Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
How pain management for children with cerebral palsy in South African schools complies with up-to-date knowledge
Centre for Augmentatve and Alternatve Communicaton, Faculty of Humanites, University of Pretoria, Pretoria, South Africa.
Jönköping University, School of Health and Welfare, HHJ. CHILD. Insttute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden.
Jönköping University, School of Education and Communication, HLK, CHILD. Centre for Augmentatve and Alternatve Communicaton, Faculty of Humanites, University of Pretoria, Pretoria, South Africa.
2019 (English)In: African Journal of Disability, ISSN 2226-7220, Vol. 8, article id a575Article in journal (Refereed) Published
Abstract [en]

Background: Pain in children with cerebral palsy (CP) has its sources in musculoskeletal problems that can influence learning in a school setting. Best pain management is essential for these children, but school staff may not keep up to date with the latest developments and interventions. Therefore, staff’s perceptions of beneficial strategies may not comply with contemporary scientific knowledge about effective evidence-based interventions.

Objectives: This study investigated how pain management intervention for children with CP in South African schools complied with international scientific knowledge about evidence-based interventions. The intention was to provide support for an update of knowledge on both individual level (i.e. professionals) and system level (i.e. decision makers).

Method: Five focus groups were conducted with staff members at five schools for children with special educational needs in South Africa. Manifest and latent content analyses of professional statements identified interventions reported as beneficial and related them to higher and lower levels of intervention evidence as reported at the time of data collection.

Results: Most treatment strategies concerned motor functioning that fell within the framework of physiotherapists and occupational therapists. Access to orthopaedic expertise was limited, waiting times were long and medication for spasticity treatment was not offered.

Conclusion: A discrepancy between published evidence and clinical practice for pain management in children with CP in South African school settings was noted. Suggestions for improved early intervention to identify children’s hips at risk through surveillance programmes; and orthopaedic management are proposed to prevent deformities and unnecessary suffering in South African children with CP.

Place, publisher, year, edition, pages
AOSIS, 2019. Vol. 8, article id a575
Keywords [en]
evidence-based practice, intervention, clinicians, children with cerebral palsy, pain management
National Category
Other Health Sciences
Identifiers
URN: urn:nbn:se:hj:diva-46946DOI: 10.4102/ajod.v8i0.575ISI: 000505776700003Local ID: GOA HLK 2019;HLKCHILDISOAI: oai:DiVA.org:hj-46946DiVA, id: diva2:1374661
Available from: 2019-12-02 Created: 2019-12-02 Last updated: 2020-01-16Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full text

Authority records BETA

Nilsson, StefanAdolfsson, Margareta

Search in DiVA

By author/editor
Nilsson, StefanAdolfsson, Margareta
By organisation
HHJ. CHILDHLK, CHILD
In the same journal
African Journal of Disability
Other Health Sciences

Search outside of DiVA

GoogleGoogle Scholar

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 45 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf