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PubMed · 10171871

Preparing children for day surgery.

M Lynch
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Abstract

This study measured the effect of a group preoperative teaching program on the level of children's emotional distress during day surgery. The sample consisted of 30 children, ages 3 through 10, scheduled for elective surgery. One group attended a structured program and received procedural and sensory information within 2 weeks of their surgery. The other group did not receive this intervention. A t test identified significant differences between the groups. Children who attended the preoperative teaching program demonstrated less emotional distress than children who did not receive this intervention. These findings reinforce the positive outcomes of preoperative teaching programs that provide procedural and sensory information to children as preparation for day surgery.

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Ambulatory Surgical ProceduresChildChild, HospitalizedChild, PreschoolConnecticutElective Surgical ProceduresEvaluation Studies as TopicFemaleHumansMalePatient Education as TopicPreoperative CareStress, PsychologicalJournal ArticleReview

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BibTeXRIS

M Lynch. 1994. Preparing children for day surgery.. https://doi.org/10.1207/s15326888chc2302_1

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The role of gait analysis in the orthopaedic management of ambulatory cerebral palsy.

PURPOSE OF REVIEW: The literature was reviewed to describe the role of gait analysis in the orthopaedic management of ambulatory children with cerebral palsy and examine the current best evidence to support these roles. RECENT FINDINGS: Gait laboratory analysis is superior to visual or observational analysis of gait because it provides an objective record of gait that is able to quantify the magnitude of deviations of pathologic gait from normal and also explain these abnormalities. Recognizable gait patterns can be classified and used for making treatment decisions, the effectiveness of which can be assessed using gait analysis as a measure of gait outcomes. There are many sources of variability, however, including patients themselves, the gait laboratories and testing processes, interpretation of data and surgeons' surgical recommendations. SUMMARY: Although gait analysis has been shown to alter decision making, there is little evidence that the decisions based on gait analysis lead to better outcomes. Consequently, clinical gait analysis remains controversial, with wide variation in the rates of utilization of gait analysis in the management of children with ambulatory cerebral palsy. The time is ripe for clinical trials and cohort studies to provide the evidence to establish the appropriate utilization of this technology.

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