Carpal Tunnel Syndrome Clinical Trial
Official title:
Preoperative Pain Neuroscience Education Combined With Therapeutic Exercise Post-surgery in Patients With Carpal Tunnel Syndrome. A Double-blind Randomized Controlled Trial
Study Design: A double-blind randomized controlled study.
Background: Patients operated on for carpal tunnel release surgery may persist with pain
after surgery, which could be modulated by psychosocial factors such as depression,
catastrophic thinking and kinesiophobia.
Objectives: To evaluate the efficacy of a preoperative session in pain neuroscience education
combined with postoperative therapeutic exercise in the perception of pain, functionality and
psychosocial variables in patients following carpal tunnel release.
Methods: Thirty participants were randomly assigned to the pain neuroscience education group
combined with postoperative therapeutic exercise (n = 15) or to the control group with
preoperative usual care combined with postoperative therapeutic exercise (n = 15).
Evaluations included the Visual Analogue Scale (VAS), Disability of Arm, Shoulder, and Hand
Questionnaire (QuickDASH), pain Catastrophizing Scale (PCS), Tampa scale of kinesiophobia
(TSK-11) and Hospital Anxiety and Depression Scale (HADS) . A basal, fourth and twelfth week
measurement was made.
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