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Titre : | Comparison of the Effects of Vapocoolant Spray and Topical Anesthetic Cream on Pain During Needle Electromyography in the Medial Gastrocnemius (2013) |
Auteurs : | Young-Eun Moon ; Sang-Hyun Kim ; Won-Hyeok Choi |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2013/5, 2013) |
Article en page(s) : | pp. 919-924 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Electromyographie ; Perception de la douleur ; Rééducation et réadaptation |
Mots-clés: | Anesthetics ; Local ; Anesthésiques locaux ; Electromyography ; Pain Perception |
Résumé : |
Objective To compare the effects of a vapocoolant spray and an eutectic mixture of local anesthetics (EMLA) cream in reducing pain during needle electromyography examination. Design Randomized controlled trial. Setting Physical medicine and rehabilitation department of a university hospital. Participants Adults who underwent needle electromyography (N=99) were randomized to 1 of 2 experimental groups or the control group. Two patients dropped out during the study. Interventions In the experimental groups, vapocoolant spray or EMLA cream were applied before needle electromyography. In the control group, needle electromyography was performed without pretreatment. Main Outcome Measures Intensity of pain associated with needle electromyography was assessed using a 100-mm visual analog scale (VAS). Patient satisfaction and preference for repeated use were measured using a 5-point Likert scale. Results VAS score for pain intensity was significantly lower in the spray group (31.9; 95% confidence interval [CI], 22.041.7) compared with the control group (52.9; 95% CI, 45.960.0; P=.002), whereas there was no significant difference between the EMLA cream group (42.4; 95% CI, 34.250.7) and the control group. Patient satisfaction and preference for repeated use were higher in the spray group than the EMLA group. Conclusions Vapocoolant spray was more effective than EMLA cream in reducing pain during needle electromyography. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |