Evaluation of Stress and Pain in Young Children with Cerebral Palsy During Early Developmental Intervention Programs
| Autor: | Hongying Li, Xiaonan Li, Mengying Chen, Senjie Du, Xiaoke Zhao |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Occupational therapy
medicine.medical_specialty business.industry Rehabilitation Withdrawal reflex Physical Therapy Sports Therapy and Rehabilitation Stimulation medicine.disease Cerebral palsy Physical medicine and rehabilitation Von frey Chinese traditional Intervention (counseling) Acupuncture medicine Physical therapy business |
| Zdroj: | American Journal of Physical Medicine & Rehabilitation. 94:169-179 |
| ISSN: | 0894-9115 |
| Popis: | 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 40 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 0.05). Conclusions The results of this study demonstrate that early developmental intervention programs cause pain and stress in young children with cerebral palsy. |
| Databáze: | OpenAIRE |
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