How pain management for children with cerebral palsy in South African schools complies with up-to-date knowledge

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dc.contributor.author Johnson, Ensa
dc.contributor.author Nilsson, Stefan
dc.contributor.author Adolfsson, Margareta
dc.date.accessioned 2019-12-03T05:21:17Z
dc.date.available 2019-12-03T05:21:17Z
dc.date.issued 2019-11
dc.description.abstract 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. en_ZA
dc.description.department Centre for Augmentative and Alternative Communication (CAAC) en_ZA
dc.description.librarian cs2019 en_ZA
dc.description.uri http://www.ajod.org en_ZA
dc.identifier.citation Johnson, E., Nilsson, S. & Adolfsson, M., 2019, ‘How pain management for children with cerebral palsy in South African schools complies with up-to-date knowledge’, African Journal of Disability 8(0), a575. https://doi.org/10.4102/ajod.v8i0.575. en_ZA
dc.identifier.issn 2223-9170 (print)
dc.identifier.issn 2226-7220 (online)
dc.identifier.other 10.4102/ajod.v8i0.575
dc.identifier.uri http://hdl.handle.net/2263/72468
dc.language.iso en en_ZA
dc.publisher AOSIS Open Journals en_ZA
dc.rights © 2019. The Author(s). Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License. en_ZA
dc.subject Cerebral palsy (CP) en_ZA
dc.subject Evidence-based practice en_ZA
dc.subject Intervention en_ZA
dc.subject Clinicians en_ZA
dc.subject Children with cerebral palsy en_ZA
dc.subject Pain management en_ZA
dc.subject South African schools en_ZA
dc.title How pain management for children with cerebral palsy in South African schools complies with up-to-date knowledge en_ZA
dc.type Article en_ZA


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