Orthopedic Joint Replacement Study - Pain, Stress, and Sleep Management

HEALTH SYSTEM ORTHOPEDIC KNEE & HIP REPLACEMENT STUDY April-July, 2012 Large Hospital System Joint Replacement Center STUDY OVERVIEW: Patient population: inpatient knee and hip replacement in Joint Replacement Center of large hospital system. Intervention of multi-use protocol of Theracoustic pre-programmed sound therapies targeting stress and anxiety levels, sleep difficulty and the emotional-based portion of pain. The study tracked patient identified symptom levels, both pre- and post-session, using the Symptom Intensity Scale (SIS). Study conducted by clinical and medical staff. SLEEP IMPROVEMENT RESULTS: Surgical Suite - DELTA SLEEP Program (n=15) • 42 Sessions total • Average Pre-Session Sleep difficulty: 6.7 • Average Post-Session Reduction: 5.0 • Average Sleep Difficulty Reduction: -74.6% STRESS & ANXIETY REDUCTION RESULTS: Surgical Suite - STRESS RELIEF Program (n=11) • Stress Reduction: 10 sessions - Average Pre-Session Stress Level: 5.1 - Average Post-Session Reduction: 3.0 - Average Symptom Reduction: -58.8% • Anxiety Reduction: 13 sessions - Average Pre-Session Anxiety Level: 6.5 - Average Post-Session Reduction: 3.2 - Average Symptom Reduction: -50.0% BY SESSION TYPE: • 8-min Quick Relax: Stress -51.4%, Anxiety n/a* • 15-min Relaxation: Stress -75.0%, Anxiety n/a* • 24-min Stress Relief: Stress -50.0%, Anxiety -50.0% PAIN MANAGEMENT RESULTS: Surgical Suite - PAIN MANAGEMENT Program (n=19) • Pain Standing / Walking: 32 sessions - Average Pain level: 6.5 - Average Post Session Reduction: 2.7 - Average Pain Symptom Reduction: -41.5% • Pain Sitting: 28 sessions - Average Pain level: 6.4 - Average Post Session Reduction: 2.9 - Average Pain Symptom Reduction: -45.8% PATIENT COMMENTS: SLEEP: • "very effective for sleep" • "difficulty sleeping due to pain - delta sleep very helpful" • "The Delta Sleep program worked well again" • "AT 11PM I LISTENED TO THE 43-MINUTE DELTA SLEEP PROGRAM & WOKE UP AT 7AM WITH THE MP3 PLAYER IN THE COVERS. VERY EFFECTIVE FOR SLEEP." • "was able to go to sleep & slept fairly well" • "I found this tape (Delta Sleep) very relaxing. It enabled me to sleep well for about 4 hours when the pain meds wore off. After receiving the meds listened again to the tape and slept 'til morning" • "Tapes are very relaxing" STRESS/ANXIETY: • "I'm always 'very busy' and find it hard to relax. I was amazed how relaxed I felt after the 8 & 15 minute relaxations." • "I was very anxious about a cystoscopy scheduled. After listening to the 24 minute stress relief my anxiety was reduced drastically." • "I decided to try the 24-minute guided stress program as a sleep aid tonight. It was very effective for sleep" • "Using the day before surgery as I am very nervous. Very relaxing" • "used before therapy. Very helpful" PAIN: • "pain better after use today" • "used relaxation before surgery and pain after" • "The 24-minute Pain Mgmt. program reduced the pain significantly" • "listening to this tape made me more relaxed and receptive to PT" • "really helpful before PT" CONCLUSION: Study demonstrates Theracoustic therapy effectiveness for post-surgical orthopedic patients across multiple therapeutic applications including pain management, stress/anxiety reduction, and sleep improvement, with strong patient-reported outcomes.