Superior Outcomes with A Pre-TJA Session of Meditation vs Hypnosis vs Cognitive Behavioural Therapy .
Brief preoperative mind-body therapies for total joint arthroplasty patients: a randomized controlled trial
Pain. 2021 Jun 1;162(6): 1749-1757.Three hundred and sixteen patients scheduled to undergo a total hip or knee arthroplasty were randomized to receive a pre-operative 15 min session of mind-body therapies including either mindfulness meditation (MM), hypnotic suggestion, or cognitive-behavioural (CB) pain psychoeducation. Outcomes of interest included pre-operative pain intensity, pain unpleasantness, anxiety, and pain medication desire measured on a numeric rating scale as well as self-reported physical function measured using the Patient-Reported Outcomes Measurement Information System Physical Function, at 6 weeks follow-up. Results of this trial revealed that pain intensity, pain unpleasantness, and anxiety were significantly lower in the MM group and hypnosis group when compared to the CB-pain group (p<0.05 for all). However, pain medication desire was only significantly lower in the MM group vs CB-pain group, whereas no significant difference was observed between the hypnosis and CB-pain group or MM vs hypnosis group (p>0.05). At 6 weeks follow-up, physical function was significantly improved in the MM group when compared to both the hypnosis and CB groups (p>0.05 for all).
Unlock the Full ACE Report
You have access to 4 more FREE articles this month.
Click below to unlock and view this ACE Reports
Unlock Now
Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
Exclusive access to original content articles, including in-house systematic reviews, and articles on health research methods and hot orthopaedic topics