ClinicalTrials.gg
Active, not recruitingNCT07775547Updated Aug 20, 2026

Acupressure in Pediatric K-wire Removal

An interventional study of acupressure and control (placebo) group in Pain and Pain Management, sponsored by Cukurova University. Active, not recruiting at 1 site in Turkey (Türkiye). Open to participants aged 6 Years to 12 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-20.

Sponsored by Cukurova University · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Registered 1 year 1 month after the study started (first participant enrolled Jul 2025, registered Aug 2026).

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Phase
Not applicable
Study type
Interventional
Enrollment
41
Allocation
Randomized
Ages
6 Years to 12 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 27 studies in Pain by Cukurova University — 5 open to participants now, 8 under way, none of them phase 3. Pain · Cukurova University.

Enrollment
26th of 26
41 · median 76
Started
2025
with 6 others
No phase
25 of 27
5 open now
Registered
27th of 27
by date

Among the 27 studies in Pain by Cukurova University, this one is the 26th largest by enrollment of the 26 interventional ones that give a count, is one of 7 that started in 2025, is one of 25 with no phase, and was the 27th registered.

Pain

10,060 studies on the registry are indexed under Pain; 1,651 are open to participants now.

Browse Pain studies →

Open to participants now

5 of the 27 studies in Pain by Cukurova University are open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

All 5 open studies →

Where they have run

Who these studies take

Of the 929 Pain studies recruiting now, 384 (41%) set no upper age limit and 434 (47%) stop at 75 or younger; 146 take children under 18; 222 take healthy volunteers.

This study: 6 Years to 12 Years · all sexes · healthy volunteers too.

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02

Study 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.

Read the detailed description

This study is designed to evaluate pain associated with K-wire (Kirschner wire) removal in children and to compare pain outcomes between an intervention group and a control group. Children who meet the study eligibility criteria and are scheduled for K-wire removal will be included.

Participants will be assigned to an intervention group or a control group according to the study protocol. Pain intensity will be assessed using the Visual Analog Scale (VAS), ranging from 0 (no pain) to 10 (worst possible pain). Pain will be assessed immediately before and after K-wire removal.

Pain assessments will be obtained independently from three perspectives: the child, the parent, and the researcher. The agreement among these three assessments will also be evaluated.

The primary purpose of the study is to determine whether the intervention is associated with a greater reduction in pain compared with the control condition. Pain scores before and after the procedure will be compared within and between the study groups.

The findings of this study may contribute to a better understanding of pain management during K-wire removal in children and may help inform clinical approaches for reducing procedural pain.

03

Conditions studied

  • Pain
  • Pain Management

Keywords

  • Pain management
  • Pediatric pain;
  • acupressure
  • anxiety
  • fair
04

Who can participate

Ages eligible
6 Years to 12 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

- 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 obtained from both the child and parent after being informed about the study.

Exclusion criteria

Exclusion Criteria:

  • 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 at the LI4 acupressure site.

Withdrawal of by the child or parent during the study

Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
41 participants (actual)

Study arms

  • Experimental
    Acupressure group

    Participants will receive acupressure before K-wire removal.

    Behavioral: acupressure

  • Placebo comparator
    Control (Plasebo ) group

    Participants will receive placebo acupressure before K-wire removal

    Other: control (placebo) group

Interventions

  • Behavioralacupressure

    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.

  • Othercontrol (placebo) group

    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.

06

What researchers measure

Primary outcomes

  1. 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.

    Time frame: Baseline and 2 hours

  2. 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.

    Time frame: Baseline and 2 hours

07

Study locations

1 site
08

References and documents

Publications

  • 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).
  • 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. PubMed 36125889 ↗
  • 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. PubMed 25105985 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jul 2025 (actual). Primary completion is estimated for Aug 2026, 13 months after the start.

Of 3,734 non-industry interventional studies with no phase under Pain, half reached primary completion within 10 months of starting (the median), counting those still running; a quarter within 4 and three quarters within 23. This study's planned 13 months is above that.

Counting every sponsor, half of 3,833 studies reached it within 10 months; a quarter within 4 and three quarters within 23.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 15, 2026
First posted
Aug 20, 2026
StartActual
Jul 1, 2025
Primary completionEst.
Aug 20, 2026
CompletionEst.
Aug 20, 2026
Last update
Aug 20, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07775547
Responsible party
Fahri AŞKAN (Assistant Professor, Cukurova University) — Principal investigator
First posted
Aug 20, 2026
Start date
Jul 1, 2025
Primary completion
Aug 20, 2026 (estimated)
Completion
Aug 20, 2026 (estimated)
Last update
Aug 20, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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