دورية أكاديمية
أعرض في EDS

Foot and lower leg pain in children and adults with cerebral palsy: a population-based register study on 5,122 individuals.

التفاصيل البيبلوغرافية
العنوان: Foot and lower leg pain in children and adults with cerebral palsy: a population-based register study on 5,122 individuals.
المؤلفون: Jarlman E; Department of Clinical Sciences, Orthopedics, Lund University, Lund, Sweden. ebba.jarlman@med.lu.se.; Department of Orthopedics, Helsingborg Hospital, Helsingborg, Sweden. ebba.jarlman@med.lu.se., Hägglund G; Department of Clinical Sciences, Orthopedics, Lund University, Lund, Sweden., Alriksson-Schmidt AI; Department of Clinical Sciences, Orthopedics, Lund University, Lund, Sweden.
المصدر: BMC musculoskeletal disorders [BMC Musculoskelet Disord] 2024 May 18; Vol. 25 (1), pp. 391. Date of Electronic Publication: 2024 May 18.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968565 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2474 (Electronic) Linking ISSN: 14712474 NLM ISO Abbreviation: BMC Musculoskelet Disord Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2000-
مواضيع طبية MeSH: Cerebral Palsy*/epidemiology , Cerebral Palsy*/complications , Cerebral Palsy*/physiopathology , Registries* , Leg*, Humans ; Male ; Female ; Cross-Sectional Studies ; Adult ; Adolescent ; Child ; Young Adult ; Sweden/epidemiology ; Child, Preschool ; Prevalence ; Foot/physiopathology ; Middle Aged ; Pain/epidemiology ; Pain/diagnosis ; Pain/etiology ; Pain Measurement
مستخلص: Background: Pain is common in individuals with cerebral palsy (CP) and the most reported pain site is the foot/lower leg. We analyzed the prevalence of pain in the foot/lower leg and the associations with age, sex, gross motor function, and clinical findings in individuals with CP.
Method: This was a cross-sectional register-study, based on data reported to the Swedish Cerebral Palsy Follow-up Program (CPUP). All participants in CPUP, four years-of-age or older, were included. Pearson chi-square tests and logistic regression were used to analyze the prevalence and degree of pain in the foot/lower leg.
Results: In total, 5,122 individuals were included from the CPUP database: 58% were males and 66% were under 18 years-of-age. Overall, 1,077 (21%) reported pain in the foot/lower leg. The odds ratios (ORs) of pain were higher in females (OR 1.31, 95% confidence interval (CI) 1.13-1.53), individuals who could ambulate (Gross Motor Function Classification System Level I (OR 1.84, CI 1.32-2.57) and II (OR 2.01, CI 1.46-2.79) compared to level V), and in individuals with decreased range of motion of the ankle (dorsiflexion 1-10 degrees (OR 1.43, CI 1.13-1.83) and ≤ 0 degrees (OR 1.46, CI 1.10-1.93) compared to ≥ 20 degrees). With increasing age the OR of pain increased (OR 1.02, CI 1.01-1.03) as well as the reported pain intensity (p < 0.001).
Conclusions: Pain in the foot and lower leg appears to be a significant problem in individuals with CP, particularly in those who walk. As with pain in general in this population, both pain intensity and frequency increase with age. The odds of pain in the foot and lower leg were increased in individuals with limited dorsiflexion of the ankle. Given the cross-sectional design causality cannot be inferred and it is unknown if pain causes decreased range of motion of the ankle or if decreased range of motion causes pain. Further research is needed on causal pathways and importantly on prevention.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: Cerebral palsy; Lower extremities; Pain; Pain intensity
تواريخ الأحداث: Date Created: 20240518 Date Completed: 20240518 Latest Revision: 20240521
رمز التحديث: 20240521
مُعرف محوري في PubMed: PMC11102238
DOI: 10.1186/s12891-024-07486-y
PMID: 38762469
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2474
DOI:10.1186/s12891-024-07486-y