About this trial
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
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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
Disqualifiers
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
Trial design
Parallel
Treatments tested in this trial
video-guided acupuncture imagery treatment (VGAIT)
Other interventionUnlike 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.
Education video
Other interventionEducation video about postoperative precautions
Treatment groups
Trial outcomes
Primary outcomes
Pain Scores (VAS)
Pain intensity will be assessed using the Visual Analog Scale (VAS) daily, including VAS at rest, VAS on movement
2) Functional Scores (ODI)
Functional status will be evaluated using the Oswestry Disability Index (ODI)
3) Rescue Opioid Consumption
The total amount of rescue opioid medication used during the first postoperative week will be recorded in milligrams (oral and intravenous)
Secondary outcomes
1) Time to First Rescue Analgesia
The exact time (in hours and minutes) from the end of surgery to the administration of the first rescue analgesic will be recorded
2) Total Analgesic Consumption
The cumulative amount of all pain medications (opioid and non-opioid, oral and intravenous) administered within 7 days postoperatively, recorded in milligrams.
3) Length of Hospital Stay
Measured as the number of days from the date of surgery to the date of hospital discharge.
4) Adverse Effects
Incidence of treatment-related side effects, including nausea, vomiting, dizziness, respiratory depression, urinary retention, ileus, or any other reported complications.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Jingping Wang, MD, Ph.D.
Lead sponsor
Massachusetts General Hospital
Sponsor institution