Video Experimental Relacionado

Updated: Jan 18, 2026

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP

Published on: January 27, 2010

Rol potencial de la terapia cognitivo-conductual perioperatoria en el dolor y la función articular después de la

Yanan Kong¹, Shuaicheng An², Weixin Zhang³

¹Department of Anesthesia Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong China.

Indian journal of orthopaedics

|January 16, 2026

Abstracto

Background:

Postoperative pain is reported as a major complication of total knee arthroplasty (TKA) and is found in about 20% of the patients. The persistent pain is considered the main reason for dissatisfaction after surgery. We conducted a meta-analysis of randomized controlled trials (RCTs) to assess the efficacy of peri-operative cognitive behavioral therapy (CBT) in postoperative pain relief and restoration of joint function.

Methods:

RCTs (published in English) that compared the outcomes of patients who underwent TKA with or without peri-operative CBT were systematically searched in PubMed, Embase, Cochrane Library, and Web of Science. Main endpoints, namely Oxford Knee Score (OKS), knee joint range of motion (ROM) and EuroQol five dimensions questionnaire (EQ-5D), were pooled and assessed by RevMan.

Results:

Six RCTs mainly focused on TKA were included in the meta-analysis. Compared with the conventional care group, the CBT group had lower OKS at three months (SMD = - 0.47, 95% CI - 1.50, 0.55) and 12 months (SMD = - 0.78, 95% CI - 1.76, 0.21) and improved knee ROM at 12 months (SMD = 4.19, 95% CI - 3.77, 12.15), but not at 7 days (SMD = 0.07, 95% CI - 0.24, 0.38) or 3 months (SMD = 0.24, 95% CI - 0.07, 0.55) after TKA. In addition, the CBT group showed better EQ-5D performance at three months (SMD = - 0.67, 95% CI - 4.97, 1.64) and 12 months (SMD = - 1.38, 95% CI - 3.37, 0.61) after TKA.

Conclusion:

Peri-operative CBT is partially effective for improving pain, functional recovery, psychological conditions and ROM after TKA.

Supplementary Information:

The online version contains supplementary material available at 10.1007/s43465-025-01553-9.

Palabras clave:

Terapia cognitivo-conductual Función articular Dolor Reemplazo total de rodilla

Más Videos Relacionados

Anterior Cruciate Ligament Transection and Synovial Fluid Lavage in a Rodent Model to Study Joint Inflammation and Posttraumatic Osteoarthritis

Anterior Cruciate Ligament Transection and Synovial Fluid Lavage in a Rodent Model to Study Joint Inflammation and Posttraumatic Osteoarthritis

Published on: September 2, 2025

Videos de Conceptos Relacionados

Analgesia and Pain Management

Analgesia and Pain Management

Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...

Peripheral Artery Disease V: Postoperative Nursing Management

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...