Pain Neuroscience Education in Total Knee Arthroplasty
- Conditions
- Total Knee Replacement
- Interventions
- Behavioral: Pain Neuroscience Education
- 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.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 120
- 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
- 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
- Arm && Interventions
Group Intervention Description Usual education control group (CG) Pain Neuroscience Education The CG received the traditional hospital preoperative program, which was consistent with current preoperative TKA protocols. The CG received education covering anatomy of the knee joint, information about the joint replacement surgery, what to expect when they were admitted for surgery, what to expect immediately after surgery, pain medications, postoperative rehabilitation/physical therapy, etc. The CG received a hospital-based booklet with this information. Experimental group (EG) Pain Neuroscience Education The EG underwent an additional 30-minute group PNE program, followed by the usual preoperative education program from the hospital. The PNE program used in this TKA study was an adaptation of the PNE program developed for LS. The educational program was designed to be delivered by a physical therapist in a group session to patients prior to their TKA.
- 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