5 results on '"De Vrieze, T."'
Search Results
2. Effectiveness of perioperative pain science education on pain, psychological factors and physical functioning: A systematic review.
- Author
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Van der Gucht E, Dams L, Haenen V, Godderis L, Morlion B, Bernar K, Evenepoel M, De Vrieze T, Vandendriessche T, Asnong A, Geraerts I, Devoogdt N, De Groef A, and Meeus M
- Subjects
- Adult, Humans, Preoperative Care, Arthroplasty, Replacement, Knee, Pain, Postoperative
- Abstract
Objective: To synthesize the evidence on the effectiveness of pain science education on pain, psychological factors and physical functioning in adults who underwent surgery., Data Sources: A systematic literature search of English articles using PubMed/Medline, Embase, Web of Science Core Collection, and Cochrane Library., Review Methods: The search strategy was constructed as follows: (((pain) AND (education)) OR (pain education)) AND (surgery). Only controlled quantitative studies in adults reporting outcome(s) on pain, psychological factors and/or physical functioning were included. Risk of bias was assessed using the Cochrane risk of bias tools. P -values and corresponding effect sizes for interaction-effect (time × group) portrayed the difference in change over time between groups were of interest. The last search was conducted on February 28, 2021., Results: Nine papers ( n = 1078) were deemed eligible for this review. Two randomized controlled trials showed significant interaction effects. Breast cancer patients who had received one preoperative pain science education session showed a significant increase in postoperative pain compared to controls ( P -value = 0.0394). Furthermore, p sychological factors (pain catastrophizing and kinesiophobia) decreased in participants who had received pain science education before total knee arthroplasty, while this was not the case in the control group ( P -value < 0.001, ƞ2p:0.11)., Conclusions: Overall, pain science education did not result in any significant postoperative effects on pain, psychological factors and/or physical functioning compared to controls. There is currently no strong evidence for the implementation of pain science education in the perioperative period. Registration number: PROSPERO: ID 161267, registration number CRD42020161267.
- Published
- 2021
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3. What is the best method to determine excessive arm volume in patients with breast cancer-related lymphoedema in clinical practice? Reliability, time efficiency and clinical feasibility of five different methods.
- Author
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De Vrieze T, Gebruers N, Tjalma WA, Nevelsteen I, Thomis S, De Groef A, Dams L, Van der Gucht E, Belgrado JP, Vandermeeren L, and Devoogdt N
- Subjects
- Aged, Belgium, Breast Neoplasms pathology, Breast Neoplasms therapy, Cross-Sectional Studies, Feasibility Studies, Female, Humans, Lymphedema etiology, Middle Aged, Reproducibility of Results, Arm, Breast Neoplasms complications, Lymphedema pathology
- Abstract
Objective: To investigate the reliability, time efficiency and clinical feasibility of five commonly used methods for assessing excessive arm volume in patients with breast cancer-related lymphoedema (BCRL)., Design: Cross-sectional study., Setting: University Hospitals Leuven, Belgium., Subjects: 30 participants with unilateral BCRL., Methods: Excessive arm volume was determined by five different methods: traditional volumetry with overflow, volumetry without overflow, inverse volumetry, optoelectronic volumetry and calculated volume based on circumference measurements. To investigate intra- and inter-rater reliability, measurements were performed twice by the same assessor and once by a different assessor. Intraclass correlation coefficients (ICCs), standard errors of the measurement (SEMs) and systematic changes between the means were calculated. To determine time efficiency, the mean setup time, execution time and total time were examined for each method. Furthermore, 12 limitations regarding clinical feasibility were listed and scored for each method. Finally, an overall ranking score was determined between the methods., Results: Mean age was 65 (±8) years and mean body mass index was 28 (±4) kg/m
2 . Intra- and inter-rater reliability ranged between strong and very strong. Calculated arm volume based on circumferences (mean excessive arm volume: assessor A: 477 (±367) mL; assessor B: 470 (±367) mL; assessor A (second time): 493 (±362) mL) showed the highest intra- and inter-rater ICCs of .987 and .984, respectively. Optoelectronic volumetry was the fastest method, representing a mean total time of 1 minute and 43 (±26) seconds for performing a bilateral measurement. The least limitations were reported on the calculated volume based on the circumference method (3 out of 12 limitations)., Conclusion: Calculated volume based on arm circumferences is the best measurement method for evaluating excessive arm volume over time in terms of reliability, low error rate, low cost, few limitations and the time spent.- Published
- 2019
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4. Effect of myofascial techniques for treatment of persistent arm pain after breast cancer treatment: randomized controlled trial.
