High Levels of Kinesiophobia at Discharge from the Hospital May Negatively Affect the Short-Term Functional Outcome of Patients Who Have Undergone Knee Replacement Surgery

Abstract

Background: Kinesiophobia is a psycho-cognitive factor that hampers recovery after orthopedic surgery. No evidence exists on the influence of kinesiophobia on the short-term recovery of function in patients with knee replacement (KR). Therefore, the aim of the present study is to investigate the impact of kinesiophobia on short-term patient-reported outcomes (PROMs) and performance-based measures (PBMs). Methods: Forty-three KR patients filled in the Tampa scale for kinesiophobia (TSK) at time of discharge. Patients with TSK ≥ 37 were allocated to the kinesiophobia group (n = 24), others to the no-kinesiophobia group (n = 19). Patients were asked to complete PROMs and to execute PBMs at discharge and at 6-weeks follow-up. An independent samples t-test was used to compare group differences for PROMs and PBMs at both measurement sessions. Multiple linear regression analysis models were used to model PBM outcomes from age, pain and TSK scores. Results: Significant differences were observed between groups for PROMs and PBMs. Kinesiophobia significantly contributed to the reduced functional outcomes. Conclusion: At discharge from the hospital, 55.8% of KR patients demonstrated high levels of kinesiophobia (TSK ≥ 37). This may negatively influence short-term recovery of these patients, by putting them at higher risk for falling and reduced functionality.

Kinesiophobia Levels in Patients with Parkinson’s Disease: A Case-Control Investigation

“…In patients with fibromyalgia, 75.1% reported “maximum” kinesiophobia [ 8 ]. Moreover, 55.8% of patients undergoing knee replacement surgery presented high values of kinesiophobia [ 10 ]. Further, patients with a high degree of hallux valgus (HV) deformity showed increased levels of kinesiophobia.…”

“…Various authors have reported a relationship between kinesiophobia and general psychological problems as a common feature in subjects with hallux valgus deformities [ 9 ], cardiovascular pathology [ 3 ], fibromyalgia syndrome [ 8 ], lupus erythematosus [ 7 ], knee replacement [ 10 ], a reconstructed anterior cruciate ligament [ 6 ], chronic fatigue syndrome [ 11 ], as well as chronic back and musculoskeletal pain [ 12 , 13 , 14 ].…”

Kinesiophobia and its correlations with pain, proprioception, and functional performance among individuals with chronic neck pain

“…Previous studies have shown that CNP individuals may be difficult or incapable of performing functional tasks [ 15 , 16 ]. Also, kinesiophobia can further hinder their overall functional performance, which can affect their quality of life [ 17 , 18 ]. Due to the avoidance of physical exercise, kinesiophobia may contribute to a deterioration of functional ability, leading to decreased mobility and chronic pain [ 18 ].…”

“…Also, kinesiophobia can further hinder their overall functional performance, which can affect their quality of life [ 17 , 18 ]. Due to the avoidance of physical exercise, kinesiophobia may contribute to a deterioration of functional ability, leading to decreased mobility and chronic pain [ 18 ]. However, there is no conclusive evidence, how kinesiophobia impacts functional performance among individuals with CNP.…”

Efficacy of Non-Invasive Radiofrequency-Based Diathermy in the Postoperative Phase of Knee Arthroplasty: A Double-Blind Randomized Clinical Trial

“…In its final stage, knee arthroplasty is usually needed to restore function and reduce pain [ 2 ]. However, over 20% of the patients who undergo this intervention report dissatisfaction with surgery results after three years [ 3 ], related to high pain scores and low functional scores [ 4 ], which usually produce kinesiophobia and avoidance behaviors [ 5 ]. Patients who undergo total knee replacement (TKR) usually report pain as the biggest barrier to recovering their usual activity [ 4 ].…”