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Pain extent and function in youth with physical disabilities.

Jordi Miró1, Rocío de la Vega2, Catarina Tomé-Pires3

  • 1Unit for the Study and Treatment of Pain - ALGOS, Universitat Rovira i Virgili, Catalonia, Spain; Research Center for Behavior Assessment (CRAMC), Department of Psychology, Universitat Rovira i Virgili, Catalonia, Spain; Institut d'Investigació Sanitària Pere Virgili, Catalonia, Spain; Universitat Rovira i Virgili, Catalonia, Spain; Chair in Pediatric Pain, Universitat Rovira i Virgili-Fundación Grünenthal, Catalonia, Spain.

Journal of Pain Research
|January 25, 2017
PubMed
Summary

Pain extent, not just intensity, significantly impacts functioning in youth with chronic pain and disabilities. Addressing pain spread is crucial for effective treatment and improved quality of life.

Keywords:
functionpain extentpediatric chronic painphysical disability

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Area of Science:

  • Pediatric Pain Research
  • Disability Studies
  • Rehabilitation Medicine

Background:

  • Chronic pain is a significant issue for youth with physical disabilities.
  • Understanding the spatial qualities of pain (location and extent) is vital for assessing its impact on functioning.

Purpose of the Study:

  • To investigate the role of pain location and extent in the functioning of adolescents with disabilities and chronic pain.
  • To determine if pain spatial qualities influence pain interference, psychological function, and disability.

Main Methods:

  • 115 youths with physical disabilities and chronic pain completed interviews and questionnaires.
  • Data collected included pain locations, average pain intensity, pain interference, psychological function, and disability levels.
  • Participant demographics included age, sex, ethnicity, and specific disability type (e.g., cerebral palsy, muscular dystrophy).

Main Results:

  • 91% of participants experienced pain in multiple body sites.
  • Greater pain extent was associated with increased pain interference and disability, and decreased psychological function, independent of pain intensity.
  • Specific pain locations (back, shoulders, hips/bottom) showed unique associations with interference, function, and disability.

Conclusions:

  • Pain extent is a critical factor in assessing and treating chronic pain in youth with disabilities.
  • Identifying risk factors for widespread pain and developing targeted treatments to reduce pain extent are recommended.
  • Treatments should consider specific pain locations to improve patient outcomes.