Efficacy of Relaxation Intervention on Pain, Self-Efficacy, and Stress-Related Variables in Patients Following Total Knee Replacement Surgery

Lim, Yee Chen; Klainin‐Yobas, Piyanee; Chen, Hui-Chen

doi:10.1016/j.pmn.2014.02.001

Cited by 39 publications

(29 citation statements)

References 19 publications

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“…Details of included studies are presented in Table I and a list of excluded studies with reasons is presented in Table II . A total of three studies were RCTs ( 17 , 18 , 21 ), while two were non-randomized single-arm studies ( 19 , 20 ). All studies were performed at a single centre.…”

Section: Resultsmentioning

confidence: 99%

“…1. Of the relevant studies identified, five studies were finally included in the present review (17)(18)(19)(20)(21) and six studies were excluded (22)(23)(24)(25)(26)(27). Details of included studies are presented in Table I and a list of excluded studies with reasons is presented in Table II.…”

Section: Selection Of Studiesmentioning

confidence: 99%

“…Lim et al (19), in a single-arm study, assessed the efficacy of relaxation therapy in reducing pain in a cohort of patients with total knee replacement surgery. A total of 18 patients were included in their study.…”

Section: Selection Of Studiesmentioning

confidence: 99%

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A systematic review of non‑pharmacological interventions used for pain relief after orthopedic surgical procedures

Fan

Chen

2020

Exp Ther Med

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The purpose of the present review was to evaluate the available evidence on the efficacy of various non-pharmacological interventions to relieve pain after orthopedic surgical procedures. An electronic search of the PubMed, Embase and Cochrane library databases was performed to retrieve studies of all types assessing the role of non-pharmacological interventions for pain relief after orthopedic surgical procedures. The included studies were required to assess pain outcomes using a validated measurement index, such as the Visual Analog Scale. The quality of randomized control trials (RCTs) was assessed using the Cochrane tool, while the ROBINS-I tool was used for non-RCTs. A total of five studies were included, namely three RCTs and two non-RCTs. The included studies used relaxation therapy, guided imagery, music and audiovisual distraction for pain management. There was considerable heterogeneity concerning study participants and types of intervention, which precluded a meta-analysis. Overall, all studies reported a significant beneficial effect of non-pharmacological interventions for pain relief. To conclude, current evidence from a limited number of studies indicates there may be a potential role of non-pharmacological interventions, including relaxation therapy, guided imagery, music and audiovisual distraction, in pain management of patients after orthopedic surgery. Owing to considerable heterogeneity and risk of bias in the included studies, strong conclusions cannot be drawn. Further high-quality RCTs assessing the role of such non-pharmacological techniques of pain management are required to strengthen the current evidence.

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Section: Resultsmentioning

confidence: 99%

Section: Selection Of Studiesmentioning

confidence: 99%

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A systematic review of non‑pharmacological interventions used for pain relief after orthopedic surgical procedures

Fan

Chen

2020

Exp Ther Med

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“…Self‐efficacy has been studied extensively within cardiac rehabilitation, but less so for patients undergoing musculoskeletal rehabilitation. Initial evidence shows that interventions targeting self‐efficacy are successful in individuals with low back (Petrozzi et al, ) and knee (Lim, Yobas, & Chen, ) pain. However, it is not known which scales are being used to evaluate self‐efficacy, what psychometric properties have been established, and if these scales are able to predict rehabilitation exercise adherence.…”

Section: Introductionmentioning

confidence: 99%

Measurements of self‐efficacy in musculoskeletal rehabilitation: A systematic review

