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J Hand Microsurg 2020; 12(S 01): S1-S8
DOI: 10.1055/s-0040-1701160
Review Article

Mindfulness in Patients with Upper-Extremity Conditions: A Summary of Existing Literature

Authors

  • Thomas J. M. Kootstra

    1   Department of Surgery, St. Antonius Ziekenhuis, Nieuwegein, The Netherlands

  • Diederik P. J. Smeeing

    1   Department of Surgery, St. Antonius Ziekenhuis, Nieuwegein, The Netherlands

  • Reinier B. Beks

    2   Department of Surgery, Universitair Medisch Centrum, Utrecht, The Netherlands

  • Mark van Heijl

    2   Department of Surgery, Universitair Medisch Centrum, Utrecht, The Netherlands
    3   Department of Surgery, Diakonessenhuis Utrecht, Utrecht, The Netherlands

  • Marike Kokke

    1   Department of Surgery, St. Antonius Ziekenhuis, Nieuwegein, The Netherlands

  • Detlef van der Velde

    1   Department of Surgery, St. Antonius Ziekenhuis, Nieuwegein, The Netherlands

Funding None.
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Abstract

Mindfulness implies entering a mental state of awareness which allows for the reframing of an experience, and functionality has shown to be influenced by mindset. The aim of this systematic review was to assess effects of mindfulness in patients with upper-extremity conditions. PubMed, Embase, Cochrane, and CINAHL databases were searched on June 19, 2019, for studies investigating mindfulness in patients with upper-extremity conditions. Two validated instruments for methodologic assessment were used to assess study quality. Studies that reported pain, psychological, or functional outcome measures were included. One randomized controlled trials and three observational studies were included, which together included 335 patients that completed final follow-up. The weighted average age was 52.4 years and 48% of the patients were male. Evaluation of the outcome measures used was immediately after the mindfulness intervention or assessment in all studies. Mindfulness appeared to be positively associated with less pain (though below the minimal clinically important difference), increased mood, and better function. Mindfulness is associated with increased mood and possibly better functionality in adults with a large range of upper-extremity conditions when measured or used as an intervention. Future researcher should expand the subject as only four studies were included in this review. This is a Level IV study.

Keywords

systematic review - mindfulness - upper extremity - pain - mood - function

Supplementary Appendix



Publication History

Article published online:
07 April 2020

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