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- Title
Effectiveness of pain neuroscience education in patients at risk for unfavorable outcome following surgery for lumbar radiculopathy: A randomized controlled trial protocol.
- Authors
Van Bogaert, W.; Coppieters, I.; Nijs, J.; Putman, K.; Buyl, R.; Huysmans, E.
- Abstract
Introduction: Current perioperative education for patients undergoing lumbar surgery is only limited effective in preventing unfavorable outcome. Perioperative pain neuroscience education (PPNE) is a recently introduced intervention that aims to inform such patients about what to expect from their recovery, to improve maladaptive pain cognitions, and to reconceptualize pain. As such, this study aims to evaluate the effectiveness of PPNE on quality of life at 6 weeks post-surgery in at-risk patients undergoing surgery for lumbar radiculopathy. Methods: Following screening, 108 at-risk patients (i.e., having chronic pain = 6 months, and maladaptive degrees of kinesiophobia and pain catastrophizing) undergoing surgery for lumbar radiculopathy will be randomized into an experimental (PPNE) or control (perioperative biomedical education) group. Intervention includes a pre-and postoperative in-person session with a physiotherapist, and access to an educational web application. The primary outcome measure is quality of life which will be assessed at 1 week pre-surgery, and 6 weeks, 6 months and 1 year post-surgery. Results: The central hypothesis describes that due to the effect of PPNE these patients, despite their risk profile for unfavorable outcome, will have good surgical outcome with improvements in quality of life. Discussion: Findings will provide insight in the effectiveness of PPNE as a preventive measure for unfavorable surgical outcome and will be valuable for all clinicians working with such at-risk patients. Process evaluation: Though recruitment for this study has recently started, the process has been slow. As such, updated recruitment strategies are needed to help overcome current barriers.
- Subjects
NETHERLANDS; PATIENT education; NEUROSCIENCES; SURGERY; CONFERENCES &; conventions; RADICULOPATHY; LUMBAR vertebrae; PAIN management; EDUCATIONAL outcomes
- Publication
Pain Practice, 2022, Vol 22, p25
- ISSN
1530-7085
- Publication type
Article
- DOI
10.1111/papr.13128