Clown-care reduces pain in children with cerebral palsy undergoing recurrent botulinum toxin injections- A quasi-randomized controlled crossover study
Publication Date
April 17, 2017
Authors
Hilla Ben Pazi, Avraham Cohen, Naama Kroyzer, Renana Lotem Ophir, et al
Volume
12
Issue
4
Pages
e0175028
DOI
https://dx.plos.org/10.1371/journal.pone.0175028
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0175028
Scopus
85017563005
Mendeley
http://www.mendeley.com/research/clowncare-reduces-pain-children-cerebral-palsy-undergoing-recurrent-botulinum-toxin-injections-quasi
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Mendeley | Further Information

{"title"=>"Clown-care reduces pain in children with cerebral palsy undergoing recurrent botulinum toxin injections- A quasi-randomized controlled crossover study", "type"=>"journal", "authors"=>[{"first_name"=>"Hilla", "last_name"=>"Ben-Pazi", "scopus_author_id"=>"6506978937"}, {"first_name"=>"Avraham", "last_name"=>"Cohen", "scopus_author_id"=>"57193930254"}, {"first_name"=>"Naama", "last_name"=>"Kroyzer", "scopus_author_id"=>"35169873000"}, {"first_name"=>"Renana", "last_name"=>"Lotem-Ophir", "scopus_author_id"=>"57193926798"}, {"first_name"=>"Yaakov", "last_name"=>"Shvili", "scopus_author_id"=>"57193930647"}, {"first_name"=>"Gidon", "last_name"=>"Winter", "scopus_author_id"=>"56670831500"}, {"first_name"=>"Lisa", "last_name"=>"Deutsch", "scopus_author_id"=>"57193927360"}, {"first_name"=>"Yehuda", "last_name"=>"Pollak", "scopus_author_id"=>"6603634830"}], "year"=>2017, "source"=>"PLoS ONE", "identifiers"=>{"sgr"=>"85017563005", "isbn"=>"1111111111", "scopus"=>"2-s2.0-85017563005", "pui"=>"615402151", "pmid"=>"28414728", "issn"=>"19326203", "doi"=>"10.1371/journal.pone.0175028"}, "id"=>"bd0109a0-3271-3568-88b1-c5bff9c52eb4", "abstract"=>"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.", "link"=>"http://www.mendeley.com/research/clowncare-reduces-pain-children-cerebral-palsy-undergoing-recurrent-botulinum-toxin-injections-quasi", "reader_count"=>7, "reader_count_by_academic_status"=>{"Professor > Associate Professor"=>1, "Student > Ph. D. Student"=>2, "Other"=>1, "Student > Master"=>1, "Student > Bachelor"=>2}, "reader_count_by_user_role"=>{"Professor > Associate Professor"=>1, "Student > Ph. D. Student"=>2, "Other"=>1, "Student > Master"=>1, "Student > Bachelor"=>2}, "reader_count_by_subject_area"=>{"Nursing and Health Professions"=>1, "Medicine and Dentistry"=>3, "Agricultural and Biological Sciences"=>1, "Neuroscience"=>1, "Psychology"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>3}, "Neuroscience"=>{"Neuroscience"=>1}, "Psychology"=>{"Psychology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}}, "group_count"=>0}

Scopus | Further Information

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