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Published on: October 17, 2018
Effects of Vibration Therapy in Pediatric Immunizations
Insights
Vibration therapy did not reduce pain during childhood immunizations. This study found no significant pain reduction in children receiving vibration therapy compared to standard care, suggesting it is not an effective intervention for immunization pain.
Area of Science:
- Pediatric Pain Management
- Clinical Trial Research
- Therapeutic Interventions
Background:
- Childhood immunization injections are a common source of acute pain.
- Non-pharmacological interventions are sought to mitigate procedural pain in children.
- Vibration therapy is explored as a potential pain-reducing modality.
Purpose of the Study:
- To evaluate the efficacy of vibration therapy, without cold analgesia, in reducing pain associated with childhood immunizations.
- To compare pain scores between children receiving vibration therapy and those receiving standard care.
Main Methods:
- A randomized clinical trial involving 100 children aged 2 months to 7 years.
- Participants were assigned to either vibration therapy or standard care.
- Pain was assessed using the Face, Legs, Activity, Cry, Consolability (FLACC) score pre-injection, during, and post-injection.
Main Results:
- Vibration therapy showed no significant effect on pain scores in younger children (≤ 4 years).
- A statistically significant increase in pain was observed from pre-injection to post-injection in the oldest age group (> 4 to 7 years, p = 0.045).
- Overall, vibration therapy did not demonstrate superior pain reduction compared to standard care.
Conclusions:
- Vibration therapy, when used without cold analgesia, is not more effective than standard soothing techniques for reducing immunization pain in children.
- The addition of vibration therapy to standard care is not indicated for managing immunization pain.
- Further research into effective pain management interventions for childhood immunizations is recommended.
Abstract:
A randomized clinical trial of 100 children (52 boys, 48 girls) ages 2 months to 7 years was conducted to evaluate the effect of vibration therapy without cold analgesia on pain. A convenience sample was recruited at two sites: a publicly funded, free immunization clinic and a private group pediatric practice. Participants were randomly assigned to receive vibration therapy via a specialized vibrating device or standard care. All children regardless of intervention group were allowed to be distracted and soothed by the parent. Pain was evaluated using the FLACC score, which two nurses assessed at three points in time: prior to, during, and after the injection(s). Data were analyzed using a two-independent samples-paired t-test. Results show that vibration therapy had no effect on pain scores in the younger age groups studied (2 months ≤ 1 year, > 1 year ≤ 4 years). In the oldest age group (> 4 to 7 years of age), a heightened pain reading was found in the period from preinjection to post-injection periods (p = 0.045). These results indicate that the addition of vibration therapy (without cold analgesia) to standard soothing techniques is no more effective in reducing immunization pain than standard soothing techniques alone, and thus, is not indicated for use with immunization pain. Recommendations include further evaluation of interventions.
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