ArticleRevista da Associacao Medica Brasileira (1992)2026
Chronic pain, spasticity, and maternal burnout in children with spastic cerebral palsy.
Article in Revista da Associacao Medica Brasileira (1992), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveThe aim of this study was to examine the relationship between chronic pain, spasticity, and maternal burnout in children with spastic cerebral palsy, and to determine whether pain and muscle tone independently predict caregiver exhaustion.
methodsThis cross-sectional study included 126 mother-child dyads with spastic cerebral palsy aged 6-18 years. Pain was assessed using the Faces Pain Scale-Revised and revised Face, Legs, Activity, Cry, Consolability; spasticity using the Modified Ashworth Scale; and functional status by Gross Motor Function Classification System. Maternal burnout was evaluated with the Parental Burnout Assessment, and anxiety/depression with the Hospital Anxiety and Depression Scale.
resultsMean pain score was 4.1±1.7, Modified Ashworth Scale 2.6±0.8, and maternal Parental Burnout Assessment 56.7±13.9. Burnout correlated significantly with pain (r=0.52), spasticity (r=0.44), Gross Motor Function Classification System level (r=0.39), caregiving hours, and Hospital Anxiety and Depression Scale-depression (all p<0.001). In regression analysis, pain (β=0.37), maternal depression (β=0.31), spasticity (β=0.24), Gross Motor Function Classification System level, caregiving time, and epilepsy were independent predictors of burnout (adjusted R2=0.56).
conclusionPain and spasticity are key contributors to maternal burnout in spastic cerebral palsy. Integrating pain and tone management into family-centered care may improve both child outcomes and caregiver well-being.
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