Evidence map›Paper›PMID 39937705›Full record

SynthesisDevelopmental medicine and child neurology2025

Pain in adults with cerebral palsy: A systematic review.

Jennifer M Ryan, Jessica Burke, Rachel Byrne, Emily Capellari, Adrienne Harvey, Neil E O'Connell, Donna Omichinski, Elisabet Rodby-Bousquet, Mark Peterson, Adult CP Clinical Practice Guideline Working Group

Abstract readSystematic Review
In one paragraph

Synthesis in Developmental medicine and child neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pain in adults with cerebral palsy: A systematic review.Developmental medicine and child neurology · 2025
    Pooled it
  2. Letter to the Editor: Clarifying the Scientific Basis and Clinical Relevance of DMI Therapy.Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association · 2026
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jennifer M RyanCP-Life Research Centre, School of Physiotherapy, Royal College of Surgeons in Ireland, Dublin, Ireland.ORCID 0000-0003-3768-2132
Jessica BurkeCP-Life Research Centre, School of Physiotherapy, Royal College of Surgeons in Ireland, Dublin, Ireland.
Rachel ByrneCerebral Palsy Foundation, New York, USA.ORCID 0000-0002-2150-2777
Emily CapellariDepartment of Physical Medicine and Rehabilitation Medicine, University of Michigan, Ann Arbor, USA.
Adrienne HarveyNeurodisability and Rehabilitation, Murdoch Children's Research Institute, Melbourne, Australia.
Neil E O'ConnellDepartment of Health Sciences, Centre for Wellbeing Across the Lifecourse, Brunel University London, London, UK.
Donna OmichinskiDepartment of Physical Medicine and Rehabilitation Medicine, University of Michigan, Ann Arbor, USA.
Elisabet Rodby-BousquetDepartment of Clinical Sciences Lund, Ortopaedics, Lund University, Lund, Sweden.ORCID 0000-0001-8373-1017
Mark PetersonDepartment of Physical Medicine and Rehabilitation Medicine, University of Michigan, Ann Arbor, USA.ORCID 0000-0002-9861-4275
Adult CP Clinical Practice Guideline Working Group

Funding

Cerebral Palsy Foundation
6 · The paper itself

Abstract

aimTo describe the prevalence and incidence of pain, identify prognostic factors for pain, determine psychometric properties of tools to assess pain, and evaluate effectiveness of interventions for reducing pain among adults with cerebral palsy (CP).

methodSix databases were searched to identify studies published since 1990 in any language that met eligibility criteria defined for each objective. Titles, abstracts, and full texts were screened by two independent reviewers.

resultsSixty-three studies were identified; 47 reporting prevalence, 28 reporting prognostic factors, four reporting psychometric properties, five evaluating intervention effectiveness. Pain prevalence ranged from 24% to 89%. Prevalence was higher among adults with CP than in adults without it. Communication function, sex, and age were prognostic factors for pain prevalence. Numerical, verbal, and pictorial rating scales were valid for assessing pain intensity in adults with CP. Pharmacological and surgical interventions had no effect on pain. An active lifestyle and sports intervention reduced pain in adults with CP compared with usual care.

interpretationMany adults with CP experience pain, although prevalence estimates vary considerably. The quality of evidence for prognostic factors and interventions is very low to low. There is a lack of evidence about effective pain management among adults with CP.

Indexed as

Cerebral PalsyPainAdultHumansPain MeasurementPrevalencePrognosis

Identifiers

PMID39937705
PMCPMC12134420

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.