The Influence of Mindfulness on Different Aspects of Pain Perception and Affective Reactivity to Pain - Feasibility of a Multimethodical Approach

Lange, Katja; Gorbunova, A. V.; Christ, Oliver

doi:10.1007/s12671-012-0113-6

Cited by 10 publications

(12 citation statements)

References 50 publications

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“…12 As part of an injury rehabilitation program, mindfulness can be an effective means of achieving physical and mental relaxation, 13 facilitating individuals' communication with their minds and bodies, 12 and recognizing and accepting their condition as injured athletes, 13 thereby allowing them to focus more effectively on their rehabilitation. 13 Mindfulness can also change several aspects of the pain-related fear-avoidance cycle, such as catastrophizing, anxiety, arousal, and avoidance behaviors, 11,[14][15][16] which may reduce physical pain and disability associated with sport injuries. Further, mindfulness can facilitate pain relief through detachment from sensory aspects of pain and changes in cognitive-appraisals of and affective-motivational reactions to pain.…”

mentioning

confidence: 99%

Adding Mindfulness Practice to Exercise Therapy for Female Recreational Runners With Patellofemoral Pain: A Randomized Controlled Trial

Bagheri

Naderi

Mirali

et al. 2020

Journal of Athletic Training

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Context: Considering current models that highlight the role of psychological components in pain management, mindfulness practice may be an effective strategy in the management of pain. Objective: To examine the effects of adding an eight-week mindfulness program to exercise therapy on the perceptions of pain severity, knee function, fear of movement, and pain catastrophizing of female recreational runners with patellofemoral pain (PFP). Design: Parallel randomized control clinical trial. Setting: University Lab. Patients or Other Participants: Thirty female runners (age 28.3±7.08 years) with PFP were randomly assigned to the two intervention groups: exercise group and mindfulness-exercise group. Intervention(s): The Ex group received 18 weeks (3 sessions per week) of an exercise program for symptoms control and training modifications. The mindfulness-exercise group received an 8-week mindfulness intervention in addition to the exercise program. The mindfulness component started 4 weeks before the exercise component; therefore, the two components overlapped during the first 4 weeks of the intervention. Main Outcome Measure(s): Usual pain, pain during stepping, and pain during running were assessed through visual analog scales (VAS). Functional limitations of the knee were assessed using the knee outcome survey. Fear of movement, pain catastrophizing, and coping strategies were measured with the Tampa Scale for Kinesiophobia, the Pain Catastrophizing Scale, and the Coping Strategies Questionnaire, respectively. These outcomes were assessed at baseline, at week 9, and after 18 weeks. Results: Pain during running, pain during stepping, and functional limitations of the knee were significantly lower for the mindfulness-exercise group than for the exercise group (p<.05). mindfulness-exercise participants reported higher perceived treatment effects than exercise group participants (p<.05). Pain catastrophizing was lower and coping strategies were more favorable for mindfulness-exercise participants than for exercise participants (p<.05). Conclusions: Mindfulness practice can be an effective adjunct to exercise therapy in the rehabilitation of PFP in recreational female runners. Trial Registry: Trial was registered with the (blind). Key Points:

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confidence: 99%

Adding Mindfulness Practice to Exercise Therapy for Female Recreational Runners With Patellofemoral Pain: A Randomized Controlled Trial

Bagheri

Naderi

Mirali

et al. 2020

Journal of Athletic Training

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“…Because these studies included participants of healthy volunteers, mindfulness may not have increased among our participants due to negative modulation from the underlying chronic pain of their OA. Chronic pain from OA and other diseases is known to have complex effects via somatic, cognitive, and limbic pathways of perceptions (Lange, Gorbunova, & Christ, 2012; Phillips & Clauw, 2011; Woolf, 2012), but whether pain can directly affect change in mindfulness is unknown. The simplest interpretation of our findings is that, for people with knee OA, Tai Chi practice does not appear to change mindfulness, or that change in mindfulness may not be relevant to the way Tai Chi mind-body exercise improves health among those with knee OA.…”

