The Effect of Pain Neuroscience Education on Pain and Disability Following Arthroscopic Rotator Cuff Repair: A Narrative Review

Abstract

Post-arthroscopic rotator cuff repair pain is common and can be influenced by psychological factors such as pain catastrophizing, anxiety, depression, and kinesiophobia. Pain Neuroscience Education is a treatment strategy that helps patients understand the factors influencing pain beliefs and behaviors, aiming to change maladaptive thoughts, such as pain catastrophizing, and improve their understanding of chronic pain. The purpose of this review was to examine studies that have applied Pain Neuroscience Education after arthroscopic rotator cuff repair and to determine and summarize the effectiveness of this training in improving pain and disability. A literature search was conducted in PubMed, PEDro, Scopus, and Google Scholar databases to identify clinical studies on arthroscopic rotator cuff repair. Eligible clinical studies investigating the effects of Pain Neuroscience Education on pain and disability after arthroscopic rotator cuff repair were identified from the above databases and a narrative review was performed. According to the findings of the studies, Pain Neuroscience Education has been shown to provide similar improvements in pain and disability compared to biomedical education or standard rehabilitation. However, one study reported a significant improvement of Pain Neuroscience Education pain in movement compared to biomedical education. It appears that the results of Pain Neuroscience Education regarding pain do not show significant advantages over biomedical education or standard rehabilitation, the outcomes related to disability are more promising. Confirming the results requires further studies with larger sample sizes. Additionally, future research should establish the optimal dosage, content, and duration of Pain Neuroscience Education.

Keywords

• Arthroscopic rotator cuff repair
• Neuroscience education
• Pain
• Shoulder surgery

Artroskopik Rotator Cuff Tamirinden Sonra Ağrı Nörobilim Eğitimi’nin Ağrı ve Dizabilite Üzerine Etkisi: Geleneksel Derleme

Abstract

Artroskopik rotator cuff tamiri sonrası ağrı, hastalar için yaygın bir endişe kaynağıdır. Ağrının yanı sıra, ağrıyı felaketleştirme, anksiyete, depresyon ve kinezyofobi gibi faktörler hastalarda duygusal ve bilişsel değişikliklere sebep olabilir. Ağrı Nörobilim Eğitimi, hastalara ağrı deneyimini etkileyen inanç ve davranışlarla ilişkili temel faktörleri öğretmeye odaklanan bir tedavi stratejisidir. Hastayı kronik ağrıyı anlamaya teşvik eder ve ağrıyı felaketleştirme gibi uyumsuz düşünce ve inançları değiştirmeyi amaçlar. Bu derlemenin amacı, artroskopik rotator cuff tamirinden sonra hastalara Ağrı Nörobilim Eğitimi uygulayan çalışmaları incelemek ve bu eğitimin hastaların ağrı ve dizabilitesini iyileştirmedeki etkinliğini belirlemek ve özetlemektir. Artroskopik rotator cuff tamiri ile ilgili klinik çalışmaları belirlemek için PubMed, PEDro, Scopus ve Google Scholar veri tabanlarında bir literatür taraması yapıldı. Yukarıdaki veritabanlarından Ağrı Nörobilim Eğitimi'nin artroskopik rotator cuff tamiri sonrası ağrı ve dizabilite üzerindeki etkilerini araştıran uygun klinik çalışmalar belirlenmiştir ve bir derleme yapılmıştır. Çalışmaların sonuçlarına göre, PNE'nin ağrı ve sakatlık açısından biyomedikal eğitim veya standart rehabilitasyon programları ile benzer iyileşme sağladığı görülmektedir. Bir çalışmada aktivite sırasında ağrıyı iyileştirmede biyomedikal eğitime göre anlamlı fark bulunmuştur. Ağrı Nörobilim Eğitimi'nin ağrı ile ilgili sonuçlarının biyomedikal eğitim veya standart rehabilitasyon programlarına göre önemli avantajlar göstermediği, dizabilite ile ilgili sonuçların daha ümit verici olduğu görülmektedir. Sonuçları doğrulamak için daha büyük örneklem boyutlarına sahip daha fazla çalışmaya ihtiyaç vardır. Ayrıca gelecekteki araştırmalar, Ağrı Nörobilim Eğitimi’nin optimal dozajını, içeriğini ve süresini belirlemelidir.

Keywords

• Artroskopik rotator manşet tamiri
• Nörobilim eğitimi
• Ağrı
• Omuz cerrahisi

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