Perioperative experiences of patients with high pain catastrophizing and knee arthroplasty after receiving or not preoperative physiotherapy: Qualitative study

Background: Among the risk factors studied for persistent pain after total knee arthroplasty (TKA), pain catastrophizing stands out above the others. In this regard, preoperative interventions based on pain neuroscience education or multimodal physiotherapy have been shown to be effective in reducin...

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Detalhes bibliográficos
Autores: Ochandorena Acha, Mirari, Escribà i Salvans, Anna, Hernández Hermoso, José Antonio, Terradas-Monllor, Marc
Formato: artículo
Fecha de publicación:2024
País:España
Recursos:UVic-UCC
Repositorio:RiUVic. Repositori institucional de la UVic-UCC
OAI Identifier:oai:dspace.uvic.cat:10854/8394
Acesso em linha:http://hdl.handle.net/10854/8394
https://doi.org/10.1016/j.msksp.2024.102918
Access Level:acceso abierto
Palavra-chave:Rehabilitació
Dolor crònic
Artroplàstia total de genoll
Fisioteràpia
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spelling Perioperative experiences of patients with high pain catastrophizing and knee arthroplasty after receiving or not preoperative physiotherapy: Qualitative studyOchandorena Acha, MirariEscribà i Salvans, AnnaHernández Hermoso, José AntonioTerradas-Monllor, MarcRehabilitacióDolor crònicArtroplàstia total de genollFisioteràpiaBackground: Among the risk factors studied for persistent pain after total knee arthroplasty (TKA), pain catastrophizing stands out above the others. In this regard, preoperative interventions based on pain neuroscience education or multimodal physiotherapy have been shown to be effective in reducing pain catastrophizing. Objectives: The present qualitative study aims to explore the perioperative experiences of high pain catastrophizing participants undergoing total knee arthroplasty surgery. Comparisons will be made between those who received, and those who did not receive a preoperative physiotherapy intervention. Methods: Based on the purposive sampling approach, participants from a randomized controlled trial were selected. In total, 14 persons participated in face-to-face semi-structured interviews. Results: Following a thematic analysis, the results were divided into two themes: 1) The preoperative experiences of patients with symptomatic knee arthroplasty, covering aspects related to health, functioning, cognition, and behaviour; and 2) The perioperative TKA rehabilitation process, illustrating differing experiences between individuals who received the preoperative physiotherapy interventions and those who did not. Conclusions: While participants who received no preoperative physiotherapy intervention showed limited coping strategies during post-surgery rehabilitation and the same cognitions as before (hypervigilance, rumination, or avoidance of activities), those participants who received the preoperative physiotherapy showed abilities to cope with their pain, felt empowered and were involved in their rehabilitation.ElsevierUniversitat de Vic - Universitat Central de Catalunya. Facultat de Ciències de la Salut i el BenestarUniversitat de Vic - Universitat Central de Catalunya. Grup de Recerca Methodology, methods, models and outcomes of health and social sciences (M3O)Universitat de Vic - Universitat Central de Catalunya. Centre d'Estudis Sanitaris i SocialsInstitut de Recerca i Innovació en Ciències de la Vida i de la Salut a la Catalunya Central (IRIS-CC)Universitat de BarcelonaHospital Germans Trias i PujolHospital Clínic de Barcelona2025202520242024info:eu-repo/semantics/articleinfo:eu-repo/publishedVersionapplication/pdf11 p.application/pdfhttp://hdl.handle.net/10854/8394https://doi.org/10.1016/j.msksp.2024.102918reponame:RiUVic. Repositori institucional de la UVic-UCCinstname:UVic-UCCInglésAquest document està subjecte a aquesta llicència Creative Commonshttps://creativecommons.org/licenses/by-nc-nd/4.0/deed.cainfo:eu-repo/semantics/openAccessoai:dspace.uvic.cat:10854/83942026-06-07T19:15:21Z
dc.title.none.fl_str_mv Perioperative experiences of patients with high pain catastrophizing and knee arthroplasty after receiving or not preoperative physiotherapy: Qualitative study
title Perioperative experiences of patients with high pain catastrophizing and knee arthroplasty after receiving or not preoperative physiotherapy: Qualitative study
spellingShingle Perioperative experiences of patients with high pain catastrophizing and knee arthroplasty after receiving or not preoperative physiotherapy: Qualitative study
Ochandorena Acha, Mirari
Rehabilitació
Dolor crònic
Artroplàstia total de genoll
Fisioteràpia
