Title

A controlled clinical trial of preoperative pain neuroscience education for patients about to undergo total knee arthroplasty.

Authors

Adriaan Louw
Emilio J Puentedura
Jordan Reed
Kory Zimney
Derek Grimm
Merrill R Landers

Journal Title

Clinical rehabilitation

Publication Date

11-1-2019

Abstract

OBJECTIVE: The aim of this study was to determine if a preoperative pain neuroscience education program would result in superior outcomes compared to usual preoperative education for total knee arthroplasty.

DESIGN: Controlled clinical trial with alternating allocation.

SETTING: Community-based hospital.

SUBJECTS: Consecutive sample of 120 patients scheduled for total knee arthroplasty.

INTERVENTION: Traditional hospital preoperative total knee arthroplasty education program on its own, or with an additional 30-minute group pain neuroscience education session.

MAIN MEASURES: Primary outcomes were measurements at one, three, and six months for pain, function, fear of movement, and pain catastrophization. We also compared opioid usage, healthcare expenses, and patient satisfaction between groups.

RESULTS: There were no statistically significant differences in any outcome measures between the two groups over time, except for patient satisfaction. Those in the experimental group had more agreement with statements about "preparation for surgery" (

CONCLUSION: Adding a brief 30-minute pain neuroscience education session to a traditional preoperative total knee arthroplasty education program did not result in any significant improvements, except patient satisfaction.

Keywords

Aged, Arthroplasty, Replacement, Knee, Catastrophization, Fear, Female, Humans, Male, Osteoarthritis, Knee, Pain Measurement, Patient Education as Topic, Preoperative Care

Document Type

Article

Disciplines

Physical Therapy | Physiotherapy

Volume

33

Issue

11

First Page

1722

Last Page

1731

PubMed ID

31213078

ISSN

1477-0873

MeSH Headings (Medical Subject Headings)

Aged; Arthroplasty, Replacement, Knee; Catastrophization; Fear; Female; Humans; Male; Osteoarthritis, Knee; Pain Measurement; Patient Education as Topic; Preoperative Care

DOI

https://doi.org/10.1177/0269215519857782

Recommended Citation

Louw, Adriaan; Puentedura, Emilio J; Reed, Jordan; Zimney, Kory; Grimm, Derek; and Landers, Merrill R, "A controlled clinical trial of preoperative pain neuroscience education for patients about to undergo total knee arthroplasty." (2019). Faculty Publications. 18.
https://red.library.usd.edu/pt-fp/18