Acta Medica Saliniana, Vol 48, No 1 (2018)

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Painful states in children with cerebral palsy

Emira Švraka

Abstract


Cerebral Palsy (CP) is a group of permanent disturbances in the development of movement and posture that cause constraints in the activities and are the result of non-progressive disorders of immature brain or developing brain. The frequency of pain occurrence is in correlation with the motor impairment severity, the presence of gastrostomy, the number of days absent from school and the number of days spent in bed. Since the pain is called today the „fifth vital sign“, more attention is devoted to better recognition and treatment of pain in children who does not communicate. Pain is common in children/persons with CP, and most common is musculoskeletal pain which is a secondary occurrence of spasticity and deformity of the locomotor system. The most common musculoskeletal deformities of people with cerebral palsy that because pain is: deformities of the spinal cord, chest, hip, knees and feet. Reducing pain and spasticity increases the chances of improving functions in everyday activities. Spasticity significantly compromises the life of the child/person with CP, affecting everyday life, mobility, hygiene, self-care, causing sleeping and cosmetic problems, loss of self-esteem, problems with mood and sexual function. There are numerous novelties in the orthopedic approach to treatment of a child with CP, and that is a tendency towards formation of orthopedic teams in larger centers specialized in the neuropathy field and having access to laboratory for gait analysis, the possibility of applying botulinum toxins at multiple levels for therapeutic and diagnostic purposes. Conclusion: Rehabilitation of children with cerebral palsy is targeted at the family and the child as the center of all therapeutic services. The advancement of the science of the future in re/habilitation of children with cerebral palsy will depend on interdisciplinary research (BCI, VR), which includes: re/habilitation engineers, logopedics, occupational therapists, physiotherapists and physiotherapists as experts who can provide access to these technologies and their use. It is necessary to improve the knowledge of medical specialists in the field of pain management, particularly in children re/habilitation, and to provide access to specific medications for treatment of pain at any given moment.

 



Citation friendly format:
Emira Švraka. Painful states in children with cerebral palsy. Acta Medica Saliniana 2018;48:13. DOI:10.5457/DOI: 10.5457/451


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