Presentation Type
Poster
Start Date
5-8-2024 11:00 AM
End Date
5-8-2024 1:00 PM
Subjects
Mindfulness., Sciatica- alternative treatment
Advisor
Heather Zwickey
Student Level
Doctoral
Abstract
Lumbosacral Radiculopathy (LR), also known as sciatica, is a common type of radiating neurologic pain in the lower extremities with an estimated lifetime prevalence as high as 43%. The goal of this randomized control trial was to determine the impact of virtually delivered Mindfulness-Oriented Recovery Enhancement (MORE) on patients with LR. Participants were randomized to MORE sessions or treatment-as-usual (TAU) for 8 consecutive weeks, pain intensity was collected daily via email. At baseline and follow-up visits, participants completed questionnaires of disability, quality of life, depression, mindful interpretation of pain, and train mindfulness. Patients undergoing MORE sessions had greater improvement in daily pain intensity (P=0.002) but not disability (P=0.09). Given the long duration of symptoms in our sample, the discrepancy between changes in daily pain and disability could be due to fear avoidance behavior common in those experiencing chronic pain. As the first trial of mindfulness intervention for patients with LR, these findings should inform future integrative approaches to chronic pain conditions.
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Impact of Mindfulness-Oriented Recovery Enhancement on Pain and Disability in Patients With Chronic Lumbosacral Radiculopathy: Results From an RCT
Lumbosacral Radiculopathy (LR), also known as sciatica, is a common type of radiating neurologic pain in the lower extremities with an estimated lifetime prevalence as high as 43%. The goal of this randomized control trial was to determine the impact of virtually delivered Mindfulness-Oriented Recovery Enhancement (MORE) on patients with LR. Participants were randomized to MORE sessions or treatment-as-usual (TAU) for 8 consecutive weeks, pain intensity was collected daily via email. At baseline and follow-up visits, participants completed questionnaires of disability, quality of life, depression, mindful interpretation of pain, and train mindfulness. Patients undergoing MORE sessions had greater improvement in daily pain intensity (P=0.002) but not disability (P=0.09). Given the long duration of symptoms in our sample, the discrepancy between changes in daily pain and disability could be due to fear avoidance behavior common in those experiencing chronic pain. As the first trial of mindfulness intervention for patients with LR, these findings should inform future integrative approaches to chronic pain conditions.