Study on Combining Pain Neuroscience Education with Rehabilitation for Adults Aged 40 to 75 Undergoing Mini-Open Rotator Cuff Repair Comparing Effects of Education Before or After Surgery

What this Trial Is About

This research aims to find out if adding Pain Neuroscience Education PNE to conventional rehabilitation improves pain control, physical function, and mental health in adults aged 40 to 75 who have medium-sized rotator cuff tears and are undergoing mini-open surgical repair. It also compares the effects of delivering PNE before surgery versus after surgery. Rotator cuff tears commonly cause shoulder pain and disability, and recovery can be slowed by pain and fear of movement. Understanding pain better through education may help improve outcomes. Participants are randomly assigned to one of three groups conventional rehabilitation alone, rehabilitation plus PNE before surgery, or rehabilitation plus PNE after surgery. The PNE sessions educate about how pain works in the nervous system and ways to reduce fear and negative thoughts about pain. Rehabilitation includes exercises, manual therapy, and functional training tailored for rotator cuff repair recovery. The study lasts about 12 weeks with assessments before surgery, right after PNE if given, and at 6 and 12 weeks after surgery. During the study, participants will have their pain levels, shoulder function, and fear of movement measured, along with assessments of depression, sleep quality, pressure pain threshold, and other physical and psychological factors. These evaluations occur at set times before and after surgery to track progress. The study monitors how well participants follow the program and any discomfort during testing or exercises. The goal is to learn if PNE can enhance recovery and when it is best given to support patients after rotator cuff surgery.

Pain Education After Rotator Cuff Surgery