CI 2.7 to 6.6), or with more impaired walking ability. Conclusions Pain in young people with CP is highly prevalent. Because pain causes immediate distress and is associated with lower subjective well-being and reduced participation, clinicians should routinely assess pain. Clinical interventions to reduce pain should be implemented and evaluated. The efficacy of medical and therapeutic interventions causing pain should be re-examined to establish if their benefit justifies the pain and fear of pain that accompany them.</div></front></TEI><istex><corpusName>bmj</corpusName><author><json:item><name>Kathryn N Parkinson</name><affiliations><json:string>Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK</json:string></affiliations></json:item><json:item><name>Heather O Dickinson</name><affiliations><json:string>Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK</json:string></affiliations></json:item><json:item><name>Catherine Arnaud</name><affiliations><json:string>INSERM, UMR1027, Université Paul-Sabatier, CHU Purpan, Service d'Epidémiologie Clinique, Toulouse, France</json:string></affiliations></json:item><json:item><name>Alan Lyons</name><affiliations><json:string>Enable Ireland, Lavanagh Centre, Ballintemple, Cork, Ireland</json:string></affiliations></json:item><json:item><name>Allan Colver</name><affiliations><json:string>Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Original article</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Open access</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Pain</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Neurodisability</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Adolescent Health</value></json:item></subject><language><json:string>eng</json:string></language><abstract>Objective To determine the prevalence and associations of self- and parent-reported pain in young people with cerebral palsy (CP). Design and setting Cross-sectional questionnaire survey conducted at home visits in nine regions in seven European countries. Participants were 13 to 17-year-olds (n=667) drawn from population CP registers in eight regions and from multiple sources in one region. 429 could self-report; parent-reports were obtained for 657. Data were collected on: severity, frequency, site and circumstances of pain in previous week; severity of pain associated with therapy in previous year. Results The estimated population prevalence of any pain in previous week was 74% (95% CI 69% to 79%) for self-reported pain and 77% (95% CI 73% to 81%) for parent-reported pain. 40% experienced leg pains, 34% reported headaches and 45% of those who received physiotherapy experienced pain during therapy. Girls reported more pain than boys (OR=2.1, 95% CI 1.5 to 3.0) and young people reported more pain if they had emotional difficulties (comparing highest and lowest quartiles: OR=3.1, 95% CI 1.7 to 5.6). Parents reported more pain in children with emotional difficulties (OR=4.2, 95% CI 2.7 to 6.6), or with more impaired walking ability. Conclusions Pain in young people with CP is highly prevalent. Because pain causes immediate distress and is associated with lower subjective well-being and reduced participation, clinicians should routinely assess pain. Clinical interventions to reduce pain should be implemented and evaluated. The efficacy of medical and therapeutic interventions causing pain should be re-examined to establish if their benefit justifies the pain and fear of pain that accompany them.</abstract><qualityIndicators><score>7.447</score><pdfVersion>1.3</pdfVersion><pdfPageSize>595.276 x 793.701 pts</pdfPageSize><refBibsNative>true</refBibsNative><keywordCount>5</keywordCount><abstractCharCount>1722</abstractCharCount><pdfWordCount>4447</pdfWordCount><pdfCharCount>31508</pdfCharCount><pdfPageCount>7</pdfPageCount><abstractWordCount>259</abstractWordCount></qualityIndicators><title>Pain in young people aged 13 to 17 years with cerebral palsy: cross-sectional, multicentre European study</title><pmid><json:string>23606716</json:string></pmid><corporate><json:item><name>on behalf of the SPARCLE group</name></json:item></corporate><genre><json:string>research-article</json:string></genre><host><volume>98</volume><pages><first>434</first></pages><issn><json:string>0003-9888</json:string></issn><issue>6</issue><genre></genre><language><json:string>unknown</json:string></language><eissn><json:string>1468-2044</json:string></eissn><title>Archives of Disease in Childhood</title></host><author_non-byline><json:item><name>Eva Beckung</name></json:item><json:item><name>Jackie Parkes</name></json:item><json:item><name>Jérôme Fauconnier</name></json:item><json:item><name>Alan Lyons</name></json:item><json:item><name>Susan Michelsen</name></json:item><json:item><name>Marco Marcelli</name></json:item><json:item><name>Catherine Arnaud</name></json:item><json:item><name>Ute Thyen</name></json:item><json:item><name>Marion