Pain Neuroscience Education in Total Knee Arthroplasty

Not Applicable

Completed

• Conditions: Total Knee Replacement

• Registration Number: NCT03231566
• Lead Sponsor: University of Nevada, Las Vegas

Brief Summary

To determine if education about pain given prior to Knee Arthroplasty will result in better outcomes following surgery

Detailed Description

To determine if a preoperative pain neuroscience education (PNE) program would result in superior outcomes compared to usual preoperative education for total knee arthroplasty (TKA). Patients will receive traditional hospital preoperative TKA program (usual care group) or receive the same program plus an additional 30-minute PNE program (experimental group). Pre and post measurements at 1, 3 and 6 months for pain, function, fear of movement and pain catastrophization. We will also compare opioid usage, healthcare expenses and patient satisfaction between groups.

Study Timeline

• Study Start: 2015-02-28
• Primary Completion: 2017-03-20
• Study Completion: 2017-03-20
• Status Verified: 2017-07
• Study First Submitted: 2017-07-13
• Study First Submitted QC: 2017-07-24
• Last Update Submitted: 2017-07-24
• Study First Posted: 2017-07-27
• Last Update Posted: 2017-07-27

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 120

Inclusion Criteria

• be scheduled to have a TKA and their standard preoperative TKA education program, indicate their willingness to participate in the study, ability to read and understand English, as the study included the use of an educational booklet, and be able and willing to complete outcome data for 6 months after TKA

Exclusion Criteria

• Because all potential participants for this study had been screened and cleared for their orthopedic surgery, the only exclusion criterion was an unwillingness to participate in the study and having had a previous TKA or scheduled for a bilateral TKA.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Pain	Change from Baseline to 1 month, 3 months and 6 months post-surgery	Numeric Pain Rating Scale
Function	Change from Baseline to 1 month, 3 months and 6 months post-surgery	Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)
Pain Catastrophization	Change from Baseline to 1 month, 3 months and 6 months post-surgery	Pain Catastrophization Scale
Fear of movement	Change from Baseline to 1 month, 3 months and 6 months post-surgery	Tampa Scale of Kinesiophobia

Secondary Outcome Measures

Name	Time	Method
Opioid Use	Change at 1 month	Oral Morphine Dose Equivalents
Healthcare Expenses	Change from Baseline to 1 month, 3 months and 6 months post-surgery	Costs associated with healthcare utilization
Patient Satisfaction	Change at 1 month, 3 months and 6 months post-surgery	Likert questions

Trial Locations

Locations (1)

University of Nevada Las Vegas - Department of Physical Therapy; 🇺🇸 Las Vegas, Nevada, United States