knee replacement surgery Total Knee arthroplasty
Conditions
Interventions
A pre-operative and a post-operative educational session of respectively 45 and
30 minutes by a physical therapist about the neuroscience of pain, accompanied
by an evidence-based booklet.
Sponsors
Tergooiziekenhuizen
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: * Patients 18 years or older * Symptomatic knee osteoarthritis according to the American College of Rheumatology classification criteria (Wu et al, 2005). Radiographic disease severity will be evaluated for each participant (Kellgren-Lawrence 0-4 grading scale). * Scheduled for an elective unilateral total knee arthroplasty (TKA) no sooner than 2 weeks from the time of recruitment * Be able to understand and speak Dutch language * Patient is willing and able to complete scheduled study procedures and follow-up evaluations. * Provide written informed consent
Exclusion criteria
Exclusion criteria: * Scheduled for revision arthroplasty * Diagnosis of inflammatory arthritis (i.e. rheumatoid arthritis, psoriatic arthritis, systemic lupus erythematosis, ankylosing spondylitis) * Scheduled for TKA because of a fracture, malignancy or an infection * Patient is currently participating in any other surgical intervention studies or pain management studies * Previous total knee arthroplasty or any other lower limb surgery within the past six months * Cognitive impairment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome will be the change in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain scale score 3 months following surgery. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secundary study parameters are the level of pain catastrophizing thoughts, assessed with the Pain Catastrophizing Scale Dutch Version (PCS-DV), preoccupation with pain, assessed with the Pain Vigilance and Attention Questionnaire (PVAQ) and presence and severity of anxiety and depression are determined with the *Hospital Anxiety and Depression Scale*. Disease specific and general health related quality of life is assessed with the RAND-36 and WOMAC, subscale stiffness and physical functioning. Patient parameters are gathered and include demographic information, BMI, duration of kneepain, osteoarthiritis severity graded by Kellgren-Lawrence 0*4 grading scale, the number of visits to healthcare providers, other than the visits related to the TKA and use of analgesic medication. | — |
Countries
Netherlands
Outcome results
None listed