Effects of Mantra Meditation versus Music Listening on Knee Pain, Function, and Related Outcomes in Older Adults with Knee Osteoarthritis: An Exploratory Randomized Clinical Trial (RCT)
Innes KE, Selfe TK, Kandati S, Wen S, Huysmans Z
Evidence-based complementary and alternative medicine : eCAM · 29 citations
How it was studied
- Design
- Randomized controlled trial (classified by our AI screen)
- Studied in
- People
- Main outcome
- Health markers and function
Who paid for it
- Funding
- Independent funding
- University or hospital
- West Virginia University
- Government
- National Institutes of Health
- Government
- National Institute of General Medical Sciences
- Government
- National Center for Complementary and Integrative Health
- Government
- NCCIH NIH HHS
- Government
- NIGMS NIH HHS
- Grants
- National Center for Complementary and Integrative Health (K01AT004108); National Institute of General Medical Sciences (U54-GM-104942); West Virginia University (U54GM104942); National Institutes of Health (NCCIH 5K01AT004108); National Institutes of Health (NIGMS U54GM104942); National Institutes of Health (U54-GM104942)
Based on 6 listed funder(s) and full-text disclosure statement.
Publication
- Published
- 2018-01-01 · Evid Based Complement Alternat Med · vol. 2018 · issue 1 · p. 7683897
- Publisher
- Hindawi Publishing Corporation
- Cited
- 43 citations · more than 94% of similar papers · 4.1× the field average
- Impact
- Top 10% most cited in its field
- References
- 189 works
- Access
- Open access (hybrid journal) · CC-BY
- Research areas
- Mindfulness and Compassion Interventions · Music Therapy and Health · Complementary and Alternative Medicine Studies
- Keywords
- Randomized controlled trial, Meditation, Osteoarthritis, Mantra, Physical therapy, Medicine, Active listening, Physical medicine and rehabilitation, Knee pain, Psychology, Alternative medicine, Psychotherapist, Internal medicine
5 authors
From US
- Kim E. Innes · correspondingWest Virginia University
- Terry Kit SelfeUniversity of Florida Health Science Center
- Sahiti KandatiWest Virginia University; University at Buffalo, State University of New York
- Sijin WenWest Virginia University
- Zenzi HuysmansWest Virginia University
Abstract
Objective
Disease-modifying treatments for OA remain elusive, and commonly used medications can have serious side effects. Although meditation and music listening (ML) have been shown to improve outcomes in certain chronic pain populations, research in OA is sparse. In this pilot RCT, we explore the effects of two mind-body practices, mantra meditation (MM) and ML, on knee pain, function, and related outcomes in adults with knee OA.
Methods
Twenty-two older ambulatory adults diagnosed with knee OA were randomized to a MM (N=11) or ML program (N=11) and asked to practice 15-20 minutes, twice daily for 8 weeks. Core outcomes included knee pain (Knee Injury and Osteoarthritis Outcome Score [KOOS] and Numeric Rating Scale), knee function (KOOS), and perceived OA severity (Patient Global Assessment). Additional outcomes included perceived stress (Perceived Stress Scale), mood (Profile of Mood States), sleep (Pittsburgh Sleep Quality Index), and health-related quality of life (QOL, SF-36). Participants were assessed at baseline and following completion of the program.
Results
Twenty participants (91%) completed the study (9 MM, 11 ML). Compliance was excellent; participants completed an average of 12.1±0.83 sessions/week. Relative to baseline, participants in both groups demonstrated improvement post-intervention in all core outcomes, including knee pain, function, and perceived OA severity, as well as improvement in mood, perceived stress, and QOL (Physical Health) (p's≤0.05). Relative to ML, the MM group showed greater improvements in overall mood and sleep (p's≤0.04), QOL-Mental Health (p<0.07), kinesiophobia (p=0.09), and two domains of the KOOS (p's<0.09).
Conclusions
Findings of this exploratory RCT suggest that a simple MM and, possibly, ML program may be effective in reducing knee pain and dysfunction, decreasing stress, and improving mood, sleep, and QOL in adults with knee OA.
Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).
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