Section: Discussionmentioning

confidence: 99%

Effects of Tai Chi versus Physical Therapy on Mindfulness in Knee Osteoarthritis

et al. 2017

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Tai Chi mind-body exercise is widely believed to improve mindfulness through incorporating meditative states into physical movements. A growing number of studies indicate that Tai Chi may improve health in knee osteoarthritis (OA), a chronic pain disease and a primary cause of global disability. However, little is known about the contribution of mindfulness to treatment effect of Tai Chi practice. Therefore, our purpose was to investigate the effect of Tai Chi mind-body practice compared to physical therapy (PT) on mindfulness in knee OA. Adults with radiographic-confirmed, symptomatic knee OA were randomized to either 12 weeks (twice weekly) of Tai Chi or PT. Participants completed the Five Facet Mindfulness Questionnaire (FFMQ) before and after intervention along with commonly-used patient-reported outcomes for pain, physical function, and other health-related outcomes. Among 86 participants (74% female, 48% white, mean age 60 years, 85% at least college educated), mean total FFMQ was 142±17. Despite substantial improvements in pain, function, and other health-related outcomes, each treatment group’s total FFMQ did not significantly change from baseline (Tai Chi= 0.76, 95% CI: −2.93, 4.45; PT= 1.80, 95% CI: −2.33, 5.93). The difference in total FFMQ between Tai Chi and PT was not significant (−1.04 points, 95% CI: −6.48, 4.39). Mindfulness did not change after Tai Chi or PT intervention in knee OA, which suggests that Tai Chi may not improve health in knee OA through cultivating mindfulness. Further study is needed to identify underlying mechanisms of effective mind-body interventions among people with knee OA.

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“…It has been reported that the outcomes, such as those found in the aforementioned studies, are the result of changes mediated by the brain [21,22]. Neuroimaging has been used to understand whether brain mechanisms are associated to the modulation of pain seen from mindfulness practice [23]. Results have shown that mindfulness practice improves cognitive control and emotional regulation.…”

Section: Introductionmentioning

confidence: 99%

The effects of mindfulness training on persistent or intermittent sub-acute pain: using the Headspace^®application

Watson

Demetriou

Cole

et al. 2019

European Journal of Physiotherapy

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Background Physiotherapists have recognized the benefits of incorporating psychological interventions in their treatments. This study sought to determine the usefulness of the Headspace® Application that provides mindfulness training via a smartphone on pain. Methods A quasi-experimental design was used and volunteers from a large metropolitan university who were coping with pain were encouraged to use the application for 6-weeks. Pain (severity and interference), selfreported mindfulness, usage of the application and participants perspectives of the application were examined. Results There was a significant reduction in pain severity (p = 0.01, r = 0.70) and pain interference (p = 0.00, r= 0.81) pre-post intervention. However there was no significant change in self-reported mindfulness pre-post intervention (p = 0.67, r = 0.09). The usage of the application during the intervention period varied significantly (10-674 minutes) and was not significantly correlated with pain severity (two tailed)-pre (p=0.65,r=0.10) , post (p=0.43 r= 0.17) or pain interference (two tailed) pre (p =0.75 r = 0.07) , post (p=0.32 r=0.20). The participants reported positive perceptions of the application, such as it being useful in reducing pain and its convenience. Conclusion This study provides preliminary evidence to suggest that the Headspace® application is beneficial in reducing Persistent or Intermittent sub-acute pain and the application could be a useful adjunct to physiotherapy interventions.

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The Influence of Mindfulness on Different Aspects of Pain Perception and Affective Reactivity to Pain - Feasibility of a Multimethodical Approach

Cited by 10 publications

References 50 publications

Adding Mindfulness Practice to Exercise Therapy for Female Recreational Runners With Patellofemoral Pain: A Randomized Controlled Trial

Adding Mindfulness Practice to Exercise Therapy for Female Recreational Runners With Patellofemoral Pain: A Randomized Controlled Trial

Effects of Tai Chi versus Physical Therapy on Mindfulness in Knee Osteoarthritis

The effects of mindfulness training on persistent or intermittent sub-acute pain: using the Headspace^®application

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The Influence of Mindfulness on Different Aspects of Pain Perception and Affective Reactivity to Pain - Feasibility of a Multimethodical Approach

Cited by 10 publications

References 50 publications

Adding Mindfulness Practice to Exercise Therapy for Female Recreational Runners With Patellofemoral Pain: A Randomized Controlled Trial

Adding Mindfulness Practice to Exercise Therapy for Female Recreational Runners With Patellofemoral Pain: A Randomized Controlled Trial

Effects of Tai Chi versus Physical Therapy on Mindfulness in Knee Osteoarthritis

The effects of mindfulness training on persistent or intermittent sub-acute pain: using the Headspace®application

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The effects of mindfulness training on persistent or intermittent sub-acute pain: using the Headspace^®application