Laboratory of Clinical Biomechanics, Department of Physical Therapy, Faculty of Medicine, University of Chile, Santiago, Chile; Service of Physical Therapy, Hospital Clínico La Florida, Santiago, Chile.
Laboratory of Clinical Biomechanics, Department of Physical Therapy, Faculty of Medicine, University of Chile, Santiago, Chile.
Med Hypotheses. 2019 May;126:46-50. doi: 10.1016/j.mehy.2019.03.013. Epub 2019 Mar 22.
Patients undergoing carpal tunnel release surgery may continue to experience pain despite the intervention. This symptom may be modulated by psychosocial factors including depression, catastrophic thinking, and kinesiophobia. Pain neuroscience education (PNE) has been found to be effective when combined with therapeutic exercise in patients with chronic pain, but this strategy has not been evaluated in patients with persistent hand pain. The findings of this study indicate that a single preoperative PNE session in combination with therapeutic exercise does not provide added benefits in comparison to standard preoperative care plus therapeutic exercise. Future studies should evaluate if patients with carpal tunnel release are additionally benefited by the incorporation and consequent behavioural changes of more PNE sessions to multimodal treatment.
接受腕管松解手术的患者，尽管接受了干预，仍可能继续感到疼痛。这种症状可能受到心理社会因素的调节，包括抑郁、灾难性思维和运动恐惧症。在慢性疼痛患者中，将疼痛神经科学教育（PNE）与治疗性运动相结合已被证明是有效的，但这种策略尚未在持续手部疼痛的患者中进行评估。本研究的结果表明，与标准术前护理加治疗性运动相比，单次术前 PNE 联合治疗性运动并没有带来额外的益处。未来的研究应该评估腕管松解术患者是否通过纳入更多的 PNE 课程和随之而来的行为改变来接受多模式治疗而得到额外的益处。
