Sleep Banking for Chronic Pain

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Overseen ByMary McDuffie, MS RN
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Defense and Veterans Center for Integrative Pain Management
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores how extra sleep before joint replacement surgery might aid recovery. Participants will either increase their sleep by two hours each night for a week before surgery or maintain their usual sleep routine. The goal is to determine if "sleep banking" can ease recovery from knee or hip surgery. Suitable candidates are those scheduled for joint replacement at Naval Medical Center San Diego, without untreated sleep disorders or major schedule changes before surgery. As an unphased trial, this study provides a unique opportunity to contribute to innovative research that could enhance surgical recovery for future patients.

Do I need to stop taking my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

What prior data suggests that sleep banking is safe for joint replacement surgery recovery?

Research has shown that getting more sleep can safely help manage pain. In one study, people with mild sleep issues who slept more felt less sensitive to pain. Another study found that sleeping longer helped people tolerate pain better. These results suggest that "sleep banking," or getting extra sleep, is generally well-tolerated. Participants in these studies reported no major side effects from sleeping more. Therefore, considering a trial involving sleep banking appears to be a safe option.12345

Why are researchers excited about this trial?

Researchers are excited about the Sleep Banking technique because it offers a non-pharmaceutical approach to managing chronic pain. Unlike traditional treatments that often rely on medications like NSAIDs or opioids, Sleep Banking involves extending sleep duration to build up a "reserve" of rest before a challenging event, like surgery. This method is unique because it leverages the body's natural ability to heal and manage pain through enhanced rest, potentially reducing the need for medication and its related side effects. By focusing on improving sleep habits, it could offer a safer and more holistic way to enhance recovery and manage pain.

What evidence suggests that sleep banking is effective for joint replacement surgery recovery?

This trial will compare the effects of sleep banking with habitual sleep on pain management. Research has shown that getting extra sleep, known as sleep banking, can reduce pain perception. Studies have found that more sleep can increase pain tolerance, allowing people to cope with pain better. This is especially important for those with ongoing pain, as poor sleep can exacerbate pain. By increasing sleep, pain sensitivity may decrease, potentially aiding recovery after surgery. Overall, sleep banking appears to be a promising method for managing pain.678910

Are You a Good Fit for This Trial?

This trial is for people aged 18-74 who are scheduled for knee or hip joint replacement surgery at Naval Medical Center San Diego. It's not specified who can't join, but typically those with conditions affecting sleep or recovery might be excluded.

Inclusion Criteria

I am between 18 and 74 years old.
I am scheduled for knee or hip replacement surgery at Naval Medical Center San Diego.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Pre-surgery Sleep Banking

Participants in the sleep extension group add 2 hours of sleep per night the week before surgery, while the control group maintains usual sleep patterns

1 week
Daily monitoring (virtual)

Post-surgery Monitoring

Participants' sleep and pain are monitored daily for one week post-surgery

1 week
Daily monitoring (virtual)

Follow-up

Participants are sent electronic follow-up sleep and pain questionnaires at 1, 3, 6, 9, and 12 weeks post-surgery

12 weeks
Electronic questionnaires

What Are the Treatments Tested in This Trial?

Interventions

  • Sleep banking

Trial Overview

The study is testing 'sleep banking,' which means increasing the amount of sleep before surgery to see if it helps reduce pain after joint replacement.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Active Control

Group I: Sleep extensionExperimental Treatment1 Intervention
Group II: Habitual sleepActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Defense and Veterans Center for Integrative Pain Management

Lead Sponsor

Trials
20
Recruited
2,200+

Citations

Effects of sleep changes on pain-related health outcomes in ...

Emerging longitudinal research has highlighted poor sleep as a risk factor of a range of adverse health outcomes, including disabling pain conditions.

Sleep extension reduces pain sensitivity

Our results indicate that sleep extension increases pain tolerance beyond baseline levels. However, sleep extension did not impact pain threshold.

Sleep Extension in Sleepy Individuals Reduces Pain Sensitivity

Pain sensitivity in sleepy individuals is, at least in part, mediated by sleepiness, and that pain sensitivity can be diminished by as little as four days of ...

Importance of Sleep for People With Chronic Pain

Sleep deprivation and interrupted sleep are substantial issues for people who experience chronic pain (pain lasting longer than 3 months).

Sleep disorders in chronic pain and its neurochemical ...

Sleep disorders significantly increase the risk for reduced pain tolerance, and sleep extension increases pain tolerance in healthy individuals ...

The association of sleep-related issues with chronic pain ...

Those reporting tiredness “nearly every day” had an 89% higher risk of chronic pain (RR = 1.89, 95% CI: 1.32–2.69) and 166% higher risk of HICP (RR = 2.66, 95% ...

The association of sleep and pain: An update and a path forward

A recent experimental study suggests that the extension of sleep in individuals with mild chronic sleep loss attenuates baseline pain sensitivity levels 95.

Why sleep matters in chronic pain: evidence across ...

Sleep problems commonly coexist with chronic pain conditions, with growing evidence that they may precede and contribute to pain persistence ...

More Sleep for Pain Management · Info for Participants

Our results indicate that sleep extension increases pain tolerance beyond baseline levels. However, sleep extension did not impact pain threshold. Habitual ...

Insomnia and Sleep Disturbances in Chronic Pain Patients

The date on which the last participant in a clinical study was examined or received an intervention to collect final data for the primary outcome measure.