Pain Neuroscience Education in Patients With Total Knee Arthroplasty
- Conditions
- Osteoarthritis, Knee
- Interventions
- Other: Pain Neuroscience EducationOther: Standard Physiotherapy Program (SPP)
- Registration Number
- NCT05928351
- Lead Sponsor
- Ahi Evran University Education and Research Hospital
- Brief Summary
The aim of Pain Neuroscience Education (PNE) is to explain to patients the biological and physiological processes involved in a pain experience and, more importantly, defocus the issues associated with the anatomical structures. PNE provides compelling evidence in reducing pain, disability, pain catastrophization, and limited physical movement in musculoskeletal problems. Knee osteoarthritis (KOA) is a very common painful musculoskeletal problem, especially in people over 50 years old, and lead to decrease in knee range of motion. Despite costly arthroscopic surgeries and long-term physiotherapy treatments, poor outcomes are common. The lack of satisfactory results suggests that some practices should be revised. Although PNE could be useful as an intervention, to our knowledge, there is no randomized controlled trial in the literature investigating the effects of PNE in patients with a KOA. Therefore, we aimed to examine the effectiveness of PNE on clinical outcomes in patients with KOA.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 34
- Having a body mass index between 19-40 kg/m2,
- Having had a unilateral TKA,
- Knee pain score to be 4 and above daily according to the visual analog scale,
- Ability to read, speak and understand Turkish.
- Prosthesis disorders requiring re-surgery,
- Having visual, auditory and cognitive impairment,
- Secondary TKA such as rheumatoid arthritis,
- Acute pain,
- Pregnancy, drug and alcohol use,
- Having bilateral TKA,
- Not volunteering to participate in the study
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description PNE Group Standard Physiotherapy Program (SPP) Pain Neuroscience Education + Standard Physiotherapy Program Control Group Standard Physiotherapy Program (SPP) Standard Physiotherapy Program PNE Group Pain Neuroscience Education Pain Neuroscience Education + Standard Physiotherapy Program
- Primary Outcome Measures
Name Time Method Pain severity change is being assessed 6 week Visual Analogue Scale (0-10, higher means worse)
Pain severity Baseline Visual Analogue Scale (0-10, higher means worse)
Pain and Function Baseline Western Ontario and McMaster Universities Arthritis Index (0-96, higher means worse)
Pain and Function change are being assessed 6 week Western Ontario and McMaster Universities Arthritis Index (0-96, higher means worse)
- Secondary Outcome Measures
Name Time Method Pain Catastrophizing change is being assessed 6 week Pain Catastrophizing Scale (0-52, higher means worse)
Kinesiophobia change is being assessed 6 week Tampa Scale of Kinesiophobia (17-68, higher means worse)
Level of quality of life Baseline Short Form-12 (0-100, higher means better)
Level of quality of life change is being assessed 6 week Short Form-12 (0-100, higher means better)
Pain Catastrophizing Baseline Pain Catastrophizing Scale (0-52, higher means worse)
Anxiety and Depression Baseline Hospital Anxiety Depression Scale (0-21, higher means worse)
Anxiety and Depression change is being assessed 6 week Hospital Anxiety Depression Scale (0-21, higher means worse)
Kinesiophobia Baseline Tampa Scale of Kinesiophobia (17-68, higher means worse)
Physical Function Baseline 40 meter walking test (in seconds, less is better)
Physical Function change is being assessed 6 week 40 meter walking test (in seconds, less is better)
Trial Locations
- Locations (1)
Ahi Evran University
🇹🇷Kırşehir, Central, Turkey