Cerebral Palsy Clinical Trial
Official title:
Evaluation of the Effect of the Presence Of Clowns on Pain and Anxiety Seen During Injections Botulinum Toxin in Child
In children requiring botulinum toxin injections, improving supervisory procedures of injection sessions to reduce pain and improve the experience of this invasive procedure is needed. The intervention of medical clowns seems very interesting in this goal, but its effectiveness has not been proven within the botulinum toxin injections. The objective of the study is to evaluate in terms of profit the presence or absence of clowns during a session of botulinum toxins by determining their impact on pain and anxiety felt among children and their carers
In the literature, the presence of clowns allows a major reduction of pain and anxiety in
children and their accompanying in various medical and hospital surgical settings. A
previous study on a population of 60 children was conducted to assess the impact of the
presence of clowns during the production of botulinum toxin injection in children but not
confirming the benefit of their participation in carrying this medical procedure. The
results of this study are opposed to current scientific data. Their impact clown assessment
criteria seem however insufficient to actually support the conclusion as to the
ineffectiveness of distractibility clowns in this specific medical procedure iterative
injection of botulinum toxin.
The objective of the study is to evaluate the pain and anxiety before and after the
botulinum toxin injection session in children and hetero-assessment of pain and anxiety by
accompanying depending on the presence or not of clown. The second objectives are the
evaluation of the course of the session by the injector doctor, the accompanying of the
child and to evaluated the effect of distraction during the toxin of the clown or the usual
distraction (music, movie...)
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