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Med Hypotheses ; 126: 46-50, 2019 May.
Artículo en Inglés | MEDLINE | ID: mdl-31010499

RESUMEN

Patients undergoing carpal tunnel release surgery may continue to experience pain despite the intervention. This symptom may be modulated by psychosocial factors including depression, catastrophic thinking, and kinesiophobia. Pain neuroscience education (PNE) has been found to be effective when combined with therapeutic exercise in patients with chronic pain, but this strategy has not been evaluated in patients with persistent hand pain. The findings of this study indicate that a single preoperative PNE session in combination with therapeutic exercise does not provide added benefits in comparison to standard preoperative care plus therapeutic exercise. Future studies should evaluate if patients with carpal tunnel release are additionally benefited by the incorporation and consequent behavioural changes of more PNE sessions to multimodal treatment.


Asunto(s)
Síndrome del Túnel Carpiano/cirugía , Síndrome del Túnel Carpiano/terapia , Dolor Crónico/terapia , Terapia por Ejercicio , Mano/fisiopatología , Educación del Paciente como Asunto/métodos , Adulto , Anciano , Catastrofización/terapia , Terapia Combinada , Método Doble Ciego , Femenino , Humanos , Persona de Mediana Edad , Neurociencias/educación , Trastornos Fóbicos/terapia , Modalidades de Fisioterapia , Cuidados Preoperatorios , Periodo Preoperatorio , Resultado del Tratamiento
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