Pain Neuroscience Education in Total Knee Arthroplasty

University of Nevada, Las Vegas120 enrolled

Overview

To determine if education about pain given prior to Knee Arthroplasty will result in better outcomes following surgery

To determine if a preoperative pain neuroscience education (PNE) program would result in superior outcomes compared to usual preoperative education for total knee arthroplasty (TKA). Patients will receive traditional hospital preoperative TKA program (usual care group) or receive the same program plus an additional 30-minute PNE program (experimental group). Pre and post measurements at 1, 3 and 6 months for pain, function, fear of movement and pain catastrophization. We will also compare opioid usage, healthcare expenses and patient satisfaction between groups.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

QUADRUPLE

Enrollment

120

Conditions

Total Knee Replacement

Interventions

Pain Neuroscience EducationBEHAVIORAL

See arm/group description

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * be scheduled to have a TKA and their standard preoperative TKA education program, indicate their willingness to participate in the study, ability to read and understand English, as the study included the use of an educational booklet, and be able and willing to complete outcome data for 6 months after TKA Exclusion Criteria: * Because all potential participants for this study had been screened and cleared for their orthopedic surgery, the only exclusion criterion was an unwillingness to participate in the study and having had a previous TKA or scheduled for a bilateral TKA.

Locations (1)

University of Nevada Las Vegas - Department of Physical Therapy

Las Vegas, Nevada, United States

Outcomes

Primary Outcomes

Pain

Numeric Pain Rating Scale

Time frame: Change from Baseline to 1 month, 3 months and 6 months post-surgery

Function

Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)

Time frame: Change from Baseline to 1 month, 3 months and 6 months post-surgery

Pain Catastrophization

Pain Catastrophization Scale

Time frame: Change from Baseline to 1 month, 3 months and 6 months post-surgery

Fear of movement

Tampa Scale of Kinesiophobia

Time frame: Change from Baseline to 1 month, 3 months and 6 months post-surgery

Secondary Outcomes

Opioid Use

Oral Morphine Dose Equivalents

Time frame: Change at 1 month

Healthcare Expenses

Costs associated with healthcare utilization

Time frame: Change from Baseline to 1 month, 3 months and 6 months post-surgery

Patient Satisfaction

Likert questions

Time frame: Change at 1 month, 3 months and 6 months post-surgery

Data from ClinicalTrials.gov

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