Effects of Music Listening and Emotional Freedom Techniques on Fall Risk, Kinesiophobia, and Pain Following Knee Arthroscopy
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 85
- 试验地点
- 1
- 主要终点
- Change in postoperative pain after knee arthroscopy with perioperative Music Listening and EFT interventions (measured by VAS)
研究概览
简要总结
This study aims to evaluate whether listening to music and using Emotional Freedom Techniques (EFT) can help patients recover better after knee arthroscopy. After this type of surgery, many patients experience pain, fear of movement (kinesiophobia), balance problems, and an increased risk of falling.
In this study, patients will receive music listening and EFT as supportive, non-drug interventions during the postoperative period. The goal is to determine whether these simple and safe methods can reduce pain, decrease fear of movement, and lower fall risk, ultimately improving recovery.
The findings of this study may help healthcare professionals, especially nurses, provide more holistic and patient-centered care after knee surgery.
详细描述
Arthroscopy is a method used in orthopedics for diagnostic and therapeutic purposes by entering the joint through an endoscopic technique to obtain visualization. Knee arthroscopy (KA) is one of the most commonly performed surgical procedures worldwide. Although it is most frequently preferred for the repair of meniscal tears, it is also used to relieve pain, improve knee function, and delay total knee arthroplasty in patients with anterior and posterior cruciate ligament injuries, cartilage lesions, synovial pathologies, knee locking (inability to fully extend or flex the knee), patellar problems, infections, and osteoarthritis (OA).
Knee joint diseases lead to cartilage loss due to intra-articular degenerative changes, resulting in severe pain. In particular, cartilage loss caused by osteoarthritis leads to joint instability and functional impairment along with pain. Therefore, knee arthroscopy is often considered a first-line option before prosthetic surgery in patients with knee osteoarthritis, depending on the degree of degeneration.
Approximately 20% of patients report experiencing moderate to severe pain even one year after knee surgery. Although knee arthroscopy is a minimally invasive surgical technique, the literature indicates that a significant proportion of patients experience varying levels of postoperative pain, and opioid use is frequently preferred. Studies examining pain-related factors in patients undergoing arthroscopic surgery have shown that preoperative pain experience, duration of tourniquet use during surgery, and the complexity of the procedure are associated with increased postoperative pain.
Uncontrolled postoperative pain can trigger physiological stress and may lead to chronic pain. The response to pain is influenced by an interaction of emotional and cognitive factors. Therefore, in addition to surgical techniques and comorbidities, psychological factors play a crucial role in the recovery of patients undergoing knee surgery.
When patients experience pain, they generally respond in two ways:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
盲法说明
Due to the nature of the interventions, where the provider actively guides the participants, blinding was not feasible.
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Aged between 18 and 65 years
- •Scheduled for elective knee arthroscopy
- •Anxiety-fear intensity score ≥2 on the Subjective Units of Distress (SUD) scale
- •No hearing or speech problems that would prevent communication
- •No cognitive or mental impairments
- •No psychiatric disorders
- •No pain, tenderness, or wounds at the meridian points where Emotional Freedom Techniques (EFT) will be applied
- •Have not received prior training in coping with anxiety or fear
- •Have not previously attended courses related to energy therapy
- •Agree to participate in the study
排除标准
- •Currently using psychiatric medications
- •Receiving active psychological therapy
- •Experiencing postoperative surgical complications
- •Having traumatic lower extremity fractures
- •Undergoing simultaneous bilateral knee arthroscopy
研究组 & 干预措施
Arm 1: Music Group Description
Participants will listen to relaxing music during the postoperative recovery period after knee arthroscopy. This intervention aims to reduce pain, anxiety, and kinesiophobia.
干预措施: listening music (Behavioral)
Arm 2: EFT Group
Participants will receive Emotional Freedom Techniques (EFT) during the postoperative recovery period after knee arthroscopy. The intervention focuses on reducing pain, anxiety, and fear of movement.
干预措施: Emotional Freedom Techniques (Behavioral)
Arm 3: Control Group
Participants will receive standard postoperative care without additional interventions. This group serves as a baseline to compare the effects of music listening and EFT.
结局指标
主要结局
Change in postoperative pain after knee arthroscopy with perioperative Music Listening and EFT interventions (measured by VAS)
时间窗: Preoperative, Postoperative Day 1, Postoperative Day 3
The perioperative effects of listening to music and Emotional Freedom Techniques (EFT) on postoperative pain, kinesiophobia (fear of movement), and the risk of falling in patients who have undergone knee arthroscopy will be evaluated. \- For pain, the measurement tool used is the Visual Analogue Scale (VAS) pain scale (0 indicates no pain; 10 indicates unbearable severe pain);
次要结局
- Change in fall risk after knee arthroscopy (ITAKI FALL RISK SCALE)(Preoperative, Postoperative Day 1, Postoperative Day 3)
研究者
Arzum ÇELİK BEKLEVİÇ
Lecturer
Zonguldak Bulent Ecevit University