Preoperative Pain Neuroscience Education Combined With Knee Joint Mobilization for Knee Osteoarthritis: A Randomized Controlled Trial

The Clinical Journal of Pain
Enrique LluchJo Nijs

Abstract

This study aimed to first compare the effects of a preoperative treatment combining pain neuroscience education (PNE) with knee joint mobilization versus biomedical education with knee joint mobilization on central sensitization (CS) in patients with knee osteoarthritis, both before and after surgery. Second, we wanted to compare the effects of both interventions on knee pain, disability, and psychosocial variables. Forty-four patients with knee osteoarthritis were allocated to receive 4 sessions of either PNE combined with knee joint mobilization or biomedical education with knee joint mobilization before surgery. All participants completed self-administered questionnaires and quantitative sensory testing was performed at baseline, after treatment and at a 1 month follow-up (all before surgery), and at 3 months after surgery. Significant and clinically relevant differences before and after surgery were found after treatments for both knee pain and disability, and some measures of CS (ie, widespread hyperalgesia, CS inventory), with no significant between-group differences. Other indicators of CS (ie, conditioned pain modulation, temporal summation) did not change over time following either treatment, and in some occasions the ...Continue Reading

Associated Clinical Trials

May 14, 2018·Marc Terradas Monllor

References

Dec 1, 1957·Annals of the Rheumatic Diseases·J H KELLGREN, J S LAWRENCE
Jun 17, 2006·Manual Therapy·Penny MossAnthony Wright
Aug 8, 2007·The Journal of Pain : Official Journal of the American Pain Society·Roland StaudDonald D Price
Nov 15, 2008·Medicina clínica·Javier García CampayoSergio Moreno
Dec 1, 2009·The Journal of Pain : Official Journal of the American Pain Society·Carol A CourtneyT George Hornby
Dec 17, 2009·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·S CathcartK Lushington
Mar 17, 2010·European Journal of Pain : EJP·David YarnitskyOliver Wilder-Smith
Mar 25, 2010·BMJ : British Medical Journal·David MoherDouglas G Altman
Apr 27, 2010·Pain·Lars Arendt-NielsenThomas Graven-Nielsen
Oct 12, 2010·The Journal of Pain : Official Journal of the American Pain Society·Lydia Gómez-PérezGema T Ruiz-Párraga
Feb 18, 2011·Journal of Rehabilitation Research and Development·Jessica Van OosterwijckLorna Paul
Sep 29, 2011·Pain Practice : the Official Journal of World Institute of Pain·Tom G MayerRobert J Gatchel
Dec 3, 2011·Archives of Physical Medicine and Rehabilitation·Adriaan LouwEmilio J Puentedura
Aug 18, 2012·European Journal of Pain : EJP·R J AndersonM E Robinson
Mar 16, 2013·The Journal of Pain : Official Journal of the American Pain Society·Randy NeblettRobert J Gatchel
Nov 2, 2013·Physical Therapy·Andrew J KittelsonJennifer E Stevens-Lapsley
Jan 28, 2014·Osteoarthritis and Cartilage·T E McAlindonM Underwood
Mar 10, 2015·Osteoarthritis and Cartilage·C FingletonC Doody
Jun 1, 2015·Current Osteoporosis Reports·Lars Arendt-NielsenKristian K Petersen
Jul 17, 2015·Journal of Physical Therapy Science·Ebru Kaya Mutlu, Arzu Razak Ozdincler
Jan 2, 2016·The Journal of Orthopaedic and Sports Physical Therapy·Carol A CourtneySamuel J Chmell
Mar 19, 2016·Pain Practice : the Official Journal of World Institute of Pain·Randy NeblettRobert J Gatchel

❮ Previous
Next ❯

Citations

Jul 30, 2019·Expert Opinion on Pharmacotherapy·Jo NijsEva Huysmans
Oct 28, 2019·Journal of Clinical Medicine·David RicePatrick Finan
Feb 27, 2020·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Alberto Arribas-RomanoMarcos José Navarro-Santana
Dec 19, 2018·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Kazuhiro HayashiMasataka Deie
Jun 20, 2019·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Juan J Amer-CuencaJosué Fernández-Carnero
Apr 30, 2020·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·María Briones-CanteroPatricia Martín-Casas
Jan 12, 2021·The Journal of Manual & Manipulative Therapy·Rilind ShalaEmilio J Puentedura
Mar 26, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Kasper BülowCarsten Bogh Juhl
Feb 5, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Marc Terradas-MonllorMirari Ochandorena-Acha

❮ Previous
Next ❯

Related Concepts

Related Feeds

Anxiety Disorders

Discover the latest research on anxiety disorders including agoraphobia, panic disorder, obsessive-compulsive disorder, and post-traumatic stress disorder here.