Acupressure in Pediatric K-wire Removal

NCT07775547 | Active Not Recruiting

• 1 other identifier: VANYYU-2025-07-06
• Study Type: interventional
• Target: 41
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to evaluate pain in children during and after K-wire (Kirschner wire) removal and to investigate the effect of the intervention on pain. Children who are scheduled for K-wire removal will be included in the study. Participants will be assigned to an intervention group or a control group. Pain intensity will be assessed using the Visual Analog Scale (VAS), scored from 0 to 10. Pain assessments will be performed before and after the procedure. In addition to the child's pain rating, pain will also be assessed by the parent and the researcher. The pain scores will be compared to evaluate differences between the groups and changes in pain before and after the procedure.

Conditions

Pain; Pain Management

Keywords

Pain management; Pediatric pain;; acupressure; anxiety; fair

Outcome Measures

Primary Outcomes (2)

• Primary Outcome Measure-Pain

  Pain intensity will be assessed using the Visual Analog Scale (VAS), ranging from 0 (no pain) to 10 (worst possible pain). Pain scores will be assessed during and after K-wire removal.

  Baseline and 2 hours

• Anxiety assessed using the Child Anxiety Thermometeranxiety

  Anxiety level will be assessed using the Child Anxiety Thermometer, a visual analog scale ranging from 0 (no anxiety) to 10 (very high anxiety). Anxiety scores will be assessed before, during, and after K-wire removal.

  Baseline and 2 hours

Study Arms (2)

Acupressure group

EXPERIMENTAL

Participants will receive acupressure before K-wire removal.

Behavioral: acupressure

Control (Plasebo ) group

PLACEBO COMPARATOR

Participants will receive placebo acupressure before K-wire removal

Other: control (placebo) group

Interventions

acupressure BEHAVIORAL

Participants in the placebo group will receive a touch procedure at the LI4 acupressure point without therapeutic acupressure stimulation. Pain will be assessed during and after K-wire removal. Anxiety and fear will be assessed before, during, and after the procedure.

Acupressure group

control (placebo) group OTHER

Participants in the control group will receive a placebo acupressure procedure. Pressure will be applied to a location distant from the LI4 acupressure point, without stimulating the therapeutic LI4 point. Pain will be assessed during and after K-wire removal, while anxiety and fear will be assessed before, during, and after the procedure.

Control (Plasebo ) group

Eligibility Criteria

• Age: 6 Years - 12 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• \- Children aged 6-12 years. First-time K-wire removal following treatment for an elbow fracture. Able to communicate verbally and understand and speak Turkish. No chronic pain, psychiatric, developmental, or sensory disorders. No physical condition preventing acupressure application at the LI4 point. No opioid, narcotic analgesic, or sedative medication use within 8 hours before the procedure.
• Written informed consent obtained from both the child and parent after being informed about the study.

You may not qualify if:

• Neurological or psychiatric disorders that may affect pain perception. Developmental or sensory disabilities. Inability to communicate or cooperate during the procedure. Use of opioid, narcotic analgesic, or sedative medication within 8 hours before the procedure.
• Requirement for analgesic or sedative medication during the procedure. K-wire removal not completed in a single session. Complications during the procedure, such as prolonged or traumatic K-wire removal.
• Wound, infection, dressing, fracture, inflammation, or other local contraindications at the LI4 acupressure site.
• Withdrawal of informed consent by the child or parent during the study

Sponsors & Collaborators

• Cukurova University: lead

Study Sites (1)

Van Yuzuncu Yıl University

Van, Tuşba, 65080, Turkey (Türkiye)

Location

Related Publications (3)

• Çalışır, H., & Karataş, P. (2019). Pediatri Hemşireliğinde Atravmatik Bakım Yaklaşımı: Ağrı, Stres ve Anksiyeteyi Azaltmada Farmakolojik Olmayan Uygulamalar•. Journal of Education & Research in Nursing/Hemşirelikte Eğitim ve Araştırma Dergisi, 16(3).

  BACKGROUND

• Zhamilov V, Turgut A, Reisoglu A, Basa CD, Kacmaz IE, Kazimoglu C. Analysis of the factors affecting pain level during K-wire removal among pediatric elbow fractures. J Pediatr Orthop B. 2023 Mar 1;32(2):134-138. doi: 10.1097/BPB.0000000000001010. Epub 2022 Sep 20.

  PMID: 36125889 RESULT

• Sorenson SM, Hennrikus W. Pain during office removal of K-wires from the elbow in children. J Pediatr Orthop. 2015 Jun;35(4):341-4. doi: 10.1097/BPO.0000000000000269.

  PMID: 25105985 RESULT

MeSH Terms

Conditions

Pain; Agnosia; Anxiety Disorders

Interventions

Acupressure; Population Groups

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Perceptual Disorders; Neurobehavioral Manifestations; Nervous System Diseases; Mental Disorders

Intervention Hierarchy (Ancestors)

Therapy, Soft Tissue; Musculoskeletal Manipulations; Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation; Demography; Population Characteristics

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: Acupressure group

Study Record Dates

• First Submitted: August 15, 2026
• First Posted: August 20, 2026
• Study Start: July 1, 2025
• Primary Completion: August 20, 2026
• Study Completion: August 20, 2026
• Last Updated: August 20, 2026

Record last verified: 2026-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)