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Journal of Pediatric Psychology 22(5) pp. 689-705, 1997
© 1997 Society of Pediatric Psychology

other

Pain, Anxiety, and Cooperativeness in Children with Cerebral Palsy After Rhizotomy: Changes Throughout Rehabilitation1

A. Cate Miller2, Marjoire Johann-Murphy and Ineke M. Pit-ten Cate

New york University Medical Center

2All correspondence should be sent to A. Cate Miler, New York University Medical Center, Rusk Institue of Rehabilitation Medicine, 400 East 34th Stret, RR 506, New York New York 10016.

Assessed pain, anxiety, physical functioning, and cooperativeness in 32 childrenn with spastic cerebral palsy. This is the first study to assess children throughout rehabilitation following selective posterior rhizotomy. Results of the Observational Scale of Behavioral Distress and observer Likert ratings confirmed the hypothesis that children's pain and anxiety decrease over time. Children's physical functioning and cooperativeness improve over time. No significant correlation was found between pain and changes in physical functioning. Cognitive impairment, parental involvement, and children's pain behaviors explained 77% and 56% of the variance in two forms of cooperativeness. Research and clinical implications are discussed, and special considerations regarding pain assessment and management in this population are addressed

Key words: pain; dstress; cooperativeness; rehabilitation; children; cerebral palsy; rhizotomy.


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