Pain during injections of botulinum toxin in children: Influence of the localization technique

TitrePain during injections of botulinum toxin in children: Influence of the localization technique
Type de publicationArticle de revue
AuteurMottu-Bayon, M., Gambart, G., Deries, X., Tessiot, C., Richard, Isabelle, Dinomais, Mickaël
EditeurElsevier Masson
TypeArticle scientifique dans une revue à comité de lecture
Année2014
LangueAnglais
Date12/2014
Pagination578-586
Volume57
Titre de la revueAnnals of Physical and Rehabilitation Medicine
ISSN1877-0657
Résumé en anglais

Objective

In this study, we consider two localization techniques used in injections of botulinium toxin in children: electrical stimulation and ultrasound. The hypothesis of this work was that injections performed without stimulation would be less painful.

Patients and methods

Monocentric prospective study, with 107 sessions of lower limb injections. Two groups of children were compared: localization by ultrasound only (60 children), detection by stimulation only or by stimulation combined with ultrasound (47 children). Pain assessment was performed by the child or an accompanying party using the Visual Analog Scale (VAS) and by a health care team using the Face, Legs, Activity, Cry, Consolability (FLACC).

Results

A significant difference between the two groups was found in both self-report and by means of the behavioral observational pain scale. Indeed, VAS average and FLACC average were significantly higher with detection by stimulation than with ultrasound alone: 4.5 cm ± 2.54 versus 2.7 cm ± 2.27; P < 0.001 for VAS scale and 3.7 ± 2.1 versus 2.7 ± 2.3; P < 0.05 for FLACC scale.

Conclusion

When compared to ultrasound detection, localization by electrostimulation appears to increase the overall pain caused during injections of botulinum toxin in children.

URL de la noticehttp://okina.univ-angers.fr/publications/ua6755
DOI10.1016/j.rehab.2014.09.010
Lien vers le document

http://dx.doi.org/10.1016/j.rehab.2014.09.010