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Neurocognitive performance and physical function do not change with physical-cognitive-mindfulness training in female laboratory technicians with chronic musculoskeletal pain: Randomized controlled trial

Neurocognitive performance and physical function do not change with physical-cognitive-mindfulness training in female laboratory technicians with chronic musculoskeletal pain: Randomized controlled trial
Neurocognitive performance and physical function do not change with physical-cognitive-mindfulness training in female laboratory technicians with chronic musculoskeletal pain: Randomized controlled trial
BACKGROUND Cognitive and physical performance can be negatively affected by chronic pain. This study evaluates the effect of combined physical-, cognitive-, and mindfulness training (PCMT) on cognitive and physical performance. METHODS From a large pharmaceutical company in Denmark we randomly allocated 112 female laboratory technicians with chronic upper limb pain to group-based PCMT at the worksite or a reference group for 10 weeks. Neurocognitive performance was measured by the computerized central nervous system vital signs neurocognitive assessment battery. Physical function was assessed in terms of shoulder external rotation strength and rate of force development in a custom-made dynamometer setup. RESULTS No between-group differences (least square means [95{\%} confidence interval]) from baseline to follow-up could be detected in any of the neurocognitive domains as measured by the central nervous system vital signs neurocognitive assessment battery, for example, Psychomotoer Speed 1.9 (-1.0 to 4.7), Reaction Time -4.0 (-19.5 to 11.6), Complex Attention -0.3 (-1.9 to 1.4), and Executive Function -0.2 (-3.5 to 3.0). Similarly, we found no change in maximal voluntary isometric strength -0.63 (-4.8 to 3.6), or rate of force development 14.8 (-12.6 to 42.2) of the shoulder external rotators. Finally, test-retest reliability of maximal voluntary contraction and rate of force development shoulder external rotation showed high reliability at 0 to 30 ms, 0 to 50 ms, 0 to 100 ms, and 0 to 200 ms with ICCs at 0.95, 0.92, 0.93, 0.92, and 0.91, respectively. CONCLUSION Ten weeks of PCMT did not improve neurocognitive or physical performance.
1357-3039
e5554
Jay, Kenneth
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Brandt, Mikkel
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schraefel, m.c.
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Jakobsen, Markus Due
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Sundstrup, Emil
cdde3daa-655b-4993-b32d-3e4c09271b20
Sjøgaard, Gisela
39032d8d-fb2b-4afc-b753-2e2dcf841baf
Vinstrup, Jonas
18eb4872-cebd-4810-88bc-b9b04366da9f
Andersen, Lars L
1f944131-d570-4319-990e-bda13357bbaa
Jay, Kenneth
cb40dd68-57b6-478c-b51c-5021137bce51
Brandt, Mikkel
535e53c8-8423-4ebf-b523-c3c405dceaf2
schraefel, m.c.
ac304659-1692-47f6-b892-15113b8c929f
Jakobsen, Markus Due
3af1b1e3-4a05-452c-8690-725391c3ad61
Sundstrup, Emil
cdde3daa-655b-4993-b32d-3e4c09271b20
Sjøgaard, Gisela
39032d8d-fb2b-4afc-b753-2e2dcf841baf
Vinstrup, Jonas
18eb4872-cebd-4810-88bc-b9b04366da9f
Andersen, Lars L
1f944131-d570-4319-990e-bda13357bbaa

Jay, Kenneth, Brandt, Mikkel, schraefel, m.c., Jakobsen, Markus Due, Sundstrup, Emil, Sjøgaard, Gisela, Vinstrup, Jonas and Andersen, Lars L (2016) Neurocognitive performance and physical function do not change with physical-cognitive-mindfulness training in female laboratory technicians with chronic musculoskeletal pain: Randomized controlled trial Medicine, 95, (50), e5554. (doi:10.1097/MD.0000000000005554).

Record type: Article

Abstract

BACKGROUND Cognitive and physical performance can be negatively affected by chronic pain. This study evaluates the effect of combined physical-, cognitive-, and mindfulness training (PCMT) on cognitive and physical performance. METHODS From a large pharmaceutical company in Denmark we randomly allocated 112 female laboratory technicians with chronic upper limb pain to group-based PCMT at the worksite or a reference group for 10 weeks. Neurocognitive performance was measured by the computerized central nervous system vital signs neurocognitive assessment battery. Physical function was assessed in terms of shoulder external rotation strength and rate of force development in a custom-made dynamometer setup. RESULTS No between-group differences (least square means [95{\%} confidence interval]) from baseline to follow-up could be detected in any of the neurocognitive domains as measured by the central nervous system vital signs neurocognitive assessment battery, for example, Psychomotoer Speed 1.9 (-1.0 to 4.7), Reaction Time -4.0 (-19.5 to 11.6), Complex Attention -0.3 (-1.9 to 1.4), and Executive Function -0.2 (-3.5 to 3.0). Similarly, we found no change in maximal voluntary isometric strength -0.63 (-4.8 to 3.6), or rate of force development 14.8 (-12.6 to 42.2) of the shoulder external rotators. Finally, test-retest reliability of maximal voluntary contraction and rate of force development shoulder external rotation showed high reliability at 0 to 30 ms, 0 to 50 ms, 0 to 100 ms, and 0 to 200 ms with ICCs at 0.95, 0.92, 0.93, 0.92, and 0.91, respectively. CONCLUSION Ten weeks of PCMT did not improve neurocognitive or physical performance.

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Accepted/In Press date: 14 November 2016
Published date: December 2016
Organisations: Agents, Interactions & Complexity

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Local EPrints ID: 405299
URI: http://eprints.soton.ac.uk/id/eprint/405299
ISSN: 1357-3039
PURE UUID: fb684832-f8d5-43a1-a6a4-0058da3909ab

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Date deposited: 31 Jan 2017 12:05
Last modified: 17 Aug 2017 16:31

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Contributors

Author: Kenneth Jay
Author: Mikkel Brandt
Author: m.c. schraefel
Author: Markus Due Jakobsen
Author: Emil Sundstrup
Author: Gisela Sjøgaard
Author: Jonas Vinstrup
Author: Lars L Andersen

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