Article

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. 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: 4.5cm+/-2.54 versus
2.7cm+/-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.
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Langue : ANGLAIS ; FRANCAIS