Kim Hyunjoong, Lee Seungwon
Department of Physical Therapy, Graduate School of Sahmyook University, 815, Hwarang-ro, Nowon-gu, Seoul 01795, Korea.
Department of Physical Therapy, College of Health and Welfare, Sahmyook University, 815, Hwarang-ro, Nowon-gu, Seoul 01795, Korea.
Brain Sci. 2022 Jun 10;12(6):764. doi: 10.3390/brainsci12060764.
Pain neuroscience education (PNE), a modern educational therapy, has been reported to be effective in pain control by reducing fear of movement. This study investigated the effects of additional PNE on a physical therapy rehabilitation protocol (PTRP) following arthroscopic rotator cuff repair (ARCR). In this single-blind, randomized controlled trial, 34 patients who had undergone ARCR were randomly allocated (1:1) into two groups: PNE (PTRP plus PNE) and PTRP. PTRP was performed five times a week, for four weeks, 115 min per session (physical agents, manual therapy, and exercises), and PNE was performed twice at the beginning (face-to-face PNE) and end (non-face-to-face) of the PTRP. The outcome measures were measured four times for pain intensity, pain cognition, and shoulder function; two times for a range of motion; and once for satisfaction. No significant difference in pain intensity was observed between the groups. However, in pain cognition, the Tampa Scale for Kinesiophobia avoidance showed a significant interaction between time and group, and PNE showed a higher effect size than PTRP in the post-test and follow-up in several variables. In conclusion, the significant improvement in avoidance in postoperative rehabilitation suggests that there is a partially positive benefit in terms of pain, range of motion, and shoulder function in ARCR patients.
疼痛神经科学教育（PNE）是一种现代教育疗法，据报道，它通过减少对运动的恐惧，在疼痛控制方面有效。本研究调查了额外的PNE对关节镜下肩袖修复术（ARCR）后物理治疗康复方案（PTRP）的影响。在这项单盲随机对照试验中，34例接受ARCR的患者被随机（1:1）分为两组：PNE组（PTRP加PNE）和PTRP组。PTRP每周进行5次，共4周，每次115分钟（物理治疗、手法治疗和运动），PNE在PTRP开始时（面对面PNE）和结束时（非面对面）各进行2次。对疼痛强度、疼痛认知和肩部功能进行了4次结果测量；对活动范围进行了2次测量；对满意度进行了1次测量。两组之间在疼痛强度上未观察到显著差异。然而，在疼痛认知方面，坦帕运动恐惧回避量表显示时间和组之间存在显著交互作用，在几个变量的测试后和随访中，PNE组的效应量高于PTRP组。总之，术后康复中回避方面的显著改善表明，对于ARCR患者，在疼痛、活动范围和肩部功能方面有部分积极益处。