Rapp</name></json:item></author_non-byline><publicationDate>2013</publicationDate><copyrightDate>2013</copyrightDate><doi><json:string>10.1136/archdischild-2012-303482</json:string></doi><id>60963342E1E4B54E0CEB26D167472E378EB5AF18</id><fulltext><json:item><original>true</original><mimetype>application/pdf</mimetype><extension>pdf</extension><uri>https://api.istex.fr/document/60963342E1E4B54E0CEB26D167472E378EB5AF18/fulltext/pdf</uri></json:item><json:item><original>false</original><mimetype>application/zip</mimetype><extension>zip</extension><uri>https://api.istex.fr/document/60963342E1E4B54E0CEB26D167472E378EB5AF18/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/60963342E1E4B54E0CEB26D167472E378EB5AF18/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a">Pain in young people aged 13 to 17 years with cerebral palsy: cross-sectional, multicentre European study</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</publisher><availability><p>BMJ</p></availability><date>2013-04-20</date></publicationStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a">Pain in young people aged 13 to 17 years with cerebral palsy: cross-sectional, multicentre European study</title><author><orgName>on behalf of the SPARCLE group</orgName></author><author><persName><forename type="first">Kathryn N</forename><surname>Parkinson</surname></persName><affiliation>Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK</affiliation></author><author><persName><forename type="first">Heather O</forename><surname>Dickinson</surname></persName><affiliation>Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK</affiliation></author><author><persName><forename type="first">Catherine</forename><surname>Arnaud</surname></persName><affiliation>INSERM, UMR1027, Université Paul-Sabatier, CHU Purpan, Service d'Epidémiologie Clinique, Toulouse, France</affiliation></author><author><persName><forename type="first">Alan</forename><surname>Lyons</surname></persName><affiliation>Enable Ireland, Lavanagh Centre, Ballintemple, Cork, Ireland</affiliation></author><author><persName><forename type="first">Allan</forename><surname>Colver</surname></persName><affiliation>Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK</affiliation></author><author><persName><forename type="first">Eva</forename><surname>Beckung</surname></persName></author><author><persName><forename type="first">Jackie</forename><surname>Parkes</surname></persName></author><author><persName><forename type="first">Jérôme</forename><surname>Fauconnier</surname></persName></author><author><persName><forename type="first">Alan</forename><surname>Lyons</surname></persName></author><author><persName><forename type="first">Susan</forename><surname>Michelsen</surname></persName></author><author><persName><forename type="first">Marco</forename><surname>Marcelli</surname></persName></author><author><persName><forename type="first">Catherine</forename><surname>Arnaud</surname></persName></author><author><persName><forename type="first">Ute</forename><surname>Thyen</surname></persName></author><author><persName><forename type="first">Marion</forename><surname>Rapp</surname></persName></author></analytic><monogr><title level="j">Archives of Disease in Childhood</title><title level="j" type="abbrev">Arch Dis Child</title><idno type="pISSN">0003-9888</idno><idno type="eISSN">1468-2044</idno><imprint><publisher>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</publisher><date type="published" when="2013-06"></date><biblScope unit="volume">98</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="434">434</biblScope></imprint></monogr><idno type="istex">60963342E1E4B54E0CEB26D167472E378EB5AF18</idno><idno type="DOI">10.1136/archdischild-2012-303482</idno><idno type="href">archdischild-98-434.pdf</idno><idno type="ArticleID">archdischild-2012-303482</idno><idno type="PMID">23606716</idno><idno type="local">archdischild;98/6/434</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2013-04-20</date></creation><langUsage><language ident="en">en</language></langUsage><abstract><p>Objective To determine the prevalence and associations of self- and parent-reported pain in young people with cerebral palsy (CP). Design and setting Cross-sectional questionnaire survey conducted at home visits in nine regions in seven European countries. Participants were 13 to 17-year-olds (n=667) drawn from population CP registers in eight regions and from multiple sources in one region. 