Disclosures: Sakher Obaidat: Nothing to disclose

Objective: To examine the impact of pain severity, pain sites, and nature of pain on function in children, adults and elderly with cerebral palsy (CP) and to report the demographics (gender, Age) relationship with pain severity.

Design: Retrospective study

Setting: A tertiary medical center

Participants: A total of 425 patients who had CP based on diagnoses codes using ICD9 and ICD10 and had more than 3 times of valid pain report been included (mean age= 44.65± 17.36, 49.64% females).

Interventions: N/A

Main Outcome Measures: Function included balance levels, gait parameters, and Gross Motor Function Classification System (GMFCS) and obtained from outpatient records. Pain was obtained from flowsheet included pain using numeric rating scale from 0 to 10, location, duration, and description. The first documented pain was identified for each patient, and then followed up over 3 years for subsequent pain reports. The valid pain report should include score, location and nature. ANOVA and regression were utilized for analyses.

Results: Averaged pain score was negatively associated with average gait distance (B=-1.5, P=.049) indicating that every unit increase in pain score was associated with 1.5 m decrease in gait distance. However, pain scores were not associated with levels of GMFCS and balance. ANOVA results showed significant differences between age groups in average and first pain scores (P=.004 and P=.002, respectively). Age group 40-65 had higher mean first pain score of (6.251.25) and average pain score (6.021.1) compared to other groups. Furthermore, ANOVA results showed that females were significantly higher in average (6.351.21) and last reported pain score (5.451.43) compared to males (P =.004, P <.001), respectively.

Conclusions: Pain can be a pronounced problem in survivors with CP throughout the life span, and it can influence functionality. Therefore, clinicians should address pain in survivors with CP throughout a life span not only childhood.

Level of Evidence: Level III

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PM&R Meeting Abstracts - https://pmrjabstracts.org/abstract/the-pain-in-cerebral-palsy-population-a-retrospective-study/