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Ahead of Print Issue - July 2021, Volume 15, Issue No. 2

Official Journal of Malaysian Orthopaedic Association and ASEAN Orthopaedic Association

Anxiety Reaction in Children During Cast Removal using Oscillating Saw versus Cast Shear - A Randomised, Prospective Trial


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  2. Court-Brown CM, Aitken S, Hamilton TW, Rennie L, Caesar B. Nonoperative fracture treatment in the modern era. J Trauma. 2010; 69(3): 699-707. doi: 10.1097/TA.0b013e3181b57ace
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  4. Katz K, Fogelman R, Attias J, Baron E, Soudry M. Anxiety reaction in children during removal of their plaster cast with a saw. Bone Joint Surg J. 2001; 83(3): 388-90. doi: 10.1302/0301-620x.83b3.10487
  5. Marsh JP, Jellicoe P, Black B, Monson RC, Clark TA. Noise levels in adult and pediatric orthopedic cast clinics. Am J Orthop (Belle Mead NJ). 2011; 40(7): E122-4.
  6. Wiggins CE, Brown KD. Hearing protection and cast saw noise. J South Orthop Assoc. 1996; 5(1): 1-4.
  7. Carmichael KD, Westmoreland J. Effectiveness of ear protection in reducing anxiety during cast removal in children. Am J Orthop (Belle Mead NJ). 2005; 34(1): 43-6.
  8. McMurtry CM, Noel M, Chambers CT, McGrath PJ. Children's fear during procedural pain: preliminary investigation of the Children's Fear Scale. Health Psychol. 2011; 30(6): 780-8. doi: 10.1037/a0024817
  9. Hoffmann J, Grimm W, Menz V, Knop U, Maisch B. Heart rate variability and major arrhythmic events in patients with idiopathic dilated cardiomyopathy. Pacing Clin Electrophysiol. 1996; 19(11 Pt 2): 1841-4. doi: 10.1111/j.1540-8159.1996.tb03237.x
  10. Liu RW, Mehta P, Fortuna S, Armstrong DG, Cooperman DR, Thompson GH, et al. A randomized prospective study of music therapy for reducing anxiety during cast room procedures. J Pediatr Orthop. 2007; 27(7): 831-3. doi: 10.1097/BPO.0b013e3181558a4e
  11. Ko JS, Whiting Z, Nguyen C, Liu RW, Gilmore A. A Randomized Prospective Study Of The Use Of Ipads In Reducing Anxiety During Cast Room Procedures. Iowa Orthop J. 2016; 36: 128-32.
  12. Wong CL, Ip WY, Kwok BMC, Choi KC, Ng BKW, Chan CWH. Effects of therapeutic play on children undergoing cast-removal procedures: a randomised controlled trial. BMJ Open. 2018; 8(7): e021071. doi: 10.1136/bmjopen-2017-021071
  13. Post JM, Switzer KD, Brown DK, Meinzen-Derr J, Dively J, Dunkin BS, et al. Cast saw noise does not reach occupational hazard levels. J Pediatr Orthop. 2013; 33(5): 580-4. doi: 10.1097/BPO.0b013e318288b5e4
  14. Berglund B, Lindvall T, Schwela DH. Guidelines for community noise. Geneva: World Health Organization (WHO); 1999. (accessed on 9 April 2020)

Abstract   |   Reference

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The Malaysian Orthopaedic Journal is a peer-reviewed journal that is published three times a year in both print and electronic online version. The purpose of this journal is to publish original research studies, evaluation of current practices and case reports in various subspecialties of orthopaedics and traumatology, as well as associated fields like basic science, biomedical engineering, rehabilitation medicine and nursing.

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