429 could self-report; parent-reports were obtained for 657. Data were collected on: severity, frequency, site and circumstances of pain in previous week; severity of pain associated with therapy in previous year. Results The estimated population prevalence of any pain in previous week was 74% (95% CI 69% to 79%) for self-reported pain and 77% (95% CI 73% to 81%) for parent-reported pain. 40% experienced leg pains, 34% reported headaches and 45% of those who received physiotherapy experienced pain during therapy. Girls reported more pain than boys (OR=2.1, 95% CI 1.5 to 3.0) and young people reported more pain if they had emotional difficulties (comparing highest and lowest quartiles: OR=3.1, 95% CI 1.7 to 5.6). Parents reported more pain in children with emotional difficulties (OR=4.2, 95% CI 2.7 to 6.6), or with more impaired walking ability. Conclusions Pain in young people with CP is highly prevalent. Because pain causes immediate distress and is associated with lower subjective well-being and reduced participation, clinicians should routinely assess pain. Clinical interventions to reduce pain should be implemented and evaluated. The efficacy of medical and therapeutic interventions causing pain should be re-examined to establish if their benefit justifies the pain and fear of pain that accompany them.</p></abstract><textClass><keywords scheme="keyword"><list><head>hwp-journal-coll</head><item><term>Open access</term></item></list></keywords></textClass><textClass><keywords scheme="keyword"><list><head>Keywords</head><item><term>Pain</term></item><item><term>Neurodisability</term></item><item><term>Adolescent Health</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2013-04-20">Created</change><change when="2013-06">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/60963342E1E4B54E0CEB26D167472E378EB5AF18/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="corpus bmj" wicri:toSee="no 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pub-id-type="publisher-id">archdischild-2012-303482</article-id><article-id pub-id-type="doi">10.1136/archdischild-2012-303482</article-id><article-id pub-id-type="other">archdischild;98/6/434</article-id><article-id pub-id-type="other">archdischild;archdischild-2012-303482</article-id><article-id pub-id-type="pmid">23606716</article-id><article-id pub-id-type="other">434</article-id><article-id pub-id-type="other">archdischild-2012-303482</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original article</subject></subj-group><subj-group subj-group-type="hwp-journal-coll"><subject>Open access</subject></subj-group></article-categories><title-group><article-title>Pain in young people aged 13 to 17 years with cerebral palsy: cross-sectional, multicentre European study</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Parkinson</surname><given-names>Kathryn N</given-names></name><xref ref-type="aff" rid="af1">1</xref></contrib><contrib contrib-type="author"><name><surname>Dickinson</surname><given-names>Heather O</given-names></name><xref ref-type="aff" rid="af1">1</xref></contrib><contrib contrib-type="author"><name><surname>Arnaud</surname><given-names>Catherine</given-names></name><xref ref-type="aff" rid="af2">2</xref></contrib><contrib contrib-type="author"><name><surname>Lyons</surname><given-names>Alan</given-names></name><xref ref-type="aff" rid="af3">3</xref></contrib><contrib contrib-type="author"><name><surname>Colver</surname><given-names>Allan</given-names></name><xref ref-type="aff" rid="af1">1</xref></contrib><contrib contrib-type="contributor"><collab>on behalf of the SPARCLE group</collab></contrib><contrib contrib-type="author non-byline"><name><surname>Beckung</surname><given-names>Eva</given-names></name></contrib><contrib contrib-type="author non-byline"><name><surname>Parkes</surname><given-names>Jackie</given-names></name></contrib><contrib contrib-type="author non-byline"><name><surname>Fauconnier</surname><given-names>Jérôme</given-names></name></contrib><contrib contrib-type="author non-byline"><name><surname>Lyons</surname><given-names>Alan</given-names></name></contrib><contrib contrib-type="author non-byline"><name><surname>Michelsen</surname><given-names>Susan</given-names></name></contrib><contrib contrib-type="author non-byline"><name><surname>Marcelli</surname><given-names>Marco</given-names></name></contrib><contrib contrib-type="author non-byline"><name><surname>Arnaud</surname><given-names>Catherine</given-names></name></contrib><contrib contrib-type="author non-byline"><name><surname>Thyen</surname><given-names>Ute</given-names></name></contrib><contrib contrib-type="author non-byline"><name><surname>Rapp</surname><given-names>Marion</given-names></name></contrib></contrib-group><aff id="af1"><label>1</label><addr-line>Institute of Health and Society</addr-line>, Newcastle University, <addr-line>Newcastle upon Tyne</addr-line>, <country>UK</country></aff><aff id="af2"><label>2</label><addr-line>INSERM, UMR1027</addr-line>, Université Paul-Sabatier, CHU Purpan, Service d'Epidémiologie Clinique, <addr-line>Toulouse</addr-line>, <country>France</country></aff><aff id="af3"><label>3</label>Enable Ireland, Lavanagh Centre, Ballintemple, <addr-line>Cork</addr-line>, <country>Ireland</country></aff><author-notes><corresp><label>Correspondence to</label> Professor Allan Colver, Institute of Health and