Effects of pain neuroscience education and rehabilitation following arthroscopic rotator cuff repair. A randomized clinical trial

Primer Autor
Fuentes, Jorge
Co-autores
Ponce-Fuentes, Felipe
Cuyul-Vasquez, Ivan
Bustos-Medina, Luis
Título
Effects of pain neuroscience education and rehabilitation following arthroscopic rotator cuff repair. A randomized clinical trial
Editorial
TAYLOR & FRANCIS INC
Revista
PHYSIOTHERAPY THEORY AND PRACTICE
Lenguaje
en
Resumen
Objective To compare the effectiveness of pain neuroscience education (PNE) versus biomedical education (BME) in a rehabilitation program following arthroscopic rotator cuff repair (ARCR) in patients with chronic shoulder pain. Methods Twenty-nine patients who participated in a rehabilitation program were randomly assigned to either an experimental PNE group (N = 16) or a control BME group (N = 13). Measurements included pain intensity at rest and in movement, pain catastrophizing, kinesiophobia, disability and health-related quality of life (HRQoL). Outcomes were evaluated at baseline and at 4 and 8 weeks after the intervention. Results A main effect for time was observed for: intensity of pain at rest (p < .01), pain with movement (p < .01), pain catastrophizing (p < .01), kinesiophobia (p < .01), disability (p < .01), and HRQoL (p < .01). No group interactions were significant for any variable, except for pain with movement, which favored the PNE group (p = .03). Large effect sizes (ranging from d = 0.79 to d = 2.65) were found for both interventions in all outcomes. Conclusion A rehabilitation program including either PNE or BME are equally effective in improving rest pain, pain catastrophizing, kinesiophobia, disability, and HRQoL in patients after ARCR, except for pain at movement in favor of the PNE group. The inclusion of PNE in the rehabilitation program appears to lead to clinically meaningful improvements in pain at rest in short term when treating patients with ARCR.
Fecha Publicación
2023
Tipo de Recurso
artículo original
Derecho de Acceso
registro bibliográfico
doi
10.1080/09593985.2022.2061394
Formato Recurso
PDF
Palabras Claves
Pain neuroscience education
physical therapy
rotator cuff repair
shoulder pain
clinical trial
Ubicación del archivo
Categoría OCDE
Rehabilitación
Fisiología
Ortopedia
Materias
Educación en neurociencia del dolor
terapia física
reparación del manguito rotador
dolor de hombro
ensayo clínico
Página de inicio (Recomendado-único)
1861.0
Página final (Recomendado-único)
1870
Identificador del recurso (Mandatado-único)
artículo original
Versión del recurso (Recomendado-único)
versión publicada
Derechos de acceso
metadata
Access Rights
metadata
Id de Web of Science
WOS:000781641600001
ISSN
0959-3985
Tipo de ruta
hibrido
Categoría WOS
Rehabilitación
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