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在患有慢性疼痛的儿童中,身体功能估计了IIPT后疼痛的变化

Mayank Seth^1,2, Katherine Bentley^2,3, Kathryn Hottinger⁴

¹Research Department, Children's Specialized Hospital Long Term Care Center, Mountainside, New Jersey, USA.

Pain practice : the official journal of World Institute of Pain

|January 20, 2025

概括

儿科疼痛计划中改善的身体功能与疼痛减少有关. 功能性增长有助于识别需要更多支持来减少疼痛的儿童.

科学领域:

儿科康复儿童康复中心
疼痛管理疼痛管理
儿童心理学儿童心理学

背景情况:

慢性疼痛显著影响儿童的生活质量.
儿科强化跨学科疼痛治疗 (IIPT) 计划旨在增强功能.
在儿科IIPT中功能改善和疼痛减轻之间的联系尚未得到充分证实.

研究的目的:

研究身体功能变化与IIPT后慢性疼痛儿童感知疼痛之间的关系.
为了确定功能改善是否预测疼痛减轻.
确定与儿科慢性疼痛治疗结果相关的因素.

主要方法:

从两个住院急性康复计划的数据进行二次分析.
包括309名接受4周IIPT的儿童和青少年 (平均年龄16.2岁).
在入院和出院时评估疼痛强度和自我报告的功能 (LEFS,UEFI,COPM).

主要成果:

在自我报告的身体功能的变化和疼痛之间发现了显著的关联.
身体功能指标 (LEFS,UEFI,COPM-性能,COPM-满意度) 解释了减少疼痛的差异 (7.8%-19.8%).
自我报告的功能区分为最小和中度的疼痛减轻.

结论:

在IIPT中的功能性收益与感知疼痛的更大减少有关.
自我报告的身体功能测量可以识别患有最小疼痛减轻风险的儿童.
IIPT 计划应监测功能状态,以优化疼痛管理结果.

关键词:

功能功能功能功能功能.减轻疼痛减少疼痛儿科儿科儿科自我报告自我报告

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