Clown-care reduces pain in children with cerebral palsy undergoing recurrent botulinum toxin injections- A quasi-randomized controlled crossover study.
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...
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doaj-855a8974d1d7440b8c79a6d2e3fe17492020-11-25T01:22:52ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01124e017502810.1371/journal.pone.0175028Clown-care reduces pain in children with cerebral palsy undergoing recurrent botulinum toxin injections- A quasi-randomized controlled crossover study.Hilla Ben-PaziAvraham CohenNaama KroyzerRenana Lotem-OphirYaakov ShviliGidon WinterLisa DeutschYehuda PollakOBJECTIVE: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.http://europepmc.org/articles/PMC5393564?pdf=render |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hilla Ben-Pazi Avraham Cohen Naama Kroyzer Renana Lotem-Ophir Yaakov Shvili Gidon Winter Lisa Deutsch Yehuda Pollak |
spellingShingle |
Hilla Ben-Pazi Avraham Cohen Naama Kroyzer Renana Lotem-Ophir Yaakov Shvili Gidon Winter Lisa Deutsch Yehuda Pollak Clown-care reduces pain in children with cerebral palsy undergoing recurrent botulinum toxin injections- A quasi-randomized controlled crossover study. PLoS ONE |
author_facet |
Hilla Ben-Pazi Avraham Cohen Naama Kroyzer Renana Lotem-Ophir Yaakov Shvili Gidon Winter Lisa Deutsch Yehuda Pollak |
author_sort |
Hilla Ben-Pazi |
title |
Clown-care reduces pain in children with cerebral palsy undergoing recurrent botulinum toxin injections- A quasi-randomized controlled crossover study. |
title_short |
Clown-care reduces pain in children with cerebral palsy undergoing recurrent botulinum toxin injections- A quasi-randomized controlled crossover study. |
title_full |
Clown-care reduces pain in children with cerebral palsy undergoing recurrent botulinum toxin injections- A quasi-randomized controlled crossover study. |
title_fullStr |
Clown-care reduces pain in children with cerebral palsy undergoing recurrent botulinum toxin injections- A quasi-randomized controlled crossover study. |
title_full_unstemmed |
Clown-care reduces pain in children with cerebral palsy undergoing recurrent botulinum toxin injections- A quasi-randomized controlled crossover study. |
title_sort |
clown-care reduces pain in children with cerebral palsy undergoing recurrent botulinum toxin injections- a quasi-randomized controlled crossover study. |
publisher |
Public Library of Science (PLoS) |
series |
PLoS ONE |
issn |
1932-6203 |
publishDate |
2017-01-01 |
description |
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. |
url |
http://europepmc.org/articles/PMC5393564?pdf=render |
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