| Titre : | Effectiveness of adding pain neuroscience education to telerehabilitation in patients with carpal tunnel syndrome: A randomized controlled trial (2023) |
| Auteurs : | Rodrigo Núñez-Cortés ; Carlos Cruz-Montecinos ; Serghio Torreblanca-Vargas ; Claudio Tapia ; Miguel Gutiérrez-Jiménez ; Pablo Torres-Gangas ; Joaquin Calatayud ; Sofia Pérez-Alenda |
| Type de document : | Article |
| Dans : | Musculoskeletal Science and Practice (Vol. 67, October 2023) |
| Article en page(s) : | 102835 |
| Langues: | Anglais |
| Mots-clés: | Nerve compression syndromes ; Telemedicine ; Health education ; Exercise therapy ; Preoperative period |
| Résumé : | Background Previous studies have shown positive results of pain neuroscience education (PNE) combined with exercise in patients with chronic musculoskeletal disorders. However, the effects of this intervention in patients with carpal tunnel syndrome (CTS) admitted to a telerehabilitation program remain unexplored. Objective To compare the effectiveness of a 6-week telerehabilitation program based on PNE + exercise versus exercise alone on patient-reported outcomes after treatment and at 6-weeks post-treatment follow-up in patients with CTS awaiting surgery. Design Randomized controlled trial. Methods Thirty participants were randomly assigned to the PNE + exercise or exercise-only group. Outcome measures included pain intensity, pain catastrophizing, kinesiophobia, symptom severity, function, symptoms of anxiety and depression, quality of life, self-perception of improvement. Inferential analyses of the data were performed using a two-factor mixed analysis of variance. Results Twenty-five participants completed the study. A significant time * group interaction with a large effect size was observed for kinesiophobia (F = 6.67, p = 0.005, ?p2 = 0.225) and symptom severity (F = 4.82, p = 0.013, ?p2 = 0.173). No significant interaction was observed for the other variables (p > 0.05). A significant difference in self-perceived improvement was observed in favor of the PNE + exercise group after treatment (p |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2468781223001200 |
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