Society, Newcastle University, Newcastle upon Tyne NE2 4AX, UK; <email>allan.colver@ncl.ac.uk</email></corresp></author-notes><pub-date pub-type="ppub"><month>6</month><year>2013</year></pub-date><pub-date pub-type="epub-original"><day>20</day><month>4</month><year>2013</year></pub-date><pub-date pub-type="epub"><day>20</day><month>4</month><year>2013</year></pub-date><volume>98</volume><volume-id pub-id-type="other">98</volume-id><volume-id pub-id-type="other">98</volume-id><issue>6</issue><issue-id pub-id-type="other">archdischild;98/6</issue-id><issue-id pub-id-type="other">6</issue-id><issue-id pub-id-type="other">98/6</issue-id><fpage>434</fpage><history><date date-type="received"><day>3</day><month>12</month><year>2012</year></date><date date-type="rev-recd"><day>17</day><month>3</month><year>2013</year></date><date date-type="accepted"><day>24</day><month>3</month><year>2013</year></date></history><permissions><copyright-statement>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</copyright-statement><copyright-year>2013</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link> and <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/legalcode">http://creativecommons.org/licenses/by-nc/3.0/legalcode</ext-link></p></license></permissions><self-uri content-type="pdf" xlink:role="full-text" xlink:href="archdischild-98-434.pdf"></self-uri><abstract><sec><title>Objective</title><p>To determine the prevalence and associations of self- and parent-reported pain in young people with cerebral palsy (CP).</p></sec><sec><title>Design and setting</title><p>Cross-sectional questionnaire survey conducted at home visits in nine regions in seven European countries. Participants were 13 to 17-year-olds (n=667) drawn from population CP registers in eight regions and from multiple sources in one region. 429 could self-report; parent-reports were obtained for 657. Data were collected on: severity, frequency, site and circumstances of pain in previous week; severity of pain associated with therapy in previous year.</p></sec><sec><title>Results</title><p>The estimated population prevalence of any pain in previous week was 74% (95% CI 69% to 79%) for self-reported pain and 77% (95% CI 73% to 81%) for parent-reported pain. 40% experienced leg pains, 34% reported headaches and 45% of those who received physiotherapy experienced pain during therapy. Girls reported more pain than boys (OR=2.1, 95% CI 1.5 to 3.0) and young people reported more pain if they had emotional difficulties (comparing highest and lowest quartiles: OR=3.1, 95% CI 1.7 to 5.6). Parents reported more pain in children with emotional difficulties (OR=4.2, 95% CI 2.7 to 6.6), or with more impaired walking ability.</p></sec><sec><title>Conclusions</title><p>Pain in young people with CP is highly prevalent. Because pain causes immediate distress and is associated with lower subjective well-being and reduced participation, clinicians should routinely assess pain. Clinical interventions to reduce pain should be implemented and evaluated. The efficacy of medical and therapeutic interventions causing pain should be re-examined to establish if their benefit justifies the pain and fear of pain that accompany them.</p></sec></abstract><kwd-group><kwd>Pain</kwd><kwd>Neurodisability</kwd><kwd>Adolescent Health</kwd></kwd-group></article-meta></front></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo><title>Pain in young people aged 13 to 17 years with cerebral palsy: cross-sectional, multicentre European study</title></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>Pain in young people aged 13 to 17 years with cerebral palsy: cross-sectional, multicentre European study</title></titleInfo><name type="corporate"><namePart>on behalf of the SPARCLE group</namePart></name><name type="personal"><namePart type="given">Kathryn N</namePart><namePart type="family">Parkinson</namePart><affiliation>Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Heather O</namePart><namePart type="family">Dickinson</namePart><affiliation>Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Catherine</namePart><namePart type="family">Arnaud</namePart><affiliation>INSERM, UMR1027, Université Paul-Sabatier, CHU Purpan, Service d'Epidémiologie Clinique, Toulouse, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Alan</namePart><namePart type="family">Lyons</namePart><affiliation>Enable Ireland, Lavanagh Centre, Ballintemple, Cork, Ireland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Allan</namePart><namePart type="family">Colver</namePart><affiliation>Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Eva</namePart><namePart type="family">Beckung</namePart><role><roleTerm type="text">author non-byline</roleTerm></role></name><name type="personal"><namePart type="given">Jackie</namePart><namePart type="family">Parkes</namePart><role><roleTerm type="text">author non-byline</roleTerm></role></name><name