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- Title
Influence of preoperative pain, cognitions and sensory function on the treatment effect of perioperative pain neuroscience education in patients with lumbar radiculopathy.
- Authors
Van Bogaert, W.; Coppieters, I.; Nijs, J.; Buyl, R.; Ickmans, K.; Moens, M.; Goudman, L.; Putman, K.; Huysmans, E.
- Abstract
Introduction: The benefits of perioperative pain neuroscience education (PPNE) for people undergoing surgery for lumbar radiculopathy have recently been established. 1,2 However so far, not much is known about which factors influence PPNE's treatment success. Therefore, this study aims to assess the potential influence of preoperative pain intensity, pain cognitions and sensory function on the PPNE treatment effect for postoperative quality of life 1 year following surgery for lumbar radiculopathy. Methods: This study is a secondary analysis of a randomized controlled trial in which 120 patients were randomized to receive either PPNE or perioperative biomedical education (PBE).3 Quality of life was assessed using the Short Form 36-item Health Survey (SF-36) at baseline (1 week pre-surgery), and 6 weeks, 6 months and 1 year post-surgery. Linear mixed models will be built for the SF-36 Physical component, SF-36 Mental component, and SF-6D utility scores using the following independent variables: treatment (PPNE versus PBE), time, and baseline scores for back pain intensity, leg pain intensity, pain catastrophizing, kinesiophobia, hypervigilance, and measures of quantitative sensory testing (i.e., electrical pain threshold, temporal summation, and conditioned pain modulation). Results: It is hypothesized that patients who report unfavorable scores for these preoperative factors will show a larger treatment effect of PPNE on postoperative quality of life. Discussion: Findings will provide novel insight into the potential moderating effect of preoperative factors on treatment outcome following PPNE in people undergoing surgery for lumbar radiculopathy. Process evaluation: Analysis for this study is underway and results are expected in Spring 2022.
- Subjects
NETHERLANDS; LUMBAR vertebrae surgery; SENSES; PERIOPERATIVE care; NEUROSCIENCES; PAIN; PREOPERATIVE period; COGNITION; CONFERENCES &; conventions; RADICULOPATHY; QUALITY of life
- Publication
Pain Practice, 2022, Vol 22, p17
- ISSN
1530-7085
- Publication type
Article
- DOI
10.1111/papr.13128