Wouter Van Bogaert, Iris Coppieters, Jo Nijs, Ronald Buyl, Kelly Ickmans, Maarten Moens, Lisa Goudman, Koen Putman, Eva Huysmans
{"title":"腰椎病手术患者术前疼痛、认知和定量感觉测试测量对围术期疼痛神经科学教育效果的影响：随机对照试验的二次分析。","authors":"Wouter Van Bogaert, Iris Coppieters, Jo Nijs, Ronald Buyl, Kelly Ickmans, Maarten Moens, Lisa Goudman, Koen Putman, Eva Huysmans","doi":"10.2519/jospt.2024.12051","DOIUrl":null,"url":null,"abstract":"<p><p><b>OBJECTIVE:</b> To explore whether preoperative pain intensity, pain cognitions, and quantitative sensory measures influence the established effectiveness of perioperative pain neuroscience education (PPNE) on health-related quality of life at 1 year after surgery for lumbar radiculopathy. <b>DESIGN:</b> Secondary analysis of a triple-blinded randomized controlled trial. <b>METHODS:</b> Participants (n = 90) were Dutch-speaking adults (18-65 years) who were scheduled for surgery for lumbar radiculopathy in 3 Belgian hospitals. They were randomized (1:1) to receive PPNE (n = 41) or perioperative biomedical education (n = 49). Linear mixed models were built for health-related quality of life (ie, SF-6D utility values, Physical and Mental Component of the 36-item Short Form Health Survey) using the following independent variables: therapy, time, and preoperative scores for back and leg pain intensity, pain catastrophizing, kinesiophobia, hypervigilance, and quantitative sensory measures. <b>RESULTS:</b> The impact of PPNE on SF-6D utility values over time was influenced by kinesiophobia (F = 3.30, <i>P</i> = .02) and leg pain intensity (F = 3.48, <i>P</i> = .02). Regardless of the intervention, back pain intensity negatively influenced SF-6D values over time (F = 3.99, <i>P</i> = .009). The Physical Component scores were negatively impacted by back pain intensity (F = 9.08, <i>P</i> = .003) and were influenced over time by leg pain intensity (F = 2.87, <i>P</i> = .04). The Mental Component scores were negatively impacted by back pain intensity (F = 6.64, <i>P</i> = .01) and pain catastrophizing (F = 5.42, <i>P</i> = .02), as well as hypervigilance (F = 3.16, <i>P</i> = .03) and leg pain intensity (F = 3.12, <i>P</i> = .03) over time. <b>CONCLUSION:</b> PPNE may be more effective than perioperative biomedical education in improving postoperative health utility values in patients who reported higher kinesiophobia and leg pain intensity before surgery for lumbar radiculopathy. <i>J Orthop Sports Phys Ther 2024;54(4):1-10. Epub 8 January 2024. doi:10.2519/jospt.2024.12051</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":" ","pages":"279-288"},"PeriodicalIF":6.0000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Influence of Preoperative Pain, Cognitions, and Quantitative Sensory Testing Measures on the Effects of Perioperative Pain Neuroscience Education for People Receiving Surgery for Lumbar Radiculopathy: Secondary Analysis of a Randomized Controlled Trial.\",\"authors\":\"Wouter Van Bogaert, Iris Coppieters, Jo Nijs, Ronald Buyl, Kelly Ickmans, Maarten Moens, Lisa Goudman, Koen Putman, Eva Huysmans\",\"doi\":\"10.2519/jospt.2024.12051\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b>OBJECTIVE:</b> To explore whether preoperative pain intensity, pain cognitions, and quantitative sensory measures influence the established effectiveness of perioperative pain neuroscience education (PPNE) on health-related quality of life at 1 year after surgery for lumbar radiculopathy. <b>DESIGN:</b> Secondary analysis of a triple-blinded randomized controlled trial. <b>METHODS:</b> Participants (n = 90) were Dutch-speaking adults (18-65 years) who were scheduled for surgery for lumbar radiculopathy in 3 Belgian hospitals. They were randomized (1:1) to receive PPNE (n = 41) or perioperative biomedical education (n = 49). Linear mixed models were built for health-related quality of life (ie, SF-6D utility values, Physical and Mental Component of the 36-item Short Form Health Survey) using the following independent variables: therapy, time, and preoperative scores for back and leg pain intensity, pain catastrophizing, kinesiophobia, hypervigilance, and quantitative sensory measures. <b>RESULTS:</b> The impact of PPNE on SF-6D utility values over time was influenced by kinesiophobia (F = 3.30, <i>P</i> = .02) and leg pain intensity (F = 3.48, <i>P</i> = .02). Regardless of the intervention, back pain intensity negatively influenced SF-6D values over time (F = 3.99, <i>P</i> = .009). The Physical Component scores were