Pain in Children and Adolescents with Spinal Muscular Atrophy: A Longitudinal Study from a Patient Registry

Spinal muscular atrophy (SMA) is a devastating genetic neurodegenerative disease caused by the insufficient production of Survival Motor Neuron (SMN) protein. It presents different phenotypes with frequent contractures and dislocations, scoliosis, and pain. This study aims to report the prevalence a...

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Main Authors: Inmaculada Pitarch-Castellano (Author), David Hervás (Author), Maria Grazia Cattinari (Author), Eugenia Ibáñez Albert (Author), Mercedes López Lobato (Author), Nancy Carolina Ñungo Garzón (Author), Juan Rojas (Author), Cristina Puig-Ram (Author), Marcos Madruga-Garrido (Author)
Format: Book
Published: MDPI AG, 2023-11-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Inmaculada Pitarch-Castellano  |e author 
700 1 0 |a David Hervás  |e author 
700 1 0 |a Maria Grazia Cattinari  |e author 
700 1 0 |a Eugenia Ibáñez Albert  |e author 
700 1 0 |a Mercedes López Lobato  |e author 
700 1 0 |a Nancy Carolina Ñungo Garzón  |e author 
700 1 0 |a Juan Rojas  |e author 
700 1 0 |a Cristina Puig-Ram  |e author 
700 1 0 |a Marcos Madruga-Garrido  |e author 
245 0 0 |a Pain in Children and Adolescents with Spinal Muscular Atrophy: A Longitudinal Study from a Patient Registry 
260 |b MDPI AG,   |c 2023-11-01T00:00:00Z. 
500 |a 10.3390/children10121880 
500 |a 2227-9067 
520 |a Spinal muscular atrophy (SMA) is a devastating genetic neurodegenerative disease caused by the insufficient production of Survival Motor Neuron (SMN) protein. It presents different phenotypes with frequent contractures and dislocations, scoliosis, and pain. This study aims to report the prevalence and description of pain and how it affects daily life by analyzing a new ad hoc questionnaire. An observational study of patients under 18 years of age with SMA was conducted at two referral centers in Spain. Data were analyzed using a descriptive analysis and a Bayesian ordinal regression model to assess the association with clinical and demographic variables. Fifty-one individuals were included in this study, 27% of whom reported pain with a median duration of 5.2 years and a mean Visual Analogic Scale (VAS) score of 5. Notably, 77% were receiving disease-modifying treatment, with more than 50% receiving analgesic treatment. The Bayesian model showed that functional status, lower limb contractures, and number of visits have a high probability (>90%) of influencing pain. Thus, the prevalence of pain in the SMA population under 18 years is substantial, and its presence could be associated with lower limb contractures, better functional status, and higher RULM (Revised Upper Limb Module) scores. 
546 |a EN 
690 |a pain 
690 |a spinal muscular atrophy 
690 |a neuromuscular disease 
690 |a children 
690 |a adolescent natural history 
690 |a patient registry 
690 |a Pediatrics 
690 |a RJ1-570 
655 7 |a article  |2 local 
786 0 |n Children, Vol 10, Iss 12, p 1880 (2023) 
787 0 |n https://www.mdpi.com/2227-9067/10/12/1880 
787 0 |n https://doaj.org/toc/2227-9067 
856 4 1 |u https://doaj.org/article/1fa68c40e96a4d09b7aa2772b026b2e6  |z Connect to this object online.