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Effects of an acute Mindfulness-based intervention on exercise tolerance, maximal strength, pain and effort-related experiences in individuals with primary chronic low back pain: a pilot study

Louise Amiot, Catherine Daneau, Bastien Couëpel, Martin Descarreaux, Marjorie Bernier, Jean F Fournier, Alexis Ruffault, Anne Courbalay

Movement & Sport Sciences - Science & Motricité 2023 DOI: 10.1051/sm/2023006 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial Pilot study Peer reviewed
Population Individuals with primary chronic low back pain
Intervention Mindfulness-based intervention
Measures MVC, modified Sorensen test, numerical rating scales for pain intensity, pain unpleasantness, perceived effort, and use of coping strategies, Pain Catastrophizing Scale, trait anxiety, dispositional mindfulness, impulsivity
Topics Meditation
Key findings The control group significantly decreased maximal voluntary contraction across time and showed a trend toward decreased exercise tolerance, whereas the mindfulness group did not. Pain unpleasantness and effort were perceived higher during the second modified Sorensen test in both groups, with no significant time or group effects on pain intensity or coping-strategy use.

Abstract

Introduction:This study investigated the effects of an acute mindfulness-based intervention on exercise tolerance, maximal voluntary contraction (MVC), pain and effort-related experiences in individuals with primary chronic low back pain.Method:Participants were randomly assigned to an experimental group and a control group. Before and after the intervention, participants completed a MVC test, a modified Sorensen test and numerical rating scales about pain intensity, pain unpleasantness, perceived effort and use of coping strategies. Dispositional measures such as pain catastrophizing, trait anxiety, dispositional mindfulness and impulsivity were also assessed.T-tests and linear mixed models were performed.Results:Participants from the control group significantly decreased their MVC across time and showed a trend towards a decrease in exercise tolerance over time, which was not the case for the experimental group. For both groups, pain unpleasantness and effort were perceived higher during the second modified Sorensen test. Analyses revealed neither significant effect of time nor group on pain intensity and the use of coping strategies.Discussion:The results highlight the value of involving individuals with primary chronic pain in mindfulness-based interventions to improve adaptations to effort while targeting referred pain. Larger samples and controlling for individuals’ functional status appear necessary for further research.

Comparable studies

Other randomized controlled trials on meditation, most cited first.

Study Year Design Participants
Alterations in Brain and Immune Function Produced by Mindfulness Meditation Healthy employees in a work environment 2003 Randomized controlled trial n = 41
Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients 2000 Randomized controlled trial n = 145
Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Working adults 2008 Randomized controlled trial n = 139
Short-term meditation training improves attention and self-regulation Undergraduate Chinese students 2007 Randomized controlled trial n = 40
Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects. Recovered recurrently depressed patients 2004 Randomized controlled trial n = 73

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