negatively impacted by back pain intensity (F = 9.08, <i>P</i> = .003) and were influenced over time by leg pain intensity (F = 2.87, <i>P</i> = .04). The Mental Component scores were negatively impacted by back pain intensity (F = 6.64, <i>P</i> = .01) and pain catastrophizing (F = 5.42, <i>P</i> = .02), as well as hypervigilance (F = 3.16, <i>P</i> = .03) and leg pain intensity (F = 3.12, <i>P</i> = .03) over time. <b>CONCLUSION:</b> PPNE may be more effective than perioperative biomedical education in improving postoperative health utility values in patients who reported higher kinesiophobia and leg pain intensity before surgery for lumbar radiculopathy. <i>J Orthop Sports Phys Ther 2024;54(4):1-10. Epub 8 January 2024. doi:10.2519/jospt.2024.12051</i>.</p>\",\"PeriodicalId\":50099,\"journal\":{\"name\":\"Journal of Orthopaedic & Sports Physical Therapy\",\"volume\":\" \",\"pages\":\"279-288\"},\"PeriodicalIF\":6.0000,\"publicationDate\":\"2024-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Orthopaedic & Sports Physical Therapy\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.2519/jospt.2024.12051\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Orthopaedic & Sports Physical Therapy","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2519/jospt.2024.12051","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
Influence of Preoperative Pain, Cognitions, and Quantitative Sensory Testing Measures on the Effects of Perioperative Pain Neuroscience Education for People Receiving Surgery for Lumbar Radiculopathy: Secondary Analysis of a Randomized Controlled Trial.
OBJECTIVE: To explore whether preoperative pain intensity, pain cognitions, and quantitative sensory measures influence the established effectiveness of perioperative pain neuroscience education (PPNE) on health-related quality of life at 1 year after surgery for lumbar radiculopathy. DESIGN: Secondary analysis of a triple-blinded randomized controlled trial. METHODS: Participants (n = 90) were Dutch-speaking adults (18-65 years) who were scheduled for surgery for lumbar radiculopathy in 3 Belgian hospitals. They were randomized (1:1) to receive PPNE (n = 41) or perioperative biomedical education (n = 49). Linear mixed models were built for health-related quality of life (ie, SF-6D utility values, Physical and Mental Component of the 36-item Short Form Health Survey) using the following independent variables: therapy, time, and preoperative scores for back and leg pain intensity, pain catastrophizing, kinesiophobia, hypervigilance, and quantitative sensory measures. RESULTS: The impact of PPNE on SF-6D utility values over time was influenced by kinesiophobia (F = 3.30, P = .02) and leg pain intensity (F = 3.48, P = .02). Regardless of the intervention, back pain intensity negatively influenced SF-6D values over time (F = 3.99, P = .009). The Physical Component scores were negatively impacted by back pain intensity (F = 9.08, P = .003) and were influenced over time by leg pain intensity (F = 2.87, P = .04). The Mental Component scores were negatively impacted by back pain intensity (F = 6.64, P = .01) and pain catastrophizing (F = 5.42, P = .02), as well as hypervigilance (F = 3.16, P = .03) and leg pain intensity (F = 3.12, P = .03) over time. CONCLUSION: PPNE may be more effective than perioperative biomedical education in improving postoperative health utility values in patients who reported higher kinesiophobia and leg pain intensity before surgery for lumbar radiculopathy. J Orthop Sports Phys Ther 2024;54(4):1-10. Epub 8 January 2024. doi:10.2519/jospt.2024.12051.
期刊介绍：
The Journal of Orthopaedic & Sports Physical Therapy® (JOSPT®) publishes scientifically rigorous, clinically relevant content for physical therapists and others in the health care community to advance musculoskeletal and sports-related practice globally. To this end, JOSPT features the latest evidence-based research and clinical cases in musculoskeletal health, injury, and rehabilitation, including physical therapy, orthopaedics, sports medicine, and biomechanics.
With an impact factor of 3.090, JOSPT is among the highest ranked physical therapy journals in Clarivate Analytics''s Journal Citation Reports, Science Edition (2017). JOSPT stands eighth of 65 journals in the category of rehabilitation, twelfth of 77 journals in orthopedics, and fourteenth of 81 journals in sport sciences. JOSPT''s 5-year impact factor is 4.061.
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