Effect of Pain Neuroscience Education with Conventional Physiotherapy via Telerehabilitation on Pain Catastrophizing and Function in Patients with Osteoarthritis Knee: A Randomized Controlled Trial

IF 1.2 Q3 OBSTETRICS & GYNECOLOGY

Journal of Mid-life Health Pub Date : 2023-01-01 DOI:10.4103/jmh.jmh_33_23

Hiral Manohar Supe, Sanket S. Mungikar, Goutami A. Katage, Kapil A. Garg, Surendra Kiran Wani

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引用次数: 0

Abstract

Aim: By explaining to the patient the biological processes underneath their pain condition, pain neuroscience education (PNE) is a form of educational intervention that aims to relieve pain and impairment. Materials and Methods: Patients with knee osteoarthritis (OA) referred to outpatient physiotherapy clinic in India during August 2021 to June 2022 were asked to participate. Out of the eligible patients, 35 were randomly assigned to PNE group and 35 to the control group. Self-reports of Pain Catastrophizing Scale (PCS), Patient Specific Function Scale (PSFS), and Numerical Pain Rating Scale (NPRS) were recorded at baseline (T1) and at 2 weeks (T2). Results: After 2 weeks of follow-up, all the three outcome measures were found to be significant in the PNE group. The results of the unpaired t-test revealed statistically significant result posttest for PCS (mean difference 11.4) and NPRS (mean difference 1.20). There was no mean difference found in the patient function (PSFS) between groups. Conclusion: The results suggest that adding a program of PNE to conventional physiotherapy exercises led to a greater reduction in pain catastrophization, patient-specific function, and pain intensity rather than conventional physiotherapy alone in patients with knee OA at 2 weeks’ follow-up.

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通过远程康复进行常规物理治疗的疼痛神经科学教育对骨关节炎患者疼痛发作和功能的影响:一项随机对照试验

目的:疼痛神经科学教育(PNE)是一种旨在减轻疼痛和损伤的教育干预形式，通过向患者解释其疼痛状态下的生物过程。材料与方法:研究对象为2021年8月至2022年6月在印度门诊物理治疗诊所就诊的膝关节骨关节炎(OA)患者。在符合条件的患者中，35例随机分配到PNE组，35例分配到对照组。分别在基线(T1)和2周(T2)记录疼痛灾变量表(PCS)、患者特异性功能量表(PSFS)和数值疼痛评定量表(NPRS)的自我报告。结果:随访2周后，PNE组3项指标均显著。非配对t检验结果显示PCS(平均差值11.4)和NPRS(平均差值1.20)后测结果具有统计学意义。两组患者功能(PSFS)无平均差异。结论:结果表明，在2周的随访中，在常规物理治疗运动中加入PNE方案比单独进行常规物理治疗更能减少膝关节OA患者的疼痛灾难、患者特异性功能和疼痛强度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Mid-life Health Social Sciences-Health (social science)

CiteScore

1.70

自引率

9.10%

发文量

审稿时长

43 weeks

期刊介绍： Journal of mid-life health is the official journal of the Indian Menopause society published Quarterly in January, April, July and October. It is peer reviewed, scientific journal of mid-life health and its problems. It includes all aspects of mid-life health, preventive as well as curative. The journal publishes on subjects such as gynecology, neurology, geriatrics, psychiatry, endocrinology, urology, andrology, psychology, healthy ageing, cardiovascular health, bone health, quality of life etc. as relevant of men and women in their midlife. The Journal provides a visible platform to the researchers as well as clinicians to publish their experiences in this area thereby helping in the promotion of mid-life health leading to healthy ageing, growing need due to increasing life expectancy. The Editorial team has maintained high standards and published original research papers, case reports and review articles from the best of the best contributors both national & international, consistently so that now, it has become a great tool in the hands of menopause practitioners.