Abstract
Chronic pain is a common secondary problem associated with cerebral palsy (CP). This pain may be due to the musculoskeletal problems that often accompany CP, including spasticity, scoliosis, and bony deformity. The purpose of this study was to determine the effects of biofeedback-assisted relaxation training on self-reported pain and muscle tension in 3 adults with CP using a multiple baseline design across subjects. Two of 3 participants reported decreases in their pain experiences posttreatment. Their subjective reports, however, did not correspond with physiological changes. Complications in the use of progressive relaxation exercises and EMG biofeedback equipment are described and suggestions for future research provided.
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REFERENCES
Barlow, D. H., & Hersen, M. (1984). Single-case experimental designs: Strategies for studying behavior change (2nd ed.). New York: Pergamon.
Broseta, J., Garcia-March, G., S'andrez-Ledesma, M. J., Anaya, J., & Silva, I. (1990). Chronic intrathecal baclofenadministration in severe spasticity Stereotatic Functional_Neurosurgery, 54/55, 147-153.
Burke, E. J., Hickling, E. J., Alfonso, M., & Blanchard, E. B. (1985). The adjunctive use of biofeedback and relaxation in the treatment of severe rheumatoid arthritis: A preliminary investigation. Clinical Biofeedback and Health, 8(1), 28-36.
Cassidy, C., Craig, C. L., Perry, A., Karlin, L. I., & Goldberg, M. J. (1994). A reassessment of spinal stabilization in severe cerebral palsy. Journal of Pediatric Orthopedics, 14, 731-739.
Engel, J. M., Schwartz, L., Jensen, M. P., & Johnson, D. R. (2000). Pain in cerebral palsy: The relation of coping strategies to adjustment. Pain, 88, 225-230.
Flor, H., & Birbaumer, N. (1993). Comparison of the efficacy of EMGbiofeedback, cognitive behavior therapy and conservative medical interventions in the treatment of chronic musculoskeletal pain. Journal of Consulting and Clinical Psychology, 61, 653-658.
Ireland, M. L., & Hoffer, M. M. (1985). Triple arthrodesis for children with spastic cerebral palsy. Developmental Medicine and Child Neurology, 27(5), 623-627.
Jacobson, E. (1974). Progressive relaxation. Chicago: The University of Chicago Press.
Luthe, W. (1969). Autogenic therapy. New York: Grune & Stratton.
Murphy, K. P., Molnar, G. E., & Lankasky, K. (1995). Medical and functional status of adults with cerebral palsy. Developmental Medicine and Child Neurology, 37, 1075-1084.
National Institutes of Health. (1995). Integration of behavioral and relaxation approaches in the treatment of chronic pain and insomnia. (NIH Technology Assessment Conference Statement). Kensington, MD: Author.
Penzien, D. B., Rains, J. C., & Andrasik, F. (2002). Behavioral management of recurrent headache: Three decades of experience and empiricism. Applied Psychophysiology and Headache, 27(2), 163-181.
Schwartz, L., Engel, J. M., & Jensen, M. P. (1999). Pain in persons with cerebral palsy. Archives of Physical Medicine and Rehabilitation, 80, 1243-1246.
Turk, M. A., Gerenski, C. A., Rosenbaum, P. F., & Weber, R. J. (1997). The health status of women with cerebral palsy. Archives of Physical Medicine and Rehabilitation, 78, S10-S17.
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Engel, J.M., Jensen, M.P. & Schwartz, L. Outcome of Biofeedback-Assisted Relaxation for Pain in Adults with Cerebral Palsy: Preliminary Findings. Appl Psychophysiol Biofeedback 29, 135–140 (2004). https://doi.org/10.1023/B:APBI.0000026639.95223.6f
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DOI: https://doi.org/10.1023/B:APBI.0000026639.95223.6f