Usefulness of psychological techniques for the application of botulinum toxin in pediatric patients with cerebral palsy
Keywords:
Cerebral Palsy, child, botulinum tox ins ty pe A, pain perception, psychological techniquesAbstract
The injection of Botulinum toxin type A (BoNTA) is the main treatment for focal
spasticity in pediatric patients with cerebral palsy (CP). This procedure is often
painful and cause great anxiety in children. There are non-pharmacologic options
that can be used like psychologic techniques (PT) to handle this issue. The pur[1]pose of this study was to describe the results of pain and anxiety assessment in
pediatric patients with CP in two separate applications of BoNTA with and without
the use of PT without sedation. It was descriptive, analytic and quasi-experimental
study designs with an autocontrolled group of pediatric patients with CP were in[1]cluded in the study with a mean age of 7.6 years (± 4.98). Was found a statistically
significant negative correlation between age and pain (rho=-0.951, p<0.001) and
anxiety levels (rho=-0.932, p=0.001). Also there we statistically significant positive
correlation between pain and anxiety levels (rho=0.981, p<0.001). Patients that
completed this evaluation, 80% reported a decrease in pain level, and it was o b[1]served a decrease in anxiety levels in 100% of the patients, both statistically signifi[1]cant (p=0.029 and p=0.004 respectively). We conclude PT may be a useful re[1]source to reduce pain and anxiety levels in pediatric patients with CP during the
injection of BoNTA without sedation.
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