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The effect of pain neuroscience education on chronic postsurgical pain after total knee arthroplasty: a randomized controlled trial.
Baas, Dominique C; Van Aalderen-Wichers, Johanna C; Van der Goot, Tjeerd H; Verhagen, Ronald J.
Afiliación
  • Baas DC; Department of Orthopedics, Tergooi MC Hilversum dbaas@tergooi.nl.
  • Van Aalderen-Wichers JC; Department of Medical Psychology, Tergooi MC Hilversum; Altrecht, Psychosomatic Medicine, Zeist, the Netherlands.
  • Van der Goot TH; Department of Orthopedics, Tergooi MC Hilversum.
  • Verhagen RJ; Department of Orthopedics, Tergooi MC Hilversum.
Acta Orthop ; 95: 485-491, 2024 Aug 28.
Article en En | MEDLINE | ID: mdl-39192826
ABSTRACT
BACKGROUND AND

PURPOSE:

 Chronic postsurgical pain after total knee arthroplasty (TKA) is frequent and may be reduced by pain neuroscience education (PNE), teaching people about pain from a neurobiological perspective. This study investigated primarily the effectiveness of 2 individual sessions of PNE versus usual care on pain levels 3 months postoperatively in patients undergoing TKA. Secondary outcomes were physical functioning, stiffness, health-related quality of life, pain catastrophizing, attention to pain, and levels of anxiety and depression.

METHODS:

 A prospective single-center, parallel-group randomized controlled trial was undertaken including patients aged 18 years or older scheduled for primary TKA. 68 patients were randomly assigned to PNE or usual care. The primary outcome was the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain score 3 months postoperatively. Outcomes were measured preoperatively, at 2 weeks (acute phase), and at 3 and 12 months postoperatively.

RESULTS:

 We found no statistically significant difference (0.4 points; 95% confidence interval [CI] -1.7 to 2.4) in WOMAC pain scores 3 months after TKA between the PNE and control group. We found a statistically significant difference between the 2 groups for attention to pain at 3 months in favor of PNE (P = 0.02).

CONCLUSION:

 This RCT showed that PNE was not superior to usual care in terms of reducing pain at 3 months after TKA. Attention to pain, as a secondary outcome, was significantly lower in the PNE group compared with usual care. Other secondary outcome measures showed no significant differences.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor Postoperatorio / Dimensión del Dolor / Educación del Paciente como Asunto / Artroplastia de Reemplazo de Rodilla / Dolor Crónico Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Acta Orthop Asunto de la revista: ORTOPEDIA Año: 2024 Tipo del documento: Article Pais de publicación: Suecia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor Postoperatorio / Dimensión del Dolor / Educación del Paciente como Asunto / Artroplastia de Reemplazo de Rodilla / Dolor Crónico Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Acta Orthop Asunto de la revista: ORTOPEDIA Año: 2024 Tipo del documento: Article Pais de publicación: Suecia