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Pain, Anxiety, and Cooperativeness in Children with Cerebral Palsy After Rhizotomy: Changes Throughout Rehabilitation |
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| Authors: | Miller, A. Cate Johann-Murphy, Marjoire Pit-ten Cate, Ineke M. |
| Affiliation: | New york University Medical Center 2All correspondence should be sent to A. Cate Miler, New York University Medical Center, Rusk Institue of Rehabilitation Medicine, 400 East 34th Stret, RR 506, New York New York 10016. |
| Abstract: | Assessed pain, anxiety, physical functioning, and cooperativenessin 32 childrenn with spastic cerebral palsy. This is the firststudy to assess children throughout rehabilitation followingselective posterior rhizotomy. Results of the ObservationalScale of Behavioral Distress and observer Likert ratings confirmedthe hypothesis that children's pain and anxiety decrease overtime. Children's physical functioning and cooperativeness improveover time. No significant correlation was found between painand changes in physical functioning. Cognitive impairment, parentalinvolvement, and children's pain behaviors explained 77% and56% of the variance in two forms of cooperativeness. Researchand clinical implications are discussed, and special considerationsregarding pain assessment and management in this populationare addressed |
| Keywords: | pain dstress cooperativeness rehabilitation children cerebral palsy rhizotomy. |
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