To compare the effectiveness of a 6-week telerehabilitation program based on PNE + exercise versus exercise alone on patient-reported outcomes after treatment and at 6-weeks post-treatment follow-up in patients with CTS awaiting surgery.
Randomized controlled trial.
Thirty participants were randomly assigned to the PNE + exercise or exercise-only group. Outcome measures included pain intensity, pain catastrophizing, kinesiophobia, symptom severity, function, symptoms of anxiety and depression, quality of life, self-perception of improvement. Inferential analyses of the data were performed using a two-factor mixed analysis of variance.
Twenty-five participants completed the study. A significant time × group interaction with a large effect size was observed for kinesiophobia (F = 6.67, p = 0.005, ηp2 = 0.225) and symptom severity (F = 4.82, p = 0.013, ηp2 = 0.173). No significant interaction was observed for the other variables (p > 0.05). A significant difference in self-perceived improvement was observed in favor of the PNE + exercise group after treatment (p < 0.05). Although there were significant and clinically relevant improvements within the PNE + exercise group in pain intensity and catastrophizing, there were no significant differences between the groups.
The addition of PNE to a telerehabilitation exercise program showed short-term improvements in kinesiophobia and symptom severity and greater self-perceived improvement in patients with CTS awaiting surgery. This study highlighted the benefits of including PNE in telerehabilitation interventions for patients with CTS.
目的:比较基于PNE+运动与单独运动的6周远程康复计划在等待手术的CTS患者治疗后和治疗后6周随访中患者报告结果的有效性。
方法:随机对照试验。
方法:30名参与者被随机分配到PNE+运动组或仅运动组。结果测量包括疼痛强度,痛苦的灾难,运动恐惧症,症状严重程度,函数,焦虑和抑郁症的症状,生活质量,自我感觉的改善。使用双因素混合方差分析对数据进行推断分析。
结果:25名参与者完成了研究。对于运动恐惧症(F=6.67,p=0.005,ηp2=0.225)和症状严重程度(F=4.82,p=0.013,ηp2=0.173),观察到显着的时间×组相互作用和较大的效应大小。其他变量没有观察到显著的交互作用(p>0.05)。治疗后观察到PNE+运动组患者自我感知改善的显著性差异(p<0.05)。尽管PNE+运动组在疼痛强度和灾难方面有显著的临床相关改善,两组间无显著差异.
结论:在远程康复锻炼计划中添加PNE显示,在等待手术的CTS患者中,运动恐惧症和症状严重程度的短期改善以及自我感知的改善。这项研究强调了在CTS患者的远程康复干预中包括PNE的益处。