Article

Postoperative rehabilitation for lumbar radiculopathy has shown little effect on
reducing pain and disability. Current preoperative education programs with a
focus on a biomedical approach feature procedural and anatomical information, and
these too have shown little effect on postoperative outcomes. This report
describes the development of an evidence-based educational program and booklet
for patients undergoing lumbar surgery for radiculopathy using a recently
conducted systematic review of neuroscience education for musculoskeletal pain.
The previous systematic review produced evidence for neuroscience education as
well as best-evidence synthesis of the content and delivery methods for
neuroscience education for musculoskeletal pain. These evidence statements were
extracted and developed into patient-centered messages and a booklet, which was
then evaluated by peer and patient review. The neuroscience educational booklet
and preoperative program convey key messages from the previous systematic review
aimed at reducing fear and anxiety before surgery and assist in developing
realistic expectations regarding pain after surgery. Key topics include the
decision to undergo surgery, pain processing, peripheral nerve sensitization,
effect of anxiety and stress on pain, surgery and the nervous system, and
decreasing nerve sensitization. Feedback from the evaluations of the booklet and
preoperative program was favorable from all review groups, suggesting that this
proposed evidence-based neuroscience educational program may be ready for
clinical application.

Langue : ANGLAIS