Managing pain to promote participation in individuals with cerebral palsy

Fehlings Darcy, Stott Susan, Drake Ross, Byrne Rachel
Holland Bloorview Kids Rehabilitation Hospital, Toronto,

Objectives: 1. Understand the neuroplastic response to chronic pain in cerebral palsy (CP)
2. Identify clinical tools for measuring pain in CP
3. Have a working knowledge of a clinical pain management framework
4. Identify causes of chronic pain in CP including MSK
5. Understand a family/stakeholder perspective of the impact of chronic pain in CP

Target Audience: Health professionals working with individuals with CP  

Summary: Chronic pain in individuals with CP significantly impacts participation and well- being. Pain is under-recognized, undertreated and opportunities for preventing pain can be missed. This course will guide the clinician in understanding the pathophysiology behind the neuroplastic response to chronic pain and how this can be used to guide management. The course will provide an organizational framework for assessing and managing chronic pain in CP including the identification of a pain outcome toolbox. The MSK causes of pain and interdisciplinary pain management as it relates to the mechanism of central neural sensitization syndrome will be discussed in detail. A stakeholder perspective on the impact of pain will be presented. 

 Outline of the Course: - Professor Darcy Fehlings - Overview of the pathophysiology of the neuroplastic response and provide a pain management framework including assessment "tools" and differential diagnoses

Professor Susan Stott - Discussion of MSK pain in CP

Rachel Byrne OT - Providing a Stakeholder Perspective

Dr. Ross Drake - Case based discussion of the Mechanisms and Management of Persistent Pain in CP

Key words : Chronic Pain in Cerebral Palsy, Management of Central Neural Sensitization Syndrome, Pain Toolbox