Evaluation of Stress and Pain in Young Children with Cerebral Palsy During Early Developmental Intervention Programs.
Objective: The aim of this study was to use the Face, Legs, Activity, Cry, Consolability Scale; salivary cortisol levels; and withdrawal reflex thresholds to assess pain, stress, and pain sensitivity in young children with cerebral palsy during early developmental intervention programs. Design: A to...
| Publicado en: | American Journal of Physical Medicine & Rehabilitation Vol. 94; no. 3; pp. 169 - 180 |
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| Autores principales: | , , , , |
| Formato: | CEU clinical trial exam questions research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Mar2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107776572&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107776572 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08949115 44N jtl: American Journal of Physical Medicine & Rehabilitation issn: 08949115 maglogo: N pubinfo: dt: Mar2015 vid: 94 iid: 3 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 107776572 101291702 10.1097/PHM.0000000000000252 107776572 ppf: 169 ppct: 11 formats: tig: atl: Evaluation of Stress and Pain in Young Children with Cerebral Palsy During Early Developmental Intervention Programs. aug: au: Xiaoke Zhao Mengying Chen Senjie Du Hongying Li Xiaonan Li affil: Rehabilitation Department, Nanjing Children’s Hospital Affiliated to Nanjing Medical University, Nanjing, China sug: subj: Cerebral Palsy Complications Stress Epidemiology Pain Epidemiology Child Development Community Programs Human Education, Continuing (Credit) Child, Preschool Electric Stimulation Occupational Therapy Acupuncture Manual Therapy Scales Treatment Related Pain Academic Medical Centers China Clinical Trials Data Analysis Software Goodness of Fit Chi Square Test One-Way Analysis of Variance Repeated Measures Post Hoc Analysis T-Tests Male Female Child, Preschool: 2-5 years Male Female ab: Objective: The aim of this study was to use the Face, Legs, Activity, Cry, Consolability Scale; salivary cortisol levels; and withdrawal reflex thresholds to assess pain, stress, and pain sensitivity in young children with cerebral palsy during early developmental intervention programs. Design: A total of 4 0 children with cerebral palsy (age range, 1-4 yrs) participated in the early intervention programs, which included neurodevelopmental treatment, neuromuscular electrical stimulation, occupational therapy, head acupuncture, and Chinese traditional manipulation five times per week for 3 wks. The Face, Legs, Activity, Cry, Consolability Scale was applied during the course of each treatment, and salivary cortisol samples were obtained from each child 10 mins before and 10 mins after each treatment. Withdrawal reflex thresholds were assessed via mechanical stimulation of the foot with von Frey hairs. Results: All treatment programs caused some degree of pain. In descending order, the extents of the pain caused by each treatment were head acupuncture, neurodevelopmental treatment, neuromuscular electrical stimulation, Chinese traditional manipulation, and occupational therapy. There were statistically significant increases in salivary cortisol levels after the head acupuncture (P < 0.001), neurodevelopmental treatment (P < 0.001), neuromuscular electrical stimulation (P < 0.001), and Chinese traditional manipulation (P < 0.001) treatments. No significant changes were found in the withdrawal reflex thresholds during the study (P > 0.05). Conclusions: The results of this study demonstrate that early developmental intervention programs cause pain and stress in young children with cerebral palsy. pubtype: Academic Journal doctype: CEU clinical trial exam questions research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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