Effect of cognitive behavioral therapy on pain, knee function, and psychological status in patients after primary total knee arthroplasty: a systematic review and meta-analysis.

研究概要

Seven randomized controlled trials including 608 patients with primary TKA were included in this systematic review and meta-analysis comparing CBT vs. usual care. Pooled outcomes of interest included postoperative pain, knee function, kinesiophobia, pain catastrophizing, and psychological status. The pooled results indicated that CBT significantly reduced kinesiophobia in the early postoperative phase but did not show a statistically significant effect on postoperative pain or knee function. The main findings suggest that while CBT can be effective in reducing fear of movement post-TKA, it may not improve pain or functional outcomes compared to usual care.