Ignite Creation Date:
2024-05-06 @ 10:12 AM
Last Modification Date:
2024-10-26 @ 12:26 PM
Study NCT ID:
NCT03198247
Status:
WITHDRAWN
Last Update Posted:
2019-01-23
First Post:
2017-06-20
Brief Title:
Physiotherapy and Therapeutic Education After Total Knee Arthroplasty
Sponsor:
Centro Universitario La Salle
Organization:
Centro Universitario La Salle
Study Overview
Official Title:
Physiotherapy and Therapeutic Education in Patients With Pain Catastrophizing After a Total Knee Arthroplasty Randomized Clinical Trial
Status:
WITHDRAWN
Status Verified Date:
2019-01
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
low participation
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The purpose of this study is to test whether adding a treatment using pain neuroscience education PNE and coping skills training CST to usual care in subjects with knee osteoarthritis and pain catastrophizing who are scheduled for a total knee arthroplasty TKA is more effective than only usual care There is a high evidence level of different systematic reviews which support the efficacy of physiotherapy treatments combined with behavioural techniques aimed to reduce pain catastrophism pain and disability in other pathologies The primary aim of that kind of interventions is to help the subjects to reconceptualise its own pain understanding and its role on the recovery process as well as promoting an increase of activity and encourage the subject to resume its usual activity instead of continuing to avoid it
Detailed Description:
The prevalence of TKA has increased dramatically during the last two decades its popularity can be attributed to its evident success regarding pain improvement deformity correction and disability reduction in knee osteoarthritis subjects However only a third of the patients report no functional problems after surgery the 20 of then are unsatisfied with its functional skills and around a 20 are experiencing pain high disability degrees and a significant quality of life reduction This results cannot be fully explained by mechanical processes surgical procedures or surgery variations but it seems to be related to other psychological aspects Chronic pain subjects often develop maladaptative thoughts and behaviours ie pain catastrophism Kinesiophobia activity avoidance which contribute to make the subject suffer physically as well as emotionally and affect on the intensity and persistency of pain
Although many psychosocial factors have been studied pain catastrophism has emerged as one of the most important predictors for persistent pain after a total knee arthroplasty as well as its severity and duration thats why it is getting more importance when it comes to study chronic pain in this subjects Reducing pain catastrophism has become a key factor to determine the success in the rehabilitation of some maladies accompanied by pain considering that its reduction has been associated with the clinical improvement of pain itself It has been observed that treatments using psychological and psychosocial interventions therapeutic education and coping skills training or physical therapy and therapeutic exercise are effective techniques to reduce pain catastrophism Nevertheless its still necessary to determine whether the maladaptative pain related thoughts approach using physical therapy and behavioural techniques are able to reduce the risk of suffering postoperative chronic pain
Although many psychosocial factors have been studied pain catastrophism has emerged as one of the most important predictors for persistent pain after a total knee arthroplasty as well as its severity and duration thats why it is getting more importance when it comes to study chronic pain in this subjects Reducing pain catastrophism has become a key factor to determine the success in the rehabilitation of some maladies accompanied by pain considering that its reduction has been associated with the clinical improvement of pain itself It has been observed that treatments using psychological and psychosocial interventions therapeutic education and coping skills training or physical therapy and therapeutic exercise are effective techniques to reduce pain catastrophism Nevertheless its still necessary to determine whether the maladaptative pain related thoughts approach using physical therapy and behavioural techniques are able to reduce the risk of suffering postoperative chronic pain
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None