Mind Body Intervention for Chronic Upper Extremity Pain (Repetitive Stress Injury)
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH)
Study Overview
Brief Summary
The goal of this nonrandomized pilot study is to test a mind-body interventional approach for the treatment of chronic upper extremity pain or repetitive stress injury of the upper extremity (wrist/shoulder/elbow).
- To determine if a mind-body intervention improves upper extremity functional capacity (ie., Disability of Arm Shoulder Hand - DASH) among people with chronic wrist, elbow, and shoulder pain
- To determine if a mind-body intervention decreases pain intensity, pain-related anxiety, and overall somatic complaints in our trial participants.
- To tailor the intervention and the outcomes assessment procedures for conducting a trial in a population with upper extremity pain.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 60 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Adult (≥ 18 years of age)
- •A disability score ≥ 40 as per the QuickDASH survey
- •Presence of pain and perceived disability for a minimum of 3 months
- •Willing to engage in a Mind-Body intervention
- •Positive visualization test (onset of pain when patients visualize themselves performing tasks that generally bring on pain)
Exclusion Criteria
- •Clear organic diagnosis of pain (e.g., cancer, infection, etc…) not inclusive of non-specific findings on imaging studies (e.g., mild arthritis)
- •Age greater than 60 years (due to an increased risk of there being an organic/physical cause for their pain and confounding results)
- •Diagnosis of cognitive impairment or dementia
- •Active addiction disorder, e.g. cocaine or IV heroin use, that would interfere with study participation
- •Major psychiatric comorbidity (e.g., schizophrenia). Anxiety and mild-moderate depression are not considered in this category
Arms & Interventions
Experimental: Mind-body Intervention
Mind body techniques for the intervention will be taught in lectures and group discussion sessions
Intervention: Mind-Body Intervention (Behavioral)
Outcomes
Primary Outcomes
Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH)
Time Frame: Baseline, 4 weeks, 8 weeks, 13 weeks
The DASH is a commonly used and validated 38 question survey self-report survey assessing the effects of upper extremity disabling conditions on functional activity, pain, sleep, and other parameters
Secondary Outcomes
- Upper Extremity Function Scale(Baseline, 4 weeks, 8 weeks, 13 weeks)
- Brief Pain Inventory Questionnaire (Short Form)(Baseline, 4 weeks, 8 weeks, 13 weeks)
- Pain Anxiety Symptom Scale (short form 20)(Baseline, 4 weeks, 8 weeks, 13 weeks)
- Somatic Symptom Score (SSS-8)(Baseline, 4 weeks, 8 weeks, 13 weeks)
Investigators
Michael Donnino
Professor of Emergency Medicine
Beth Israel Deaconess Medical Center
