Journal
JOURNAL OF CHILD NEUROLOGY
Volume 36, Issue 10, Pages 823-830Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/08830738211007685
Keywords
pain; CRPS; children; adolescents; QST; anxiety; depression
Categories
Ask authors/readers for more resources
The study found that in children with CRPS-I, longer pain duration was associated with decreased cold pain sensitivity, higher pain intensity was related to elevated anxiety scores, and anxiety and social stress affected warmth sensitivity on the contralateral-pain site.
Objective: To assess thermal-sensory thresholds and psychosocial factors in children with Complex Regional Pain Syndrome Type 1 (CRPS-I) compared to healthy children. Methods: We conducted quantitative sensory testing on 34 children with CRPS-I and 56 pain-free children. Warm, cool, heat, and cold stimuli were applied to the forearm. Children with CRPS-I had the protocol administered to the pain site and the contralateral-pain site. Participants completed the self-report Behavior Assessment System for Children. Results: Longer pain durations (>5.1 months) were associated with decreased sensitivity to cold pain on the pain site (P = .04). Higher pain-intensity ratings were associated with elevated anxiety scores (P = .03). Anxiety and social stress were associated with warmth sensitivity (both P < .05) on the contralateral-pain site. Conclusions: Pain duration is an important factor in assessing pediatric CRPS-I. Hyposensitivity in the affected limb may emerge due to degeneration of nociceptive nerves. Anxiety may contribute to thermal-sensory perception in childhood CRPS-I.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available