Pain behavior of children with bilateral idiopathic clubfoot undergoing Ponseti casting and the effect of non-pharmaceutical pain-relieving agents.
Arch Orthop Trauma Surg
; 143(9): 5603-5608, 2023 Sep.
Article
en En
| MEDLINE
| ID: mdl-37052665
ABSTRACT
INTRODUCTION:
This study prospectively investigated the pain response and physiological parameters [heart rate (HR) and oxygen saturation (SpO2)] during sequential casting in bilateral clubfoot. Additionally, it explored the role of non-nutritive sucking and human care contact on the observed responses during casting.METHODS:
Subjects were allotted to control group (Group A with no intervention) and two intervention groups (Group B non-nutritive sucking intervention, Group C human care contact intervention). Neonatal Infant Pain Score (NIPS), heart rate (HR), and oxygen saturation (SpO2) were used to assess the response.RESULTS:
The three groups matched in age and gender characteristics of the participants. Pain response was noted across all groups. The left foot demonstrated a statistically significant preexisting tachycardia which rose further during casting (p < 0.01). Intergroup comparisons revealed that the alteration for NIPS during casting was in following sequence (Group A > C > B, p < 0.00001). The effect of interventions offered in Group B and C lasted in the post-cast period as well (B > C).CONCLUSION:
The clubfoot child exhibited moderate pain response during casting of both feet. A tachycardia was noted prior to initiation of second cast which further exaggerated with subsequent cast. Pacifier (non-nutritive sucking) intervention produced better control of pain response than human care contact during casting for both feet.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Pie Equinovaro
Tipo de estudio:
Etiology_studies
Idioma:
En
Revista:
Arch Orthop Trauma Surg
Año:
2023
Tipo del documento:
Article