Scopus
YÖKSİS Eşleşti
The efficacy of pain neuroscience education in patients after total knee arthroplasty: a single blind randomized controlled trial
Physiotherapy Theory and Practice · Ocak 2025
YÖKSİS Kayıtları
The efficacy of pain neuroscience education in patients after total knee arthroplasty: a single blind randomized controlled trial
Physiotherapy Theory and Practice · 2025 SCI-Expanded
DOÇENT İSMAİL ÖZSOY →
The efficacy of pain neuroscience education in patients after total knee arthroplasty: a single blind randomized controlled trial
Physiotherapy Theory and Practice · 2025 SCI-Expanded
DOKTOR ÖĞRETİM ÜYESİ GÜLŞAH ÖZSOY →
Makale Bilgileri
DergiPhysiotherapy Theory and Practice
Yayın TarihiOcak 2025
Scopus ID2-s2.0-105009789277
Özet
Introduction: Pain Neuroscience Education (PNE) is an intervention promoting patients’ understanding of the chronic pain better and changes maladaptive thoughts that could limit recovery. Psychological risk factors are predictive of increased pain and disability in people after total knee arthroplasty (TKA). Objective: The study aim was to investigate the efficacy of PNE on clinical outcomes compared to a standard physiotherapy program in patients after TKA. Methods: A total of 34 participants were randomly assigned to either an experimental (standard physiotherapy program + PNE) or a control group (standard physiotherapy program only). After all participants had undergone routine post-operative care, the study intervention began 4–6 weeks post-surgery, at which point patients were assessed, and then followed for a 6-week treatment program. Outcomes assessed included pain severity, disability, function, pain catastrophizing, anxiety, depression, kinesiophobia, and quality of life. Results: A statistically significant and clinically meaningful change from baseline was observed for kinesiophobia [p =.003, (pre-treatment: Mean Difference (MD): −2.05, 95%CI: −9.58, 5.46), (post-treatment: MD: 4.86, 95%CI: −2.33, 12.07)] and the mental component of quality-of-life [p =.006, (pre-treatment: MD: 1.45, 95%CI: −3.85, 6.76), (post-treatment: MD: −10.20, 95%CI: −15.69, −4.71)] in favor of the experimental group at the end of the treatment. No significant difference was found between groups for the remaining outcomes (p >.05). Conclusion: The combination of PNE and a standard physiotherapy program effectively reduces kinesiophobia and improves the mental component of quality-of-life in patients after TKA. However, no significant clinical effects were observed in pain or physical function. These results suggest that PNE is a valuable adjunctive strategy to address psychological aspects, highlighting the value of combining educational and physical strategies to enhance post-operative rehabilitation outcomes. Trial registration in ClinicalTrials.gov: NCT05928351.
Yazarlar (9)
1
Abdulhamit Tayfur
2
Fatih Özyurt
3
Muhammed İhsan Kodak
4
Mehmet Fevzi Çakmak
ORCID: 0000-0001-9338-8232
5
Gülşah Özsoy
6
Basak Cigdem Karacay
7
İsmail Özsoy
8
Hakkı Çağdaş Basat
9
Caner Kararti
Anahtar Kelimeler
biopsychosocial
education
knee replacement
neuroscience
osteoarthritis
Pain
Kurumlar
Kırşehir Ahi Evran Üniversitesi
Kirsehir Turkey
Selçuk Üniversitesi
Selçuklu Turkey