Imagined Acupuncture for Postoperative Pain After Spinal Surgery

NCT ID: NCT07197710

Last Updated: 2025-09-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-10-01

Study Completion Date

2026-09-19

Brief Summary

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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

Detailed Description

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Conditions

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Pain Management

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Group 1: Imagined Acupuncture Intervention

Participants assigned to Group 1 will receive standard postoperative care and a daily VGAIT session once per day for seven consecutive days following surgery. Each session will last approximately 30 minutes and will be guided by a standardized video designed to induce acupuncture imagery and mental engagement. VGAIT will be administered at the same time each day (e.g., 9:00 AM ± 30 minutes). VAS and ODI assessments will be administered following the completion of the video session. The initial video session will be administered once the patient has fully regained consciousness in the post-anesthesia care unit (PACU) following surgery.

Group Type EXPERIMENTAL

video-guided acupuncture imagery treatment (VGAIT)

Intervention Type OTHER

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.

Group 2: Education video

Participants in the control group will receive standard postoperative care and Education video without any simulated acupuncture intervention. VAS and ODI assessments will be conducted at the same intervals as in Group 1 for consistency and comparison.

Group Type SHAM_COMPARATOR

Education video

Intervention Type OTHER

Education video about postoperative precautions

Interventions

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video-guided acupuncture imagery treatment (VGAIT)

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.

Intervention Type OTHER

Education video

Education video about postoperative precautions

Intervention Type OTHER

Eligibility Criteria

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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.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Jingping Wang, MD, Ph.D.

OTHER

Sponsor Role lead

Responsible Party

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Jingping Wang, MD, Ph.D.

Associate Professor Staff Anesthesiologist & Pain Physician

Responsibility Role SPONSOR_INVESTIGATOR

References

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Kong J, Eshel MN. Applying the Power of the Mind in Acupuncture Treatment of Pain. Med Acupunct. 2020 Dec 1;32(6):367-372. doi: 10.1089/acu.2020.1477. Epub 2020 Dec 16.

Reference Type BACKGROUND
PMID: 33362889 (View on PubMed)

Kong J, Kaptchuk TJ, Polich G, Kirsch I, Vangel M, Zyloney C, Rosen B, Gollub RL. An fMRI study on the interaction and dissociation between expectation of pain relief and acupuncture treatment. Neuroimage. 2009 Sep;47(3):1066-76. doi: 10.1016/j.neuroimage.2009.05.087. Epub 2009 Jun 6.

Reference Type BACKGROUND
PMID: 19501656 (View on PubMed)

Cao J, Tu Y, Orr SP, Wilson G, Kong J. Modulatory Effects of Actual and Imagined Acupuncture on the Functional Connectivity of the Periaqueductal Gray and Ventral Tegmental Area. Psychosom Med. 2021 Oct 1;83(8):870-879. doi: 10.1097/PSY.0000000000000984.

Reference Type BACKGROUND
PMID: 34292206 (View on PubMed)

Cao J, Tu Y, Orr SP, Lang C, Park J, Vangel M, Chen L, Gollub R, Kong J. Analgesic Effects Evoked by Real and Imagined Acupuncture: A Neuroimaging Study. Cereb Cortex. 2019 Jul 22;29(8):3220-3231. doi: 10.1093/cercor/bhy190.

Reference Type BACKGROUND
PMID: 30137262 (View on PubMed)

Cao J, Tu Y, Wilson G, Orr SP, Kong J. Characterizing the analgesic effects of real and imagined acupuncture using functional and structure MRI. Neuroimage. 2020 Nov 1;221:117176. doi: 10.1016/j.neuroimage.2020.117176. Epub 2020 Jul 17.

Reference Type BACKGROUND
PMID: 32682992 (View on PubMed)

Kong Q, Sacca V, Walker K, Hodges S, Kong J. Thalamocortical Mechanisms Underlying Real and Imagined Acupuncture. Biomedicines. 2023 Jun 26;11(7):1830. doi: 10.3390/biomedicines11071830.

Reference Type BACKGROUND
PMID: 37509469 (View on PubMed)

Cao J, Orr SP, Wilson G, Kong J. Imagined and Actual Acupuncture Effects on Chronic Low Back Pain: A Preliminary Study. Neural Plast. 2020 Jul 1;2020:8579743. doi: 10.1155/2020/8579743. eCollection 2020.

Reference Type BACKGROUND
PMID: 32684925 (View on PubMed)

Other Identifiers

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2025P001674

Identifier Type: -

Identifier Source: org_study_id

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