Effect of perioperative pain neuroscience education in people undergoing surgery for lumbar radiculopathy: a multicentre randomised controlled trial

Huysmans, Eva; Goudman, Lisa; Coppieters, Iris; Bogaert, Wouter Van; Moens, Maarten; Buyl, Ronald; Nijs, Jo; Louw, Adriaan; Logghe, Tine; Putman, Koen; Ickmans, Kelly

doi:10.1016/j.bja.2023.05.007

Cited by 7 publications

(3 citation statements)

References 26 publications

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“…It aims to acculturate patients to the surgical procedure, delineate the natural evolution of peri-operative pain, and illuminate the mechanisms of multi-modal analgesia, thereby ameliorating cognitive maladaptations and psychological stress associated with surgical pain. This tailored educational approach also facilitates the real-time feedback loop for post-operative pain and its management [Aasvang 2008,Murillo 2023,Huysmans 2023]. Offering specialized counsel on surgical procedures and analgesia, PNE enables patients to recontextualize their coping mechanisms and pain perceptions, contrasting sharply with standard biomedical education [Deguchi 2019].…”

Section: Discussionmentioning

confidence: 99%

The effect of peri-operative pain neuroscience education on post-operative pain and recovery in adult patients receiving laparoscopic inguinal hernia repair---A prospective randomized controlled trial

Peng,

Wang,

Zhang

et al. 2024

Preprint

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Background Peri-operative pain neuroscience education(PNE) is emerging as a peri-operative pain-specific cognitive therapy. To optimize the efficacy of analgesia for patients receiving laparoscopic inguinal hernia repair, PNE was incorporated into multi-modal analgesia. Materials and methods A randomized controlled trial was conducted to compare conventionally peri-operative multi-modal analgesia (group CA) and the addition of pain neuroscience education into it (group PNE). Setting: this study was designed and conducted in a tertiary teaching hospital in Southwest China.patients receiving laparoscopic hernia repair. The peri-operative pain trajectory were investigated. Characteristics of peri-operative pain was evaluated with Douleur Neuropathique 4 questionnaire (DN−4), central sensitization inventory (CSI) and pain catastrophizing scale (PCS) post-operatively. Pressure pain threshold was also compared between two groups .Post-operative quality of recovery was measured with EuroQol five dimensions questionnaire (EQ-5D-5L).The incidence of chronic post-operative pain at 3 months after surgery was also recorded. Results A total of 184 patients consented to participate in this study and finished follow-up.Compared with those receiving conventional analgesia (group CA,N = 91), patients in group PNE (N = 93) reported reduced intensity of acute pain from 12 till 72 hours after surgery and less dosages of opioid during hospitalization (p < 0.05). Catastrophizing, sensitization of peri-operative pain were reduced in group PNE (p < 0.05). Quality of recovery was improved till one month after surgery(p < 0.05). Conclusions The addition of pain neuroscience education into peri-operative multi-modal analgesia improved analgesic effect and quality of recovery for patients undergoing laparoscopic inguinal hernia repair. This psychological analgesic regimen also helped reduce sensitization and catastrophizing of acute surgical pain in these patients.

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Section: Discussionmentioning

confidence: 99%

The effect of peri-operative pain neuroscience education on post-operative pain and recovery in adult patients receiving laparoscopic inguinal hernia repair---A prospective randomized controlled trial

Peng,

Wang,

Zhang

et al. 2024

Preprint

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“…11 12 PNE has been shown to be effective in terms of reducing complaints of pain intensity, disability, psychological aspects and movement limitation. [12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27] There are several studies that address PNE. However, when it comes to the surgical context, studies in the area of orthopaedics prevail, whose participants have the characteristic of chronic pain.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

“…PNE has been shown to be effective in terms of reducing complaints of pain intensity, disability, psychological aspects and movement limitation 12–27. There are several studies that address PNE.…”

Section: Introductionmentioning

confidence: 99%

Pain Neuroscience Education in elective surgery patients: study protocol for a randomised controlled trial

de Souza,

Lopes,

Carmo

et al. 2024

BMJ Open

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BackgroundPain Neuroscience Education (PNE) consists of an educational strategy that seeks to understand the biological processes of pain and how to control it. The main objective of this study will be to evaluate the impact of PNE on outcomes related to the postoperative period. The hypothesis is that the intervention may positively influence postoperative recovery, contributing to pain control, clinical indications, acceptance and consumption of analgesics and other pharmacological drugs that contribute to its control, as well as psychological aspects, such as anxiety, depression and pain catastrophising.Methods and analysisThis will be an open, parallel, multicentre and randomised controlled clinical trial. A total of 100 participants aged between 18 and 59 years of age, of both genders, who are going to have elective general surgery will be evaluated. The intervention group will participate in a preoperative pain neuroscience educational session and also receive usual preoperative care, while the control group receives usual preoperative care as well. The educational session will last 30 min and consists of a video (5:20 min), a questionnaire about the content, time for participants to express their beliefs, thoughts and doubts. Participants will be evaluated preoperatively and there will be one postintervention evaluation. The intensity and characteristics of pain and anxiety are evaluated as primary outcomes. As secondary outcomes, pain catastrophising and depression are taken into account.Ethics and disseminationThe project was approved by the Research Ethics Committee of the Faculty of Ceilandia, the Research Ethics Committee of the Institute of Strategic Health Management of the Federal District and the Research Council of the Hospital of Brasília—Rede Dasa (CAAE: 28572420.3.0000.8093). Recruitment began in June of 2023. All participants were included in the study only after their written consent. All data obtained will be analysed and distributed through publication in journals and at scientific events.Trial registration numberBrazilian Registry of Clinical Trials (ReBEC) (RBR-23mr7yy).

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The Mediating Role of Pain Cognitions and Pain Sensitivity in the Treatment Effect of Perioperative Pain Neuroscience Education in People Undergoing Surgery for Lumbar Radiculopathy

Van Bogaert,

Huysmans,

Coppieters

et al. 2024

The Journal of Pain

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Effect of perioperative pain neuroscience education in people undergoing surgery for lumbar radiculopathy: a multicentre randomised controlled trial

Cited by 7 publications

References 26 publications

The effect of peri-operative pain neuroscience education on post-operative pain and recovery in adult patients receiving laparoscopic inguinal hernia repair---A prospective randomized controlled trial

The effect of peri-operative pain neuroscience education on post-operative pain and recovery in adult patients receiving laparoscopic inguinal hernia repair---A prospective randomized controlled trial

Pain Neuroscience Education in elective surgery patients: study protocol for a randomised controlled trial

The Mediating Role of Pain Cognitions and Pain Sensitivity in the Treatment Effect of Perioperative Pain Neuroscience Education in People Undergoing Surgery for Lumbar Radiculopathy

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