Abstract：
Previous studies have shown positive results of pain neuroscience education (PNE) combined with exercise in patients with chronic musculoskeletal disorders. However, the effects of this intervention in patients with carpal tunnel syndrome (CTS) admitted to a telerehabilitation program remain unexplored.
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.
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.
摘要：
背景：先前的研究表明，在慢性肌肉骨骼疾病患者中，疼痛神经科学教育（PNE）结合运动的积极结果。然而,这项干预措施对接受远程康复治疗计划的腕管综合征(CTS)患者的影响仍未被研究.
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。
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。
