ArticleThe South African journal of physiotherapy2020
Preoperative pain neuroscience education for shoulder surgery: A case series.
Article in The South African journal of physiotherapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.
- [Effects of preoperative neurobiological education on postoperative outcome : A systematic review].Schmerz (Berlin, Germany) · 2022Pooled it
- Characterization of Tiered Psychological Distress Phenotypes in an Orthopaedic Sports Population.International journal of environmental research and public health · 2025Article
- Effectiveness of Adding a Pain Neuroscience Education Program to a Multimodal Physiotherapy Intervention in Patients with Chronic Shoulder Pain: A Randomized Clinical Trial.Brain sciences · 2025Article
- Pain Neuroscience Education for Acute Pain.International journal of sports physical therapy · 2024Article
- Effects of Nurse-Led Preoperative Visit on Postoperative Pain and Recovery among Surgical Patients in Nigeria: A Quasi-experimental Study.Nigerian medical journal : journal of the Nigeria Medical AssociationArticle
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCentral sensitisation, in addition to high levels of fear-avoidance and pain catastrophisation may exist in a subgroup of patients with shoulder pain. Pain neuroscience education (PNE) has been shown to positively influence sensitivity of the nervous system, as well as reduce fear and catastrophisation prior to lumbar and total knee surgery. To date, no study has examined the application of PNE prior to shoulder surgery.
objectivesThis study examined the response to preoperative PNE in patients preparing for shoulder surgery.
methodAn exploratory pre-post case series was conducted. Twelve patients scheduled for surgery completed various pre-education measurements including shoulder pain, fear-avoidance, pain catastrophisation, beliefs and expectations regarding surgery, active shoulder flexion and pressure pain thresholds for the involved and uninvolved shoulder and the dominant-sided knee. Patients underwent a standard 30-min, one-on-one PNE session with a physiotherapist prior to surgery.
resultsFollowing education, all measures improved with some failing to reach significance: self-reported pain (
conclusionA small patient group improved beyond minimal detectable change and/or minimal clinical important difference after education. No significant shifts of the preoperative beliefs occurred after education. CLINICAL IMPLICATIONS: Preoperative PNE may be beneficial to a subgroup of patients scheduled for shoulder surgery.
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Registered trials
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