Pain Management
Conditions
Keywords
Postoperative Acute Pain, Imagined Acupuncture
Brief summary
The goal of this clinical trial is to evaluate whether imagined acupuncture can reduce postoperative acute pain in adult patients undergoing spinal surgery. The main questions it aims to answer are: Does video-guided imagined acupuncture improve postoperative pain control? Does the intervention reduce opioid consumption and improve functional recovery in the immediate postoperative period? Researchers will compare the imagined acupuncture group to the control education video group to see if imagery-based intervention leads to better pain outcomes and reduced analgesic use. Participants will: Watch a 30-minute video once daily for 7 consecutive days after surgery Complete pain and function assessments during the hospital stay and postoperative follow-up
Interventions
Unlike traditional acupuncture, VGAIT can be self-administered and does not require physical needle insertion, making it a practical alternative for patients seeking non-invasive pain management.
OTHEREducation video
Education video about postoperative precautions
Sponsors
Jingping Wang, MD, Ph.D.
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Undergoing 1- to 2-level primary spine surgery * Aged 18 years or older * Willing and able to receive postoperative imagined acupuncture (VGAIT) * Able to provide written informed consent
Exclusion criteria
* Undergoing revision surgery or procedures involving more than 3 spinal levels * History of prior spinal surgery * Intraoperative complications likely to interfere with postoperative pain assessment * Diagnosed with severe cognitive impairment or psychiatric disorders that impair participation or communication * Pregnant or breastfeeding * Unable to cooperate with treatment or pain assessments Individuals with uncorrectable vision impairment that would interfere with viewing study videos or completing study questionnaires.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Scores (VAS) | During the first postoperative week (Days 0-6) | Pain intensity will be assessed using the Visual Analog Scale (VAS) daily, including VAS at rest, VAS on movement |
| 2) Functional Scores (ODI) | On postoperative Day6 | Functional status will be evaluated using the Oswestry Disability Index (ODI) |
| 3) Rescue Opioid Consumption | On postoperative Day6 | The total amount of rescue opioid medication used during the first postoperative week will be recorded in milligrams (oral and intravenous) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 1) Time to First Rescue Analgesia | On postoperative Day6 | The exact time (in hours and minutes) from the end of surgery to the administration of the first rescue analgesic will be recorded |
| 2) Total Analgesic Consumption | On postoperative Day6 | The cumulative amount of all pain medications (opioid and non-opioid, oral and intravenous) administered within 7 days postoperatively, recorded in milligrams. |
| 3) Length of Hospital Stay | On postoperative Day6 | Measured as the number of days from the date of surgery to the date of hospital discharge. |
| 4) Adverse Effects | On postoperative Day6 | Incidence of treatment-related side effects, including nausea, vomiting, dizziness, respiratory depression, urinary retention, ileus, or any other reported complications. |
| 5) Additional Assessment Tools | On postoperative Day6 | RCSQ: Richards-Campbell Sleep Questionnaire |
Countries
United States
Contacts
CONTACTJingping Wang Associate Professor
Outcome results
None listed