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| Name | Class |
|---|---|
| Rockhurst University | OTHER |
| Evidence In Motion | OTHER |
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For patients with chronic pain, how does a 10 minute guided body scan meditation affect pressure pain threshold and extent of pain on a body diagram?
Patients who present with central sensitization in physical therapy will go through a 10 minute body scan meditation. If patient meets criteria then they will fill out pre-intervention measures including hand dominance, gender identity, duration of pain, work status, pain body diagram, current pain level, previous medication and a neck disability index or an oswestry disability index.
Subject will then be asked what position they feel most comfortable to be led through this body scan meditation.
After the meditation, the participant will fill out another pain body diagram, current pain level, global rating of change and pain pressure threshold.
At this point the study is over and the subject will return to their physical therapy treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 10 minute body scan meditation | Experimental | Participants will be taken through a 10 minute body scan meditation by a physical therapist |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Body scan meditation | Procedure | Subject is placed through a brief body scan meditation to determine whether this intervention affects a person's pain experience |
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| Measure | Description | Time Frame |
|---|---|---|
| Global Rating of Change | This is a form the subject fills out rating their overall pain experience after an intervention. The scale is from -7 (Significantly worse to +7 Significantly better) and measures the amount of change the person feels they have experienced. | Immediately After intervention |
| Pain pressure Threshold | This is a pressure algometer the measures the sensitivity of an area on the body to direct pressure. It measures the amount of pressure that is applied to the subject's body. The clinician will apply pressure to the subject's skin at the tibialis anterior, lumbar paraspinals and upper trapezius muscles on the dominant hand side. The clinician will ask the subject "I want you to tell me the moment the sensation changes from pressure to discomfort and say "STOP". That is the reading/measurement the clinician will take. The outcome is assessing a change in pressure discomfort before the meditation and immediately after the meditation. | Immediately Before and immediately after intervention |
| Neck Disability Index | This is a questionnaire to measure the amount of disability the subject perceives due to their neck pain. | Immediately Before the intervention |
| Oswestry Disability Index | This is a questionnaire to measure the amount of disability the subject perceives due to their back pain | Immediately Before the intervention |
| Pain Body Diagram | This is an body image drawing. The subject colors in the area on the image of where they are experiencing pain. This outcome is assessing the location and extent of the area of pain in the body and how it changes with the intervention. The way this is assessed is by dividing the body image drawing into a grid. The body pain diagram consists of an outline of the entire body from anterior and posterior views. An overlay is created dividing the body pain diagram into 45 anatomical regions The overlay is placed over the body pain diagram, and the examiner recorded a score of 1 if pain is indicated and 0 if no pain is indicated in each of the 45 regions. Pain is considered present if any portion of the region was shaded, no matter how small. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Whole Body Health Physical Therapy | Portland | Oregon | 97212 | United States |
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| ID | Term |
|---|---|
| D059350 | Chronic Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Case series
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| Immediately Before the intervention and immediately after intervention |
| Numeric Pain Rating Scale | This is a scale assessing the subjects pain. It is a scale from 0 (no pain) to 10 (being the most severe pain). The subject will be assessed if their pain rating changed from before the intervention to after the intervention. | Immediately Before the intervention and immediately after intervention |