Mind-Body Intervention for Repetitive Stress Injury

Overseen By Michael Donnino, MD

Age: 18 - 65

Sex: Any

Trial Phase: Academic

Sponsor: Beth Israel Deaconess Medical Center

Disqualifiers: Cancer, Infection, Dementia, Addiction, Schizophrenia, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

Duration: 13 weeks

40 Participants Needed

Trial Summary

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

What data supports the effectiveness of the treatment Mind-Body Intervention for Repetitive Stress Injury?

The research suggests that both physical and psychological factors contribute to repetitive strain injuries, and treatments that address these aspects, like mind-body interventions, may help. Biopsychosocial approaches, which consider physical, psychological, and social factors, have been developed to assist patients with these injuries. ^{1 2 3 4 5}

Is the Mind-Body Intervention generally safe for humans?

The research articles provided do not contain specific safety data for Mind-Body Interventions for repetitive stress injuries or other conditions. ^{1 3 4 6 7}

How does the Mind-Body Intervention treatment differ from other treatments for repetitive stress injury?

Mind-Body Intervention is unique because it focuses on the connection between the mind and body to improve well-being, using techniques like mindfulness and relaxation to help patients actively manage their symptoms. Unlike traditional treatments that may focus solely on physical aspects, this approach aims to enhance both psychological and physical health, promoting a holistic recovery. ^{8 9 10 11 12}

What is the purpose of this trial?

The goal of this nonrandomized pilot study is to test a mind-body interventional approach for the treatment of chronic upper extremity pain or repetitive stress injury of the upper extremity (wrist/shoulder/elbow). 1. To determine if a mind-body intervention improves upper extremity functional capacity (ie., Disability of Arm Shoulder Hand - DASH) among people with chronic wrist, elbow, and shoulder pain 2. To determine if a mind-body intervention decreases pain intensity, pain-related anxiety, and overall somatic complaints in our trial participants. 3. To tailor the intervention and the outcomes assessment procedures for conducting a trial in a population with upper extremity pain.

Research Team

Michael Donnino, MD

Principal Investigator

Beth Israel Deaconess Medical Center

Eligibility Criteria

This trial is for individuals experiencing chronic pain in the upper extremities, such as wrist, elbow, or shoulder pain often related to repetitive stress injuries. Participants should be interested in exploring mind-body interventions to alleviate their condition.

Inclusion Criteria

I have been in pain and unable to do some activities for at least 3 months.

I am open to trying mind-body therapy.

Positive visualization test (onset of pain when patients visualize themselves performing tasks that generally bring on pain)

Exclusion Criteria

My pain is due to a clear medical condition like cancer.

Diagnosis of cognitive impairment or dementia

Active addiction disorder, e.g. cocaine or IV heroin use, that would interfere with study participation

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive mind-body intervention techniques taught in lectures and group discussion sessions

13 weeks

Lectures and group sessions

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

Treatment Details

Interventions

• Mind-Body Intervention

Trial Overview The study tests a mind-body intervention aimed at improving functional capacity of the arm and reducing pain intensity, anxiety related to pain, and somatic complaints among those with chronic upper extremity pain.

Participant Groups

Group I: Experimental: Mind-body Intervention Experimental Treatment 1 Intervention

Mind body techniques for the intervention will be taught in lectures and group discussion sessions

Who Is Running the Clinical Trial?

Beth Israel Deaconess Medical Center

Lead Sponsor

Trials

872

Recruited

12,930,000+

References

1. England pubmed.ncbi.nlm.nih.gov

Work related upper limb disorder: the relationship between pain, cumulative load, disability, and psychological factors. [2019]

2. England pubmed.ncbi.nlm.nih.gov

Biopsychosocial rehabilitation for upper limb repetitive strain injuries in working age adults. [2018]

3. Brazil pubmed.ncbi.nlm.nih.gov

[Work, exclusion, pain, suffering, and gender relations: a survey of female workers treated for repetitive strain injury at a public health clinic]. [2020]

4. United States pubmed.ncbi.nlm.nih.gov

Occupational repetitive motion injury: clinical overview and chiropractic implication. [2007]

5. England pubmed.ncbi.nlm.nih.gov

WITHDRAWN: Biopsychosocial rehabilitation for upper limb repetitive strain injuries in working age adults. [2018]

6. United States pubmed.ncbi.nlm.nih.gov

Repetitive stress injury: diagnosis or self-fulfilling prophecy? [2019]

7. Netherlands pubmed.ncbi.nlm.nih.gov

Data entry workers perceptions and satisfaction response to the "stop and stretch" software program. [2014]

8. England pubmed.ncbi.nlm.nih.gov

Nurses' experiences, expectations, and preferences for mind-body practices to reduce stress. [2022]

9. Denmark pubmed.ncbi.nlm.nih.gov

Mindfulness and bodily distress. [2012]

10. England pubmed.ncbi.nlm.nih.gov

Mindful Body Scans and Sonographic Biofeedback as Preparatory Activities to Address Patient Psychological States in Hand Therapy: A Pilot Study. [2022]

11. United States pubmed.ncbi.nlm.nih.gov

Mind-Body Interventions for Rehabilitation Medicine: Promoting Wellness, Healing, and Coping with Adversity. [2021]

12. England pubmed.ncbi.nlm.nih.gov

Mind and body therapy for fibromyalgia. [2023]