Pain and fatigue consistency in adults with cerebral palsy

Purpose. To examine the consistency of pain and fatigue and describe pain interference with daily activities in ambulatory (AMB) and non-ambulatory (non-AMB) adults with cerebral palsy (CP) over a 3-month period. Method. A repeated measures design with 26 participants (12 AMB, 14 non-AMB) acting as their own controls. Pain and fatigue data were collected once per month for three consecutive months using the FACES pain scale and PedsQL (TM) Multidimensional Fatigue Scale. Pain interference with daily life was assessed using the Pain Disability Index (PDI). Results. No significant differences were found in maximum pain intensity. AMB reported significantly fewer pain sites in the whole body during month I than non-AMB. Fatigue was consistent across months, however, AMB reported significantly more General fatigue. Across groups, significant correlations were found between PDI and General, Resting, and Overall fatigue. Non-AMB exhibited significant correlations between total number of pain sites and General and Cognitive fatigue, as well as PDI and Overall fatigue. For the AMB group, PDI and total number of pain sites were significantly correlated. Conclusions. Pain and fatigue consistently and significantly affect adults with CP. Both factors impact the ability of adults, who have CP, to participate in daily life.