A feasibility study of home-based preoperative multimodal physiotherapy for patients scheduled for a total knee arthroplasty who catastrophize about their pain
Por:
Terradas-Monllor, M, Ochandorena-Acha, M, Beltran-Alacreu, H, Oltra, EG, Saenz, FC and Hermoso, JH
Ahead of Print:
1 mar 2022
Resumen:
Background Preoperative pain catastrophizing (PC) and pain are both risk factors for poor outcomes after a total knee arthroplasty (TKA). Despite that, there is limited evidence about physiotherapy interventions' effectiveness on addressing such factors. Purpose To evaluate the feasibility and clinical impact of a home-based multimodal physiotherapy intervention in reducing pain and PC, in patients scheduled for a TKA who present preoperative moderate-to-severe pain and PC. Methods Three-armed parallel-group randomized controlled feasibility study. Subjects with symptomatic osteoarthritis and a score of >= 20 on the Pain Catastrophizing Scale (PCS) were recruited. The control group received usual care. Both experimental groups received pain neuroscience education, coping skills training and therapeutic exercise, but differ in the number of sessions, dosage, hands-on approach, and grade of supervision. All outcomes were measured before and after the intervention. Results A total of 33,7% were eligible for inclusion, and 97,1% agreed to participate. Every participant completed the treatment. Treatment compliance was higher in the group with additional supervision. Both groups showed significant effects in PC and pain reduction. A total of 33 patients would be required for a full trial. Conclusion Preoperative physiotherapy is a feasible and effective treatment in reducing pain intensity and PC in high PCS osteoarthritis subjects scheduled for a TKA.
Filiaciones:
Terradas-Monllor, M:
Univ Vic, Fac Hlth Sci & Welf, Cent Univ Catalonia, Barcelona, Spain
Univ Vic, Vic Cent Univ Catalonia Uvic, Res Grp Methodol Methods Models & Outcomes Hlth &, Fac Hlth Sci & Welf,Ctr Hlth & Social Care Res CE, Barcelona, Spain
Hosp Clin Barcelona, Anaesthesiol Dept, Pain Med Sect, Barcelona, Spain
Ochandorena-Acha, M:
Univ Vic, Fac Hlth Sci & Welf, Cent Univ Catalonia, Barcelona, Spain
Univ Vic, Vic Cent Univ Catalonia Uvic, Res Grp Methodol Methods Models & Outcomes Hlth &, Fac Hlth Sci & Welf,Ctr Hlth & Social Care Res CE, Barcelona, Spain
Beltran-Alacreu, H:
Univ Castilla La Mancha, Fac Phys Therapy & Nursing, Toledo Physiotherapy Res Grp Gifto, Avda Carlos III S-N, Toledo 45071, Spain
Oltra, EG:
Germans Trias & Pujol Univ Hosp, Orthoped Surg Dept, Badalona, Spain
Univ Autonoma Barcelona, Fac Med, Barcelona, Spain
Saenz, FC:
Germans Trias & Pujol Univ Hosp, Orthoped Surg Dept, Badalona, Spain
Univ Autonoma Barcelona, Fac Med, Barcelona, Spain
:
Germans Trias & Pujol Univ Hosp, Orthoped Surg Dept, Badalona, Spain
Univ Autonoma Barcelona, Fac Med, Barcelona, Spain
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