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Cognitive behavioral therapy reduced kinesiophobia, pain catastrophizing after TKA
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Patients who had a high level of kinesiophobia after total knee arthroplasty experienced a reduction in kinesiophobia, pain catastrophizing and knee pain and had enhanced knee function with participation in a cognitive behavioral therapy program, according to results published in Journal of Arthroplasty.
Researchers randomly assigned 100 patients who exhibited kinesiophobia after TKA to participate in a cognitive behavioral therapy program or standard care program. Researchers assessed patients using the Tampa Scale for Kinesiophobia, the pain catastrophizing scale, a numerical rating scale and the Hospital for Special Surgery knee rating scale before intervention, at 4 weeks after intervention and at 6 months after the end of intervention.
Results showed significant group, time and group-by-time interaction effects on kinesiophobia, pain catastrophizing and knee function among patients who participated in the cognitive behavioral therapy program vs. patients in the standard care group. Researchers noted these effects lasted for at least 6 months after the end of the intervention. Although both groups experienced a reduction in pain after the respective interventions, patients in the cognitive behavioral therapy group had significant time and group effects. – by Casey Tingle
Disclosure s : The authors report no relevant financial disclosures.
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