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 Request for Mindbody Clinical Trail Information

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T O P I C    R E V I E W
Stryder Posted - 11/10/2005 : 15:11:34
quote:
Originally posted by PeterMcKay
As for the "clinical trials", they have been done!


This is a general call to all for information. I am intrigued and want to read more about clinical trials that are planned or completed regarding the mindbody relationship to pain syndromes.

If you happen upon a clinical trial while browsing the web or doing other reading, please post a reply to this topic with details (web links, book sources, study results). Include enough detail to let someone else view or acquire the documents. We are not debating the issue here, just collecting sources, a reading list.

Thanks, -Stryder

4   L A T E S T    R E P L I E S    (Newest First)
Jim1999 Posted - 11/19/2005 : 22:26:09
Stryder,

Here's a mindbody clinical trial that might interest you. It will be done next year. It will be a randomized control trial with private funding. The mindbody treatment is "Reverse Therapy", a program from the UK that has some strong similarities to Sarno's. http://www.reverse-therapy.com/

We'll have to see whether they can get this study published. There's a lot of bias in the medical community. This bias might keep the paper out of journals, even if the study's methodology is sound.

Jim
n/a Posted - 11/11/2005 : 07:36:46
You might want to contact Dr. David Schechter as he has established a TMS Research Foundation. His website is: http://www.mindbodymedicine.com/
Jim1999 Posted - 11/10/2005 : 23:02:07
Stryder,

When you say "mindbody", are you refering to any type of mindbody approach, or something that's similar to Sarno? The vast majority of clinical trials are going to use a cognitive/behavioral psychology approach, rather than a depth psychology/psychoanalytical approach, like Dr. Sarno uses.

I expect that the study you described will use some type of relaxation or stress management technique as its mindbody treatment. If the patient says that he finds traffic stressful, he may be told to breath more deeply as a way to relax during traffic, or will be told to think about getting in earlier or later to avoid the middle of rush hour. While these techniques may have some limited value, they will not address most repressed emotions, so these techniques will have limited value. Plus, this study will only provide mindbody treatment in conjunction with conventional medical care, such as physical therapy. Obviously, the conventional treatment will only reinforce the idea that the cause is structural.

Jim
Stryder Posted - 11/10/2005 : 15:19:58
"A Pilot Study to Determine the Effectiveness of Combining Conventional and Complementary and Alternative Medicine to Treat Low Back Pain"

Full Story... http://www.clinicaltrials.gov/ct/show/NCT00118859

As of 10-Nov-2005: This study is currently recruiting patients.

Excerpt...

This pilot study will determine the feasibility of enrolling participants from different populations for a larger study of low back pain (LBP) treatment. In addition, this study will assess the effectiveness of data collection instruments and procedures as well as utilize feedback from participants to refine a future study.

Back pain is one of the most common health problems in the United States, afflicting up to 50% of adults each year. Back pain is the leading cause of visits to orthopedic surgeons and the second leading cause of visits to general practitioners. In the United States, the estimated annual cost of back pain, including medical costs and lost productivity, is between $50 and $100 billion. Unfortunately, conventional medical care has been largely ineffective in treating back pain of most people. An increasing number of people with back pain, particularly with LBP, are seeking relief from unconventional sources such as chiropractors and massage therapies. Although complementary and alternative medicine (CAM) therapies are being used to treat LBP, their effectiveness has not been thoroughly examined. Even less is known about the effectiveness of combining conventional medical care with CAM therapies to provide “integrative care.” This pilot study will recruit participants from three different patient populations to determine the effectiveness of integrative care in treating LBP symptoms.

This study will last 26 weeks and will comprise three participant populations: patients at an occupational health clinic, primary care patients at a medical clinic, and workers' compensation patients at the same medical clinic. At study start, participants will be interviewed about the care they have already received for LBP, any activities limited by their LBP, their attitudes toward CAM back pain treatments, job satisfaction, social support in the workplace, and medical history. Participants will also complete a self-report pain scale and a disability questionnaire. Participants will then be randomly assigned to either receive treatment for their LBP at an Integrative Care Center or continue to receive usual care provided by their medical or occupational health clinic.

Participants assigned to receive integrative care will be evaluated by both a medical doctor and a CAM clinician immediately after being interviewed. Following the evaluation, the two clinicians will meet and develop a treatment plan, which will include conventional medical care and some form of CAM such as acupuncture, chiropractic, exercise, massage, mind-body therapy, or nutritional counseling. Treatments will occur either once or twice weekly for the 12-week duration of treatment; clinicians may revise treatment plans during the study. LBP symptoms will be assessed through phone interviews at Weeks 2, 5, 12, and 26.

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