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Pain in adults with...
Pain in adults with cerebral palsy: A systematic review and meta-analysis of individual participant data
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- van der Slot, W. M. A. (author)
- Erasmus University Medical Center,Erasmus MC, Rijndam Rehabil, Rotterdam, Netherlands; Erasmus MC, Dept Rehabil Med, Rotterdam, Netherlands
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- Benner, J. L. (author)
- Erasmus University Medical Center,Erasmus MC, Dept Rehabil Med, Rotterdam, Netherlands; Rijndam Rehabil, Rotterdam, Netherlands
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- Brunton, L. (author)
- University College West,Western Univ, Sch Phys Therapy, London, ON, Canada
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- Engel, J. M. (author)
- University of Wisconsin-Milwaukee,Univ Wisconsin, Dept Occupat Sci & Technol, Milwaukee, WI 53201 USA
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- Gallien, P. (author)
- Pole MPR St Helier, Breizh Paralysie Cerebrale Hlth Net, Rennes, France
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- Hilberink, S. R. (author)
- Erasmus University Medical Center,Erasmus MC, Dept Rehabil Med, Rotterdam, Netherlands; Rotterdam Univ Appl Sci, Res Ctr Innovat Care, Rotterdam, Netherlands
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- Manum, G. (author)
- University of Oslo,Univ Oslo, Sunnaas Rehabil Hosp, Dept Res, Oslo, Norway; Univ Oslo, Fac Med, Inst Clin Med, Oslo, Norway
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- Morgan, P. (author)
- Monash University,Monash Univ, Dept Physiotherapy, Frankston, Vic, Australia
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- Opheim, Arve, 1962 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering,Institute of Neuroscience and Physiology, Department of Health and Rehabilitation,Sahlgrenska Academy,Sunnaas Rehabil Hosp, Dept Res, Nesoddtangen, Norway; Dept Res & Dev Habilitat & Hlth, Gothenburg, Region Västra Götaland, Sweden; Univ Gothenburg, Sahlgrenska Acad, Dept Rehabil Med, Gothenburg, Region Västra Götaland, Sweden
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- Riquelme, I. (author)
- University of the Balearic Islands,Univ Balear Isl, Univ Inst Hlth Sci, Dept Nursing & Physiotherapy, Palma De Mallorca, Mallorca, Spain
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- Rodby-Bousquet, Elisabet (author)
- Uppsala universitet,Uppsala University,Lund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Centrum för klinisk forskning, Västerås,Lund Univ, Dept Clin Sci, Lund, Sweden
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- Simsek, T. T. (author)
- Dokuz Eylül University,Dokuz Eylul Univ, Sch Phys Therapy & Rehabil, Izmir, Turkey
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- Thorpe, D. E. (author)
- University of North Carolina,Univ N Carolina, Sch Med, Div Phys Therapy, Chapel Hill, NC 27515 USA
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- van den Berg-Emons, R. J. G. (author)
- Erasmus University Medical Center,Erasmus MC, Dept Rehabil Med, Rotterdam, Netherlands; Rijndam Rehabil, Rotterdam, Netherlands
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- Vogtle, L. K. (author)
- University of Alabama,Univ Alabama Birmingham, Dept Occupat Therapy, Birmingham, AL USA
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- Papageorgiou, G. (author)
- Erasmus University Medical Center,Erasmus MC, Dept Biostat, Rotterdam, Netherlands
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- Roebroeck, M. E. (author)
- Erasmus University Medical Center,Erasmus MC, Dept Rehabil Med, Rotterdam, Netherlands; Rijndam Rehabil, Rotterdam, Netherlands
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(creator_code:org_t)
- Elsevier BV, 2021
- 2021
- English.
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In: Annals of Physical and Rehabilitation Medicine. - : Elsevier BV. - 1877-0657 .- 1877-0665. ; 64:3
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Abstract
Subject headings
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- Background: There is little focus on adults with cerebral palsy (CP) in research and health care and insufficient knowledge on how to identify and manage pain in this population. Objectives: This systematic review and meta-analysis aimed to determine whether pain prevalence in adults with CP is high and to explore variations in pain prevalence of subgroups, pain locations, pain severity and pain interference. Methods: Potential datasets were identified by experts in the field and literature searches in Embase, MEDLINE, and Cochrane, from January 2000 to October 2016. Included studies had a representative sample of >= 25 adults with CP and >= 1 pain outcomes. Methodological quality assessment, pain prevalence estimates and logistic regression models for subgroup effects on pain prevalence were conducted. Results: In total, 17 eligible studies were identified from 4584 publications. A meta-analysis was performed with individual participant data from 15 studies totalling 1243 participants (mean [SD] age 34.3 [12.6] years). Overall mean pain prevalence was 70% (95% CI 62-78). Women were more likely to have pain than men (P < 0.001). The odds of pain was increased in adults with gross motor function level II (odds ratio [OR] 1.92, 95% CI 1.22-3.12) and IV (OR 1.77, 95% CI 1.03-4.29). Participants with pain reported pain predominantly in the legs (76%, 95% CI 66-84), and mean pain severity was 3.7/10 (95% CI 2.7-4.7) and pain interference 3.5/10 (95% CI 2.5-4.5). Conclusions: This meta-analysis provides the first reliable pain prevalence estimate in a large international sample of adults with CP. The high prevalence of pain, 70%, suggests that adults with CP should be routinely screened for pain and treated accordingly. The range of measurement instruments used by the included studies emphasizes using common outcome measures specific to pain internationally. (C) C 2020 Elsevier Masson SAS. All rights reserved.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Medicinska och farmaceutiska grundvetenskaper -- Neurovetenskaper (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Basic Medicine -- Neurosciences (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Sjukgymnastik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Physiotherapy (hsv//eng)
Keyword
- Pain
- Cerebral palsy
- Adults
- Review
- Meta-analysis
- quality-of-life
- young-adults
- health
- prevalence
- fatigue
- disabilities
- children
- rehabilitation
- classification
- performance
- Rehabilitation
- Pain
Publication and Content Type
- ref (subject category)
- for (subject category)
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- By the author/editor
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van der Slot, W. ...
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Benner, J. L.
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Brunton, L.
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Engel, J. M.
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Gallien, P.
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Hilberink, S. R.
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show more...
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Manum, G.
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Morgan, P.
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Opheim, Arve, 19 ...
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Riquelme, I.
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Rodby-Bousquet, ...
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Simsek, T. T.
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Thorpe, D. E.
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van den Berg-Emo ...
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Vogtle, L. K.
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Papageorgiou, G.
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Roebroeck, M. E.
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Basic Medicine
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and Neurosciences
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Orthopaedics
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Physiotherapy
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Annals of Physic ...
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University of Gothenburg
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Lund University
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Uppsala University