type="personal"><namePart type="given">Jérôme</namePart><namePart type="family">Fauconnier</namePart><role><roleTerm type="text">author non-byline</roleTerm></role></name><name type="personal"><namePart type="given">Alan</namePart><namePart type="family">Lyons</namePart><role><roleTerm type="text">author non-byline</roleTerm></role></name><name type="personal"><namePart type="given">Susan</namePart><namePart type="family">Michelsen</namePart><role><roleTerm type="text">author non-byline</roleTerm></role></name><name type="personal"><namePart type="given">Marco</namePart><namePart type="family">Marcelli</namePart><role><roleTerm type="text">author non-byline</roleTerm></role></name><name type="personal"><namePart type="given">Catherine</namePart><namePart type="family">Arnaud</namePart><role><roleTerm type="text">author non-byline</roleTerm></role></name><name type="personal"><namePart type="given">Ute</namePart><namePart type="family">Thyen</namePart><role><roleTerm type="text">author non-byline</roleTerm></role></name><name type="personal"><namePart type="given">Marion</namePart><namePart type="family">Rapp</namePart><role><roleTerm type="text">author non-byline</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="research-article"></genre><subject><genre>hwp-journal-coll</genre><topic>Open access</topic></subject><originInfo><publisher>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</publisher><dateIssued encoding="w3cdtf">2013-06</dateIssued><dateCreated encoding="w3cdtf">2013-04-20</dateCreated><copyrightDate encoding="w3cdtf">2013</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract>Objective To determine the prevalence and associations of self- and parent-reported pain in young people with cerebral palsy (CP). Design and setting Cross-sectional questionnaire survey conducted at home visits in nine regions in seven European countries. Participants were 13 to 17-year-olds (n=667) drawn from population CP registers in eight regions and from multiple sources in one region. 429 could self-report; parent-reports were obtained for 657. Data were collected on: severity, frequency, site and circumstances of pain in previous week; severity of pain associated with therapy in previous year. Results The estimated population prevalence of any pain in previous week was 74% (95% CI 69% to 79%) for self-reported pain and 77% (95% CI 73% to 81%) for parent-reported pain. 40% experienced leg pains, 34% reported headaches and 45% of those who received physiotherapy experienced pain during therapy. Girls reported more pain than boys (OR=2.1, 95% CI 1.5 to 3.0) and young people reported more pain if they had emotional difficulties (comparing highest and lowest quartiles: OR=3.1, 95% CI 1.7 to 5.6). Parents reported more pain in children with emotional difficulties (OR=4.2, 95% CI 2.7 to 6.6), or with more impaired walking ability. Conclusions Pain in young people with CP is highly prevalent. Because pain causes immediate distress and is associated with lower subjective well-being and reduced participation, clinicians should routinely assess pain. Clinical interventions to reduce pain should be implemented and evaluated. The efficacy of medical and therapeutic interventions causing pain should be re-examined to establish if their benefit justifies the pain and fear of pain that accompany them.</abstract><subject><genre>Keywords</genre><topic>Pain</topic><topic>Neurodisability</topic><topic>Adolescent Health</topic></subject><relatedItem type="host"><titleInfo><title>Archives of Disease in Childhood</title></titleInfo><titleInfo type="abbreviated"><title>Arch Dis Child</title></titleInfo><genre type="Journal">journal</genre><identifier type="ISSN">0003-9888</identifier><identifier type="eISSN">1468-2044</identifier><identifier type="PublisherID">adc</identifier><identifier type="PublisherID-hwp">archdischild</identifier><identifier type="PublisherID-nlm-ta">Arch Dis Child</identifier><part><date>2013</date><detail type="volume"><caption>vol.</caption><number>98</number></detail><detail type="issue"><caption>no.</caption><number>6</number></detail><extent unit="pages"><start>434</start></extent></part></relatedItem><identifier type="istex">60963342E1E4B54E0CEB26D167472E378EB5AF18</identifier><identifier type="DOI">10.1136/archdischild-2012-303482</identifier><identifier type="href">archdischild-98-434.pdf</identifier><identifier type="ArticleID">archdischild-2012-303482</identifier><identifier type="PMID">23606716</identifier><identifier type="local">archdischild;98/6/434</identifier><accessCondition type="use and reproduction" contentType="open-access">This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/3.0/ and http://creativecommons.org/licenses/by-nc/3.0/legalcode</accessCondition><recordInfo><recordContentSource>BMJ</recordContentSource></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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