Picha

Jochimsen

Heebner

et al. 2018

Musculoskeletal Care

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Objectives Low self‐efficacy is a barrier to rehabilitation adherence. Before an intervention can be implemented to improve self‐efficacy, assessment is required. It is currently unknown if a standard measure of self‐efficacy has been used to assess this in patients with musculoskeletal conditions, specifically for home exercise programmes (HEPs). The aim of the present study was to determine which self‐efficacy scales are being used in conjunction with exercise adherence, identify if any scale has been developed to evaluate self‐efficacy for HEPs and evaluate their psychometric properties. Methods Data sources included CINAHL, MEDLINE, Pubmed, PsycInfo, and Sport Discus. Studies had to include patients suffering from a musculoskeletal injury, pain or disorder; a measure of rehabilitation adherence; and patient's self‐efficacy. The study population, self‐efficacy measurement used, study quality as identified with the Modified Downs and Black checklist, results pertaining to self‐efficacy, and level of evidence were extracted. The Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines were followed and 29 articles were included. Results A total of 14 scales assessing self‐efficacy were identified but no scale to assess self‐efficacy for HEPs was found. Many scales report internal consistency but lack test–retest reliability and validity. Conclusions The scales identified were specific to condition or tasks, and not applicable for all musculoskeletal patient populations. It is important, both for use in the clinic and for research, that outcome measures used are reliable and valid. Unfortunately, no scale was found to assess self‐efficacy for HEPs, which is problematic as self‐efficacy is task specific. As HEPs are essential to rehabilitation, there should be a scale designed specifically to assess self‐efficacy for this task.

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“…TKR is a safe surgical option for OA patients, but only a small proportion of the patient population show complete postoperative improvement in physical function, pain, and quality of life ( 24 , 25 ). Previous studies have suggested that psychological factors contribute to poor outcomes after TKR ( 26 , 27 ). Our study suggested that patients who underwent TKR showed excellent recovery of knee function and improvement in HRQL, but the scores used for evaluating recovery of knee function and HRQL after 6 months were inversely associated with the presence of negative emotions.…”

Section: Discussionmentioning

confidence: 99%

Negative emotions affect postoperative scores for evaluating functional knee recovery and quality of life after total knee replacement

Lin

Zhou

et al. 2016

Braz J Med Biol Res

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This study aimed to determine whether psychological factors affect health-related quality of life (HRQL) and recovery of knee function in total knee replacement (TKR) patients. A total of 119 TKR patients (male: 38; female: 81) completed the Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), State Trait Anxiety Inventory (STAI), Eysenck Personality Questionnaire-revised (EPQR-S), Knee Society Score (KSS), and HRQL (SF-36). At 1 and 6 months after surgery, anxiety, depression, and KSS scores in TKR patients were significantly better compared with those preoperatively (P<0.05). SF-36 scores at the sixth month after surgery were significantly improved compared with preoperative scores (P<0.001). Preoperative Physical Component Summary Scale (PCS) and Mental Component Summary Scale (MCS) scores were negatively associated with extraversion (E score) (B=-0.986 and -0.967, respectively, both P<0.05). Postoperative PCS and State Anxiety Inventory (SAI) scores were negatively associated with neuroticism (N score; B=-0.137 and -0.991, respectively, both P<0.05). Postoperative MCS, SAI, Trait Anxiety Inventory (TAI), and BAI scores were also negatively associated with the N score (B=-0.367, -0.107, -0.281, and -0.851, respectively, all P<0.05). The KSS function score at the sixth month after surgery was negatively associated with TAI and N scores (B=-0.315 and -0.532, respectively, both P<0.05), but positively associated with the E score (B=0.215, P<0.05). The postoperative KSS joint score was positively associated with postoperative PCS (B=0.356, P<0.05). In conclusion, for TKR patients, the scores used for evaluating recovery of knee function and HRQL after 6 months are inversely associated with the presence of negative emotions.

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Efficacy of Relaxation Intervention on Pain, Self-Efficacy, and Stress-Related Variables in Patients Following Total Knee Replacement Surgery

Cited by 39 publications

References 19 publications

A systematic review of non‑pharmacological interventions used for pain relief after orthopedic surgical procedures

A systematic review of non‑pharmacological interventions used for pain relief after orthopedic surgical procedures

Measurements of self‐efficacy in musculoskeletal rehabilitation: A systematic review

Negative emotions affect postoperative scores for evaluating functional knee recovery and quality of life after total knee replacement

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