Article

Hand surgeons and therapists play
an important role in the early identification of children at risk of developing
chronic or recurrent pain after an upper extremity injury.
Early identification
of children at risk of developing a pain syndrome is critical because their
physical, psychological, and/or social functioning may decline quickly without
proper management due to the multidimensional nature of pain. PURPOSE: This article outlines one approach to evaluating upper extremity pain in
children to help identify those with, or at risk of, chronic pain. METHODS: An
assessment framework that recognizes the biological, sensory, emotional, and
psychosocial components of pain is described. RESULTS: The key components of a
screening evaluation include obtaining a detailed history and a thorough physical
examination that involves: systematic upper extremity mapping of sensory
thresholds, mapping of sensory disturbances, and screening of self-reported pain
intensity, location, descriptors, and interference. DISCUSSION AND CONCLUSION:
The evaluation approach described will enable hand therapists to identify
children with upper extremity pain that are at risk of developing a chronic pain
and make an early referral to a multidisciplinary pain team that provides
education, pharmacological pain management, physical rehabilitation, and
psychological treatments.
CI - Copyright (c) 2018 Hanley & Belfus. Published by Elsevier Inc. All rights
reserved.

Langue : ANGLAIS