Mindful Body Scans and Sonographic Biofeedback as Preparatory Activities to Address Patient Psychological States in Hand Therapy: A Pilot Study.

IF 0.9 Q4 REHABILITATION
Hand Therapy Pub Date : 2020-09-01 Epub Date: 2020-06-09 DOI:10.1177/1758998320930752
Shawn C Roll, Mark E Hardison, Cheryl Vigen, David S Black
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引用次数: 4

Abstract

Introduction: Translational evidence for mind-body interventions in hand therapy is limited. This pilot study aimed to determine potential benefits of including a mindful body scan or sonographic biofeedback at the outset of a hand therapy session on key psychological states.

Methods: A randomized, repeated-measures, cross-over design was used to evaluate a mindful body scan and sonographic biofeedback at the outset of a hand therapy session. Measures of pain, anxiety, and stress (i.e., salivary cortisol) were obtained from 21 hand therapy patients at the start, after 20 minutes, and at the end of each of three 60-minute treatments. Trends were examined, and mixed-effects regression compared effects across time within and across the sessions for each of the outcome measures.

Results: For all intervention types, anxiety and stress decreased across the treatment session (p<0.001); no statistically significant changes were noted in pain. Using either mind-body intervention before standard care resulted in a meaningful decrease and statistical trend toward improvement in stress. The use of a mindful body scan produced an immediate, statistically significant reduction in anxiety (β = -0.14, p = 0.03), a lowered level that was maintained throughout the therapy session.

Discussion: These data provide preliminary support for integrating mind-body interventions as preparatory activities in hand therapy. Mindful body scans may prepare patients for therapeutic interventions by more quickly reducing anxiety, and the use of either intervention may reduce patient stress more than would occur during a standard care session. These effects should be evaluated in an adequately powered clinical trial.

正念身体扫描和超声生物反馈作为手部治疗中患者心理状态的预备活动:一项试点研究。
导言:手治疗中身心干预的转化证据有限。这项初步研究旨在确定在手部治疗的关键心理状态开始时进行正念身体扫描或超声生物反馈的潜在益处。方法:采用随机、重复测量、交叉设计来评估手部治疗开始时的正念身体扫描和超声生物反馈。在开始、20分钟后和三个60分钟治疗结束时,从21名手部治疗患者中获得疼痛、焦虑和压力(即唾液皮质醇)的测量值。研究了趋势,混合效应回归比较了每个结果测量指标在疗程内和疗程间的影响。结果:在所有干预类型中,焦虑和压力在整个治疗过程中都有所下降(讨论:这些数据为将身心干预作为手部治疗的准备活动提供了初步支持。正念身体扫描可以通过更快地减少焦虑,使患者为治疗干预做好准备,并且使用任何一种干预都可以比在标准护理过程中更有效地减轻患者的压力。这些影响应在充分有力的临床试验中进行评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Hand Therapy
Hand Therapy REHABILITATION-
CiteScore
1.60
自引率
10.00%
发文量
13
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