Pain, Scoliosis
Conditions
Keywords
Pain, Scoliosis, Rehabilitation, Cognitive-behavioral interventions, Adolescents
Brief summary
Surgery to correct scoliosis (spinal fusion)generates a severe pain intensity rending pain management a complex task. Several studies have found out that pharmacological interventions alone were not enough to provide optimal pain management for these patients. The investigators developed a DVD on guided imagery, customized for teenagers, to help them cope better with their pain. The investigators believe that this type of intervention combined with their usual analgesic medication will help them to control their pain and foster rehabilitation.
Interventions
BEHAVIORALGuided imagery intervention
A 30-min DVD was developed which included general information on pain management as well as a section on guided imagery using sounds and images.
Sponsors
St. Justine's Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
11 Years to 20 Years
Healthy volunteers
No
Inclusion criteria
* Aged between 11 and 20 years old * Have undergone a posterior/anterior arthrodesis surgery for idiopathic scoliosis * Able to write and understand French * Requires a computer or DVD player at home.
Exclusion criteria
* Diagnosed with a moderate cognitive deficit or severe mental retardation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Level of pain intensity | Level of pain intensity at two weeks after the surgery | Pain was measured before the patients left the hospital on their 7th postoperative day (T-1, time of discharge from hospital). It was measured again at two week post-discharge (T-2) and also at one month post-discharge (T-3) on their visit to the orthopedic clinic. Our primary outcome was at T-2. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Level of anxiety | Level of anxiety from 24-hrs before the surgery, to two weeks and to one month after the surgery | Anxiety was measured as baseline data on the pre-operative visit (24 hrs before surgery). It was also measured at two weeks post-discharge and at one month on the day of the visit to the orthopedic clinic. |
| Level of coping | Level of coping from Baseline (pre-operative), to two weeks and to one month after the surgery | Coping strategies of adolescents regarding their pain management were also measured pre-operatively (24 hrs before surgery), at two weeks and one month post-surgery. |
Countries
Canada
Outcome results
None listed