Although shoulder surgeries can effectively relieve pain intensity and restore shoulder function, some patients reported persistent post-operative pain at the 6-month post-surgery follow-up visit. This randomized study aims to determine the effectiveness of three different types of bio-psychosocial support to pre-operative shoulder surgery patients. This study will examine the differential effects of brief mindfulness-based breathing, heart rate variability biofeedback (HRV-BF), and cognitive behavioral pain psychoeducation for pre-operative patients.
(1) pain ≥3months and ≥3 days per week
(2) pain intensity ≥ 40 (VAS scale from 0 no pain to 100 very painful)
(3) the surgical indication would be based on orthopedics opinions
history of shoulder surgery in the prior 3 years
osteoporotic vertebral fractures or rheumatologic diseases
chronic widespread pain syndromes (fibromyalgia or chronic fatigue syndrome)
neurological disease (i.e., stroke, parkinson's disease, etc..)
Chang Gung Memorial Hospital
Lead sponsor
National Science and Technology Council
Collaborator