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Published (Version of record)CC BY V4.0, Open Access
Published (Version of record)CC BY V4.0, Open
Journal article
Protocol for mindfulness-oriented recovery enhancement (MORE) in the management of lumbosacral radiculopathy/radiculitis symptoms: A randomized controlled trial
Contemporary Clinical Trials Communications, Vol.28, 100962
08/2022
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Source: InCites
Abstract
Introduction: Lumbosacral radiculopathy/radiculitis (LR) or " sciatica " is a commonly intractable sequelae of chronic low back pain (LBP), and challenges in the treatment of LR indicate that persistent pain may have both mechanical and neuropathic origins. Mindfulness-based interventions have been demonstrated to be effective tools in mitigating self-reported pain in LBP patients. This paper describes the protocol for a randomized controlled trial (RCT) evaluating the effects of the specific mindfulness-based intervention Mindfulness-Oriented Recovery Enhancement (MORE) on LR symptoms and sequelae, including mental health and physical function. Methods: Participants recruited from the Portland, OR area are screened before completing a baseline visit that includes a series of self-report questionnaires and surface electromyography (sEMG) of the lower extremity. Upon enrollment, participants are randomly assigned to the MORE (experimental) group or treatment as usual (control) group for 8 weeks. Self-reported assessments and sEMG studies are repeated after the intervention is complete for pre/post-intervention comparisons. The outcome measures evaluate self-reported pain, physical function, quality of life, depression symptoms, trait mindfulness, and reinterpretation of pain, with surface electromyography (sEMG) findings evaluating objective physical function in patients with LR. To our knowledge, this is the first trial to date using an objective measure, sEMG, to evaluate the effects of a mindfulness-based intervention on LR symptoms. Hypotheses: We hypothesize that MORE will be effective in improving self-reported pain, physical function, quality of life, depression symptoms, mindfulness, and reinterpretation of pain scores after 8 weeks of mind-fulness training as compared to treatment as usual. Additionally, we hypothesize that individuals in the MORE group with abnormal sEMG findings at baseline will have improved sEMG findings at their 8-week follow-up visit.
Details
- Title
- Protocol for mindfulness-oriented recovery enhancement (MORE) in the management of lumbosacral radiculopathy/radiculitis symptoms: A randomized controlled trial
- Creators
- Ryan S Wexler - National University of Natural MedicineDevon J Fox - National University of Natural MedicineJohnny Lemau - National University of Natural MedicineDanielle ZuZero - National University of Natural MedicineMelissa Bollen - National University of Natural MedicineDianne Montenegro - National University of Natural MedicineAnand Parikshak - National University of Natural MedicineAustin R Thompson - Oregon Health & Science UniversityNels L Carlson - Oregon Health & Science UniversityHans L Carlson - Oregon Health & Science UniversityAnna E Wentz - National University of Natural MedicineRyan Bradley - National University of Natural MedicineDouglas A. Hanes - National University of Natural MedicineHeather Zwickey - National University of Natural MedicineCourtney K Pickworth - National University of Natural Medicine
- Publication Details
- Contemporary Clinical Trials Communications, Vol.28, 100962
- Identifiers
- 991013036785402368
- Academic Unit
- National Centre for Naturopathic Medicine
- Language
- English
- Resource Type
- Journal article