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Title: | Returning to Work After Breast Cancer Surgery: A Randomised Controlled Trial on the Effect of Pain Neuroscience Education | Authors: | De Groef, An van der Gucht, Elien Devoogdt, Nele Smeets, Ann Bernar, Koen Morlion, Bart Godderis, Lode De Vrieze, Tessa FIEUWS, Steffen Meeus , Mira Dams, Lore |
Issue Date: | 2023 | Publisher: | SPRINGER/PLENUM PUBLISHERS | Source: | JOURNAL OF OCCUPATIONAL REHABILITATION, 33 , p. 757-765 | Abstract: | Purpose: The aim of this study was to investigate the effect of pain neuroscience education compared to biomedical pain education after breast cancer surgery on (1) work status, (2) time until work resumption, and (3) change in return-to-work expectations up to 18 months post-surgery. Methods: Participants were randomly assigned to either pain neuroscience education (intervention group) or biomedical pain education (control group) in addition to a standard physical therapy program after surgery for breast cancer. The first four months following surgery, one to two physiotherapy sessions and three educational sessions were scheduled. After, two educational sessions and two physiotherapy sessions were held at six and eight months postoperatively. All outcomes were assessed at four, six, eight, 12 and 18 months postoperatively. Results: At 12 months, in the intervention group, 71% of the women returned to work compared to 53% in the control group (18% points difference, 95%CI:-0.1 to 35;p = 0.07). At 18 months, the differences decreased to 9% points, 95%CI:-26 to 7;p = 0.35). Neither time until work resumption (p = 0.46) nor change in estimation of own ability to return to work up to 18 months postoperatively (p = 0.21) significantly differed between both groups. Conclusion: No significant differences were found regarding return to work outcomes between women receiving pain neuroscience education versus biomedical pain education after breast cancer surgery. Further research is warranted to explore the potential role of pain neuroscience education in return-to-work interventions following breast cancer surgery. | Notes: | De Groef, A (corresponding author), Univ Antwerp, Fac Med & Hlth Sci, Dept Rehabil Sci & Physiotherapy, MOVANT, Antwerp, Belgium.; De Groef, A (corresponding author), KU Leuven Univ Leuven, Dept Rehabil Sci, Leuven, Belgium.; De Groef, A (corresponding author), Pain Mot Int Res Grp, Antwerp, Belgium.; De Groef, A (corresponding author), Katholieke Univ Leuven, Dept Rehabil Sci & Physiotherapy, ON4 Herestr,49 Box 1510, B-3000 Leuven, Belgium. an.degroef@uantwerpen.be |
Keywords: | Rehabilitation;Breast neoplasms;Pain;Return to work | Document URI: | http://hdl.handle.net/1942/40231 | ISSN: | 1053-0487 | e-ISSN: | 1573-3688 | DOI: | 10.1007/s10926-023-10103-9 | ISI #: | 000986377000001 | Rights: | The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023 | Category: | A1 | Type: | Journal Contribution |
Appears in Collections: | Research publications |
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File | Description | Size | Format | |
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s10926-023-10103-9.pdf Restricted Access | Published version | 1.11 MB | Adobe PDF | View/Open Request a copy |
De Groef 2023_EduCan RTW_j occ rehab_accepted.pdf | Peer-reviewed author version | 280.35 kB | Adobe PDF | View/Open |
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