Clown-care reduces pain in children with cerebral palsy undergoing recurrent botulinum toxin injections- A quasi-randomized controlled crossover studyReportar como inadecuado




Clown-care reduces pain in children with cerebral palsy undergoing recurrent botulinum toxin injections- A quasi-randomized controlled crossover study - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Objective

We investigated the impact of clown-care on pain in 45 children with cerebral palsy who underwent recurrent Botulinum-toxin injections age 7.04± 4.68 years. Participants were randomized to receive either clown n = 20 or standard n = 25 -care.

Methods

Pain Visual-Analogue-Scale range 1–5 was reported before and after procedures. Pain assessment was lower for children undergoing Botulinum-toxin injections with clown-care 2.89± 1.36 compared to standard-care 3.85± 1.39; p = 0.036 even though pain anticipated prior to procedures was similar ~3.

Findings

Children who underwent the first procedure with clown-care reported lower pain even after they crossed-over to the following procedure which was standard p = 0.048. Carryover effect was more prominent in injection-naïve children p = 0.019 and during multiple procedures p = 0.009. Prior pain experience correlated with pain in subsequent procedures only when first experience was standard-care p = 0.001.

Conclusions

Clown-care alleviated pain sensation during Botulinum-toxin injections and initial clown-care experience reduced pain during subsequent injections even though clowns were not present.

Trial registration

clinicaltrials.gov ID # NCT01377883.



Autor: Hilla Ben-Pazi , Avraham Cohen, Naama Kroyzer, Renana Lotem- Ophir, Yaakov Shvili, Gidon Winter, Lisa Deutsch, Yehuda Pollak

Fuente: http://plos.srce.hr/



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