- Author
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De Groef A, Van Kampen M, Vervloesem N, Dieltjens E, Christiaens MR, Neven P, Vos L, De Vrieze T, Geraerts I, and Devoogdt N
- Subjects
- Adult, Aged, Belgium, Breast Neoplasms diagnosis, Breast Neoplasms therapy, Chronic Pain rehabilitation, Double-Blind Method, Facial Neuralgia etiology, Facial Neuralgia physiopathology, Female, Follow-Up Studies, Hospitals, University, Humans, Middle Aged, Patient Selection, Severity of Illness Index, Therapy, Soft Tissue methods, Treatment Outcome, Arm physiopathology, Breast Neoplasms complications, Facial Neuralgia rehabilitation, Pain Measurement, Physical Therapy Modalities
- Abstract
Objective: To investigate the effect of myofascial therapy in addition to a standard physical therapy program for treatment of persistent arm pain after finishing breast cancer treatment., Design: Double-blinded (patient and assessor) randomized controlled trial., Setting: University Hospitals Leuven, Belgium., Patients: A total of 50 patients with persistent arm pain and myofascial dysfunctions after breast cancer treatment., Intervention: Over three months, all patients received a standard physical therapy program. The intervention group received in addition 12 sessions of myofascial therapy, and the control group received 12 sessions of placebo therapy., Main Measurements: Main outcome parameters were pain intensity (primary outcome) (maximum visual analogue scale (VAS) (0-100)), prevalence rate of arm pain, pressure hypersensitivity (pressure pain thresholds (kg/cm
2 ) and pain quality (McGill Pain Questionnaire). Measures were taken before and after the intervention and at long term (6 and 12 months follow-up)., Results: Patients in the intervention group had a significantly greater decrease in pain intensity compared to the control group (VAS -44/100 vs. -24/100, P = 0.046) with a mean difference in change after three months between groups of 20/100 (95% confidence interval, 0.4 to 39.7). After the intervention, 44% versus 64% of patients still experienced pain in the intervention and control group, respectively ( P = 0.246). No significant differences were found for the other outcomes., Conclusion: Myofascial therapy is an effective physical therapy modality to decrease pain intensity at the arm in breast cancer survivors at three months, but no other benefits at that time were found. There were no long-term effects at 12 months either.- Published
- 2018
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5. Myofascial techniques have no additional beneficial effects to a standard physical therapy programme for upper limb pain after breast cancer surgery: a randomized controlled trial.
- Author
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De Groef A, Van Kampen M, Vervloesem N, De Geyter S, Christiaens MR, Neven P, Vos L, De Vrieze T, Geraerts I, and Devoogdt N
- Subjects
- Arm physiopathology, Breast Neoplasms physiopathology, Cancer Pain etiology, Cancer Pain physiopathology, Double-Blind Method, Female, Humans, Middle Aged, Breast Neoplasms rehabilitation, Breast Neoplasms surgery, Cancer Pain rehabilitation, Physical Therapy Modalities, Therapy, Soft Tissue methods
- Abstract
Objective: To investigate the effects of myofascial techniques, in addition to a standard physical therapy programme for upper limb pain shortly after breast cancer surgery., Design: Double-blinded (patient and assessor) randomized controlled trial with two groups., Setting: University Hospitals Leuven, Belgium Patients: A total of 147 patients with unilateral axillary clearance for breast cancer., Intervention: All participants received a standard physical therapy programme starting immediately after surgery for four months. The intervention group received additionally eight sessions of myofascial therapy from two up to four months after surgery. The control group received eight sessions of a placebo intervention, including static hand placements at the upper body region., Main Measurements: The primary outcome was prevalence rate of upper limb pain. Additionally, pain intensity (Visual Analogue Scale (VAS, 0-100)), pressure hypersensitivity (pressure pain thresholds (PPTs; kg/cm
2 )) and pain quality (McGill Pain Questionnaire) were evaluated. All measurements were performed at 2 (=baseline), 4, 9 and 12 months post-surgery., Results: At 4, 9 and 12 months post-surgery, prevalence rates of pain, pain intensity and pain quality were comparable between the intervention and control group. PPT of the upper trapezius muscle was significantly higher in the intervention group at four months with a difference of -1.2 (-1.9 to -0.4) kg/cm2 , P = 0.012). PPT of the supraspinatus muscle was significantly higher in the intervention group at four months (-0.7 (-1.4 to -0.1) kg/cm2 , P = 0.021) and at nine months (-0.5 (-1.1 to 0.0), P = 0.040)., Conclusion: Myofascial therapy has no added beneficial effect as standard physical therapy modality in the postoperative stage.- Published
- 2017
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