TY - JOUR
AU - G. Ceniza-Bordallo
AU - J. Guerra-Armas
AU - M. Flores-Cortes
AU - S. Bermúdez-Ramirez
A1 - 
AB - Background/Objectives: Pediatric chronic pain requires individualized care. The Pediatric Pain Screening Tool (PPST) allows for stratification of psychosocial and physical risk factors and may guide targeted interventions. However, its integration into multimodal physiotherapy programs remains unexplored. This exploratory feasibility case series study evaluated a PPST-guided, risk-stratified multimodal physiotherapy intervention in children aged 8-17 years with chronic pain. Methods: Participants were classified as low, medium, or high risk. Interventions were tailored accordingly. Outcomes were assessed pre- and post-intervention and included pain intensity, pain interference, psychological distress, and quality of life. Results: Ten participants (mean age = 13.5 years; 60% girls) were included. Six were classified as high, three as medium, and one as low risk based on the PPST. After an 8-week physiotherapist intervention program, pain interference significantly decreased (MD = -7.5; p = 0.040; d = 1.69), as did pain intensity at rest (MD = -3.1; p = 0.002; d = 2.60) and during movement (MD = -3.0; p = 0.004; d = 2.55), exceeding the MCID of 1.92. In the high-risk group, reductions were observed in anxiety (p = 0.006; d = 2.36), pain-related worries (p = 0.001; d = 3.79), fear of movement (p = 0.015; d = 1.62), and fear of pain (p = 0.002; d = 3.37). Eighty percent reported feeling "a great deal better" in the PGIC including all high-risk participants. Conclusions: These results supports the feasibility of integrating PPST risk stratification into multimodal management, providing a structured and effective framework for addressing pediatric chronic pain.
AD - Department of Radiology, Rehabilitation and Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, University Complutense of Madrid, 28040 Madrid, Spain.; Experimental Health Psychology, Maastricht University, 6211 Maastricht, The Netherlands.; Faculty of Health Sciences, University of Malaga, 29010 Malaga, Spain.; Clinimetry and Technological Development in Therapeutic Exercise Research Group (CLIDET), University of Valencia, 46010 Valencia, Spain.; Rehabilitation Service, Hospital Dr. José Molina Orosa, Canary Service of Healthcare, 35500 Arrecife, Spain.
AN - 40507390
BT - J Clin Med
C5 - Measures; Healthcare Disparities
CP - 11
DA - May 22
DO - 10.3390/jcm14113629
DP - NLM
ET - 20250522
IS - 11
JF - J Clin Med
LA - eng
N2 - Background/Objectives: Pediatric chronic pain requires individualized care. The Pediatric Pain Screening Tool (PPST) allows for stratification of psychosocial and physical risk factors and may guide targeted interventions. However, its integration into multimodal physiotherapy programs remains unexplored. This exploratory feasibility case series study evaluated a PPST-guided, risk-stratified multimodal physiotherapy intervention in children aged 8-17 years with chronic pain. Methods: Participants were classified as low, medium, or high risk. Interventions were tailored accordingly. Outcomes were assessed pre- and post-intervention and included pain intensity, pain interference, psychological distress, and quality of life. Results: Ten participants (mean age = 13.5 years; 60% girls) were included. Six were classified as high, three as medium, and one as low risk based on the PPST. After an 8-week physiotherapist intervention program, pain interference significantly decreased (MD = -7.5; p = 0.040; d = 1.69), as did pain intensity at rest (MD = -3.1; p = 0.002; d = 2.60) and during movement (MD = -3.0; p = 0.004; d = 2.55), exceeding the MCID of 1.92. In the high-risk group, reductions were observed in anxiety (p = 0.006; d = 2.36), pain-related worries (p = 0.001; d = 3.79), fear of movement (p = 0.015; d = 1.62), and fear of pain (p = 0.002; d = 3.37). Eighty percent reported feeling "a great deal better" in the PGIC including all high-risk participants. Conclusions: These results supports the feasibility of integrating PPST risk stratification into multimodal management, providing a structured and effective framework for addressing pediatric chronic pain.
PY - 2025
SN - 2077-0383 (Print); 2077-0383
ST - Multimodal Physiotherapist Intervention Program for Physical and Psychological Functioning in Children with Chronic Pain: Guiding Physiotherapy Intervention with the Pediatric Pain Screening Tool with Recommendations for Clinical Practice
T1 - Multimodal Physiotherapist Intervention Program for Physical and Psychological Functioning in Children with Chronic Pain: Guiding Physiotherapy Intervention with the Pediatric Pain Screening Tool with Recommendations for Clinical Practice
T2 - J Clin Med
TI - Multimodal Physiotherapist Intervention Program for Physical and Psychological Functioning in Children with Chronic Pain: Guiding Physiotherapy Intervention with the Pediatric Pain Screening Tool with Recommendations for Clinical Practice
U1 - Measures; Healthcare Disparities
U3 - 10.3390/jcm14113629
VL - 14
VO - 2077-0383 (Print); 2077-0383
Y1 - 2025
ER -