Pain assessment and management in children with neurologic impairment: a survey of pediatric physical therapists
| Autor: | Toni S. Roddey, Katy Mitchell, Peggy Gleeson, Mary Swiggum, Merry Lynne Hamilton |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Physical Therapy Specialty
medicine.medical_specialty media_common.quotation_subject Psychological intervention Pain Physical Therapy Sports Therapy and Rehabilitation Irritability Pain assessment Intervention (counseling) Distraction Surveys and Questionnaires medicine Humans Pain Management Praise Child Physical Therapy Modalities media_common Pain Measurement Facial expression business.industry Cerebral Palsy Distress Treatment Outcome Pediatrics Perinatology and Child Health Physical therapy medicine.symptom business |
| Zdroj: | Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association. 22(3) |
| ISSN: | 1538-005X |
| Popis: | PURPOSE This study explored pain assessment measures and interventions used by physical therapists in the treatment of children with neurologic impairment. METHODS Following extensive literature review on pain assessment and intervention, a survey was developed, pilot tested, and posted on the listserv of the Pediatric Section of the American Physical Therapy Association. RESULTS Eighty percent of the respondents used subjective measures to assess pain, 70% used self-report scales, and 41% used behavioral and physiological measures. Behaviors frequently used included vocalizations, facial expression, and irritability. Rarely used cues included decreased attention, withdrawal, and changes in sleeping and eating behaviors. Therapists used research-supported pain interventions such as distraction and praise as well as potentially harmful distress producing measures such as procedural talk and reassurance. CONCLUSION Further research is needed to determine the feasibility of using behavioral pain assessment measures during physical therapy sessions. Physical therapist continuing education regarding nonpharmaceutical pain interventions is indicated. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|