• Pain assessment using the r-FLACC scale in young children with paralytic syndromes

Pain assessment using the r-FLACC scale in young children with paralytic syndromes

INTERNATIONAL JOURNAL REHABLITATION AND PALLIATIVE MEDICINE.2017.1-2(5-6):69-73; doi 10.15574/IJRPM.2017.5-6.69

Riga О. O., Gonchar М. O., Konovalova N.M., N.V. Orlova
Kharkiv National Medical University, Ukraine

Objective: to assess the pain level in nonverbal young children with paralytic syndromes III–V according to the GMF gradation.
Material and methods. Pain evaluation was performed in 60 nonverbal infants (43 boys and 17 girls) with paralytic syndromes using the r-FLACC behavioral scale. The scale is chosen according to children’s age and cognitive status. It was assumed that in children with paralytic syndromes there was a neuropathic nature of pain due to spastic muscular disorders and central nervous system damage.
Results. According to the study it was determined that “moderate pain” was registered in 30% of children, “severe pain” was observed in 3.3% cases, which required medication and non-medication correction.
Conclusions. The use of an objective instrument for pain assessment in nonverbal young children with paralytic syndromes improved pain syndrome diagnosis in such patients and made it possible to optimize the therapeutic approach.
Key words: pain, children, r-FLACC scale.

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