title_short Perioperative experiences of patients with high pain catastrophizing and knee arthroplasty after receiving or not preoperative physiotherapy: Qualitative study
title_full Perioperative experiences of patients with high pain catastrophizing and knee arthroplasty after receiving or not preoperative physiotherapy: Qualitative study
title_fullStr Perioperative experiences of patients with high pain catastrophizing and knee arthroplasty after receiving or not preoperative physiotherapy: Qualitative study
title_full_unstemmed Perioperative experiences of patients with high pain catastrophizing and knee arthroplasty after receiving or not preoperative physiotherapy: Qualitative study
title_sort Perioperative experiences of patients with high pain catastrophizing and knee arthroplasty after receiving or not preoperative physiotherapy: Qualitative study
dc.creator.none.fl_str_mv Ochandorena Acha, Mirari
Escribà i Salvans, Anna
Hernández Hermoso, José Antonio
Terradas-Monllor, Marc
author Ochandorena Acha, Mirari
author_facet Ochandorena Acha, Mirari
Escribà i Salvans, Anna
Hernández Hermoso, José Antonio
Terradas-Monllor, Marc
author_role author
author2 Escribà i Salvans, Anna
Hernández Hermoso, José Antonio
Terradas-Monllor, Marc
author2_role author
author
author
dc.contributor.none.fl_str_mv Universitat de Vic - Universitat Central de Catalunya. Facultat de Ciències de la Salut i el Benestar
Universitat de Vic - Universitat Central de Catalunya. Grup de Recerca Methodology, methods, models and outcomes of health and social sciences (M3O)
Universitat de Vic - Universitat Central de Catalunya. Centre d'Estudis Sanitaris i Socials
Institut de Recerca i Innovació en Ciències de la Vida i de la Salut a la Catalunya Central (IRIS-CC)
Universitat de Barcelona
Hospital Germans Trias i Pujol
Hospital Clínic de Barcelona
dc.subject.none.fl_str_mv Rehabilitació
Dolor crònic
Artroplàstia total de genoll
Fisioteràpia
topic Rehabilitació
Dolor crònic
Artroplàstia total de genoll
Fisioteràpia
description Background: Among the risk factors studied for persistent pain after total knee arthroplasty (TKA), pain catastrophizing stands out above the others. In this regard, preoperative interventions based on pain neuroscience education or multimodal physiotherapy have been shown to be effective in reducing pain catastrophizing. Objectives: The present qualitative study aims to explore the perioperative experiences of high pain catastrophizing participants undergoing total knee arthroplasty surgery. Comparisons will be made between those who received, and those who did not receive a preoperative physiotherapy intervention. Methods: Based on the purposive sampling approach, participants from a randomized controlled trial were selected. In total, 14 persons participated in face-to-face semi-structured interviews. Results: Following a thematic analysis, the results were divided into two themes: 1) The preoperative experiences of patients with symptomatic knee arthroplasty, covering aspects related to health, functioning, cognition, and behaviour; and 2) The perioperative TKA rehabilitation process, illustrating differing experiences between individuals who received the preoperative physiotherapy interventions and those who did not. Conclusions: While participants who received no preoperative physiotherapy intervention showed limited coping strategies during post-surgery rehabilitation and the same cognitions as before (hypervigilance, rumination, or avoidance of activities), those participants who received the preoperative physiotherapy showed abilities to cope with their pain, felt empowered and were involved in their rehabilitation.
publishDate 2024
dc.date.none.fl_str_mv 2024
2024
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/publishedVersion
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/10854/8394
https://doi.org/10.1016/j.msksp.2024.102918
url http://hdl.handle.net/10854/8394
https://doi.org/10.1016/j.msksp.2024.102918
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv Aquest document està subjecte a aquesta llicència Creative Commons
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ca
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Aquest document està subjecte a aquesta llicència Creative Commons
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ca
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
11 p.
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:RiUVic. Repositori institucional de la UVic-UCC
instname:UVic-UCC
instname_str UVic-UCC
reponame_str RiUVic. Repositori institucional de la UVic-UCC
collection RiUVic. Repositori institucional de la UVic-UCC
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,812429

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