Investigation of the Efficacy of Neuroscience Pain Education in Patients With Total Knee Arthroplasty
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Osteoarthritis, Knee
- Sponsor
- Ahi Evran University Education and Research Hospital
- Enrollment
- 34
- Locations
- 1
- Primary Endpoint
- Pain severity change is being assessed
- Status
- Completed
- Last Updated
- 2 years ago
Overview
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.
Investigators
Abdulhamit Tayfur
Principal Investigator
Ahi Evran University Education and Research Hospital
Eligibility Criteria
Inclusion Criteria
- •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.
Exclusion Criteria
- •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
Outcomes
Primary Outcomes
Pain severity change is being assessed
Time Frame: 6 week
Visual Analogue Scale (0-10, higher means worse)
Pain severity
Time Frame: Baseline
Visual Analogue Scale (0-10, higher means worse)
Pain and Function
Time Frame: Baseline
Western Ontario and McMaster Universities Arthritis Index (0-96, higher means worse)
Pain and Function change are being assessed
Time Frame: 6 week
Western Ontario and McMaster Universities Arthritis Index (0-96, higher means worse)
Secondary Outcomes
- Pain Catastrophizing change is being assessed(6 week)
- Kinesiophobia change is being assessed(6 week)
- Level of quality of life(Baseline)
- Level of quality of life change is being assessed(6 week)
- Pain Catastrophizing(Baseline)
- Anxiety and Depression(Baseline)
- Anxiety and Depression change is being assessed(6 week)
- Kinesiophobia(Baseline)
- Physical Function(Baseline)
- Physical Function change is being assessed(6 week)