Assessment of clinical efficacy of the acoustic binaural beating method in the complex preparation of patients for hip replacement

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Abstract


Objective. To increase the efficiency of the complex of therapeutic and rehabilitation measures in preparation for hip joint endoprosthetics.

Materials and methods. 66 patients in whom it was planned to perform hip joint endoprosthetics took part in the research. They were divided into two groups. The main group (n = 32) included patients who underwent 5 binaural beats as a relaxation program. In the comparison group (n = 34) the patients received a standard set of measures to prepare for this operation. All patients were screened for depression and anxiety using the standardized hospital scale for anxiety and depression (HADS) before the study. We also recorded the initial levels of reactive and personality anxiety using the Spielberger – Hanin test. We repeated the test in both groups after 7 days to evaluate the dynamics of the test.

Results. The conducted research showed that in the main group on the background of binaural beating procedures, reactive (from 57.2 ± 3.8 to 42.4 ± 5.2 points, p = 0.014) and personal anxiety (from 58.9 ± 4.1 to 44.7 ± 3.8 points, p = 0.003) were significantly reduced. In addition, the application of binaural beats method resulted in a significant decrease of HADS alarm subscale indexes (p < 0.001) in patients of the base group — from 12.8 ± 2.8 to 8.5 ± 0.7 points. While patients in the comparison group had significantly less expressed decrease of this parameter — from 11.7 ± 3.1 to 10.9 ± 1.6 points (p < 0.01). On the HADS depression subscale there was also a marked decrease in the main group to 7.1 ± 0.8 points, this value was statistically significantly lower (p = 0.011) than in the comparison group — 10.2 ± 1.2 points.

Conclusion. The conducted research has shown that the use of the binaural beats method in the complex of measures to prepare patients for hip joint endoprosthetics helps to improve their psycho-emotional status. This is manifested by a decrease in personal and reactive anxiety in the Spielberger – Hanin test, as well as the severity of depression and anxiety on the HADS scale. The advantages of the method are non-invasive and easy to use, and the disadvantages include the duration of the procedure and poorly studied mechanism of action.


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About the authors

Alexey B. Sekirin

State Budgetary Healthcare Institution of the Moscow Region “M.F. Vladimirskiy Moscow Regional Clinical Research Institute”

Email: sekira@inbox.ru
ORCID iD: 0000-0003-0589-5053
SPIN-code: 1411-0909

Russian Federation, Moscow

MD, Director for Science of the Department of Physiotherapy and Rehabilitation

Vladislav F. Prikuls

State Budgetary Healthcare Institution of the Moscow Region “M.F. Vladimirskiy Moscow Regional Clinical Research Institute”

Email: vlad_doc@list.ru
ORCID iD: 0000-0003-3489-7760
SPIN-code: 9247-6389

Russian Federation, Moscow

MD, PhD, Head of the Department of Medical Rehabilitation and Physiotherapy

Alexandra E. Maybrodskaya

State Budgetary Healthcare Institution of the Moscow Region “M.F. Vladimirskiy Moscow Regional Clinical Research Institute”

Author for correspondence.
Email: sunmyland@rambler.ru
ORCID iD: 0000-0003-4004-4035
SPIN-code: 1698-3880

Russian Federation, Moscow

Junior Researcher of the Department of Physiotherapy and Rehabilitation

References

  1. Edwards PK, Mears SC, Stambough JB, Foster SE, Barnes CL. Choices, compromises, and controversies in total knee and total hip arthroplasty modifiable risk factors: what you need to know. J Arthroplasty. 2018;33(10):3101-3106. https://doi.org/10.1016/j.arth.2018.02.066.
  2. Алабут А.В., Сикилинда В.Д. Влияние коморбидности на выбор тактики лечения пациентов с заболеваниями опорно-двигательного аппарата. Главный врач Юга России. 2016;(2):35-40. [Alabut AV, Sikilinda VD. Influence of comorbidity on the choice of treatment tactics for patients with diseases of musculoskeletal system. Glavnyi vrach Yuga Rossii. 2016;(2):35-40. (In Russ.)]
  3. Конева Е.С., Лядов К.В., Шаповаленко Т.В., Жукова Е.В., Полушкин В.Г. Персонифицированный подход к назначению аппаратных методик восстановления стереотипа ходьбы у пациентов после тотального эндопротезирования тазобедренного сустава. Вопросы курортологии, физиотерапии и лечебной физической культуры. 2018;95(1):26-34. [Koneva ES, Lyadov KV, Shapovalenko TV, Zhukova EV, Polushkin VG. The hardware techniques for the restoration of the gait stereotype in the patients following total hip replacement: the personalized approach. Voprosy kurortologii, fizioterapii i lechebnoi fizicheskoi kul’tury. 2018;95(1):26-34. (In Russ.)] https://doi.org/10.17116/kurort201895126-34
  4. Tang HY, Vitiello MV, Perlis M, Riegel B. Openloop neurofeedback audiovisual stimulation: a pilot study of its potential for sleep induction in older adults. Appl Psychophysiol Biofeedback. 2015;40(3):183-188. https://doi.org/10.1007/s10484-015-9285-x.
  5. Palaniappan R, Phon-Amnuaisuk S, Eswaran C. On the binaural brain entrainment indicating lower heart rate variability. Int J Cardiol. 2015;190:262-263. https://doi.org/10.1016/j.ijcard.2015.04.175.
  6. Kennel S, Taylor AG, Lyon D, Bourguignon C. Pilot feasibility study of binaural auditory beats for reducing symptoms of inattention in children and adolescents with attention-deficit/hyperactivity disorder. J Pediatr Nurs. 2010;25(1):3–11. https://doi.org/10.1016/j.pedn.2008.06.010.
  7. Доскин В.А., Лаврентьева Н.А., Мирошников Н.П., Шарай В.Б. Тест дифференцированной самооценки функционального состояния. Вопросы психологии. 1973;19(6):141-145. [Doskin VA, Lavrent’eva NA, Miroshnikov NP, Sharai VB. Test differentsirovannoi samootsenki funktsional’nogo sostoyaniya. Voprosy psikhologii. 1973;19(6):141-145. (In Russ.)]

Supplementary files

Supplementary Files Action
1.
Fig. 1. Dynamics of reactive anxiety index (Spielberger test) against the background of procedures. * — differences are statistically significant (p < 0.05) in comparison with the index in the comparison group (Mann – Whitney criterion)

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2.
Fig. 2. Dynamics of personal anxiety index (Spielberger test) on the background of procedures. * — differences are statistically significant (p < 0,05) compared to the index in the comparison group (Mann – Whitney criterion)

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3.
Fig. 3. Dynamics of the HADS alarm subscale during procedures. * — differences are statistically significant (p < 0,05) in comparison with the indicator in the comparison group (Mann – Whitney criterion)

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4.
Fig. 4. Dynamics of the HADS subscale of depression during procedures. * — differences are statistically significant (p < 0,05) compared to the indicator in the comparison group (Mann – Whitney criterion)

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