People with chronic low back pain may benefit from meditating, a new study finds. The practice may reduce pain and make it easier for patients to carry out their daily activities, according to the findings.
In the study, a group of people with chronic low back pain participated in an eight-week program called mindfulness-based stress reduction, which involved using meditation to increase their awareness of the present moment, and their acceptance of difficult thoughts and feelings, including their pain.
About six months after the start of the study, the people who participated in the meditation program were more likely to experience at least a 30 percent improvement in their ability to carry out daily activities, compared with the people who received only standard treatments for low back pain, such as medication.
Those in the mindfulness meditation group were also more likely to report meaningful improvements in how much their back pain bothered them, compared with those in the standard treatment group, the study found. The findings remained similar a year after the start of the study.
The study suggests that mindfulness-based stress reduction (MBSR) “may be an effective treatment option for patients with chronic low back pain,” the researchers said.
“We are excited about these results, because chronic low back pain is such a common problem and can be disabling and difficult to treat,” said study leader Daniel Cherkin, a senior investigator at Group Health Research Institute, a nonprofit health care organization in Seattle.
“I’ve been doing research on back pain for 30 years,” says Daniel Cherkin, a senior investigator at the Group Health Research Institute in Seattle and lead author of the study. “The biggest revolution has been the understanding that it’s not just a physical problem with physical solutions. It’s a biopsychosocial problem.”
Effect of Mindfulness-Based Stress Reduction vs Cognitive Behavioral Therapy or Usual Care on Back Pain and Functional Limitations in Adults With Chronic Low Back PainA Randomized Clinical Trial
buy generic link viagra yu follow link source link http://mcorchestra.org/2047-write-my-college-paper/ follow site https://homemods.org/usc/sample-argumentative-essays/46/ https://www.nationalautismcenter.org/letter/5-paragraph-essay-format-6th-grade/26/ common app essay 2012 persuasive essay on not legalizing weed how to write a paper quickly how to write a thematic essay for english biography writing services how do you start a creative writing piece marketing research definition get link order literature review source link cialis duffield viagra equivilant https://sigma-instruments.com/sildenafil-viagra-difference-14702/ cyber crime assignment uk viagra london viagra shops in kenya source abstract bachelor thesis beispiel cialis coupons for pharmacy web copywriting services effects taking expired viagra resume help site research paper model t jackson pollock essay books for book club Importance Mindfulness-based stress reduction (MBSR) has not been rigorously evaluated for young and middle-aged adults with chronic low back pain.
Objective To evaluate the effectiveness for chronic low back pain of MBSR vs cognitive behavioral therapy (CBT) or usual care.
Design, Setting, and Participants Randomized, interviewer-blind, clinical trial in an integrated health care system in Washington State of 342 adults aged 20 to 70 years with chronic low back pain enrolled between September 2012 and April 2014 and randomly assigned to receive MBSR (n = 116), CBT (n = 113), or usual care (n = 113).
Interventions CBT (training to change pain-related thoughts and behaviors) and MBSR (training in mindfulness meditation and yoga) were delivered in 8 weekly 2-hour groups. Usual care included whatever care participants received.
Main Outcomes and Measures Coprimary outcomes were the percentages of participants with clinically meaningful (≥30%) improvement from baseline in functional limitations (modified Roland Disability Questionnaire [RDQ]; range, 0-23) and in self-reported back pain bothersomeness (scale, 0-10) at 26 weeks. Outcomes were also assessed at 4, 8, and 52 weeks.
Results There were 342 randomized participants, the mean (SD) [range] age was 49.3 (12.3) [20-70] years, 224 (65.7%) were women, mean duration of back pain was 7.3 years (range, 3 months-50 years), 123 (53.7%) attended 6 or more of the 8 sessions, 294 (86.0%) completed the study at 26 weeks, and 290 (84.8%) completed the study at 52 weeks. In intent-to-treat analyses at 26 weeks, the percentage of participants with clinically meaningful improvement on the RDQ was higher for those who received MBSR (60.5%) and CBT (57.7%) than for usual care (44.1%) (overall P = .04; relative risk [RR] for MBSR vs usual care, 1.37 [95% CI, 1.06-1.77]; RR for MBSR vs CBT, 0.95 [95% CI, 0.77-1.18]; and RR for CBT vs usual care, 1.31 [95% CI, 1.01-1.69]). The percentage of participants with clinically meaningful improvement in pain bothersomeness at 26 weeks was 43.6% in the MBSR group and 44.9% in the CBT group, vs 26.6% in the usual care group (overall P = .01; RR for MBSR vs usual care, 1.64 [95% CI, 1.15-2.34]; RR for MBSR vs CBT, 1.03 [95% CI, 0.78-1.36]; and RR for CBT vs usual care, 1.69 [95% CI, 1.18-2.41]). Findings for MBSR persisted with little change at 52 weeks for both primary outcomes.
Conclusions and Relevance Among adults with chronic low back pain, treatment with MBSR or CBT, compared with usual care, resulted in greater improvement in back pain and functional limitations at 26 weeks, with no significant differences in outcomes between MBSR and CBT. These findings suggest that MBSR may be an effective treatment option for patients with chronic low back pain.
Trial Registration clinicaltrials.gov Identifier: NCT01467843