Is there a role for a child life specialist during orthopedic cast room procedures? A prospective-randomized assessment

Pediatric anxiety during cast room procedures is common and various methods to manage distress may be used. Certified Child Life Specialists (CCLS) are formally trained professionals with proficiency in helping children during taxing events. The utilization of a CCLS has not been well documented in a pediatric orthopedic cast room. The aim of this study was to assess the impact of a CCLS in this setting through a prospective randomized trial. 86 children, age range 2–10 years, who underwent cast room procedures were randomized: group I (42 children) had a CCLS present during their procedure. Group II (44 children) did not have a CCLS present during their procedure. Procedures included cast removal/placement, fracture manipulation, and pin removal. We calculated change in heart rate as beats per min (bpm) during various stages of the visit and a subjective behavior score evaluating behaviors, score range −3 to 3. There was no significant difference in the demographics and age between groups. The mean behavior score for group I was 1.78 versus 1.04 in group II (P
Source: Journal of Pediatric Orthopaedics B - Category: Orthopaedics Tags: Miscellaneous Source Type: research