Self-guided meditation may decrease some sleep disturbances after TKA
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Self-guided meditation techniques may improve hours slept and decrease awakenings among patients who undergo total knee arthroplasty, according to results from the American Association of Hip and Knee Surgeons Annual Meeting.
Michael J. Canfield, MD, and colleagues instructed 399 patients undergoing TKA to watch a 9-minute self-guided meditation video twice a day starting 2 weeks prior to and extending 2 weeks after surgery. Canfield noted patients completed an institutionally designed patient-reported questionnaire on sleep patterns preoperatively and at 2 weeks postoperatively.
“Bedtime, wake time and hours spent actually asleep were asked, as well as the frequency of awakenings and sleep-related disturbances,” Canfield said in his presentation. “We also standardly collected a variety of patient-reported outcome measures, including the VR-12 and KOOS Jr., as well as satisfaction surveys at 12 weeks postoperatively.”
Canfield and colleagues compared outcomes between patients who reported using the video (n=189) and those who did not use the video (n=191).
“We found that those who utilized the video experienced a significantly greater improvement in overall sleep time, as well as decreased frequency in overall awakenings following surgery,” Canfield said.
Patients who utilized the self-guided meditation video had an average increase in sleep following surgery of 52 minutes, as well as a significant increase toward improved results, according to Canfield. However, patient-reported outcome measures showed no significant differences in sleep disturbances secondary to pain, Canfield noted.
“Future, better controlled studies will certainly be needed to make a definitive conclusion,” Canfield said. “However, these initial results are encouraging.”
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Cremins MS, et al. Paper 19. Presented at: American Association of Hip and Knee Surgeons Annual Meeting; Nov. 5-8, 2020; Dallas (hybrid meeting).
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