Version 1
: Received: 15 November 2023 / Approved: 16 November 2023 / Online: 16 November 2023 (11:39:28 CET)
Version 2
: Received: 13 February 2024 / Approved: 15 February 2024 / Online: 15 February 2024 (12:19:17 CET)
How to cite:
Aleksić, M.; Selaković, I.; Tomanović Vujadinović, S.; Kadija, M.; Milovanović, D.; Meissner, W.; Zaslansky, R.; Dubljanin Raspopović, E. Understanding Kinesiophobia: Predictors and Influence on Early Functional Outcomes in Patients with Total Knee Arthroplasty. Preprints2023, 2023111086. https://doi.org/10.20944/preprints202311.1086.v2
Aleksić, M.; Selaković, I.; Tomanović Vujadinović, S.; Kadija, M.; Milovanović, D.; Meissner, W.; Zaslansky, R.; Dubljanin Raspopović, E. Understanding Kinesiophobia: Predictors and Influence on Early Functional Outcomes in Patients with Total Knee Arthroplasty. Preprints 2023, 2023111086. https://doi.org/10.20944/preprints202311.1086.v2
Aleksić, M.; Selaković, I.; Tomanović Vujadinović, S.; Kadija, M.; Milovanović, D.; Meissner, W.; Zaslansky, R.; Dubljanin Raspopović, E. Understanding Kinesiophobia: Predictors and Influence on Early Functional Outcomes in Patients with Total Knee Arthroplasty. Preprints2023, 2023111086. https://doi.org/10.20944/preprints202311.1086.v2
APA Style
Aleksić, M., Selaković, I., Tomanović Vujadinović, S., Kadija, M., Milovanović, D., Meissner, W., Zaslansky, R., & Dubljanin Raspopović, E. (2024). Understanding Kinesiophobia: Predictors and Influence on Early Functional Outcomes in Patients with Total Knee Arthroplasty. Preprints. https://doi.org/10.20944/preprints202311.1086.v2
Chicago/Turabian Style
Aleksić, M., Ruth Zaslansky and Emilija Dubljanin Raspopović. 2024 "Understanding Kinesiophobia: Predictors and Influence on Early Functional Outcomes in Patients with Total Knee Arthroplasty" Preprints. https://doi.org/10.20944/preprints202311.1086.v2
Abstract
Kinesiophobia (fear of movement) has been recognized as a significant barrier to recovery and rehabilitation in patients after total knee arthroplasty (TKA). Our goal was to identify predictors of kinesiophobia and examine its correlation with early functional outcomes in TKA recipients. On the first and fifth postoperative days (POD1 and POD5), we evaluated pain using the International Pain Outcomes Questionnaire (IPO-Q) and created multidimensional pain composite scores (PCS). Pain Composite Score-total (PCStotal) assesses the overall impact of pain, taking into account outcomes of pain intensity, pain-related interference with function, and emotions and side effects. Functional status on POD 5 was determined by the Barthel index, 6-minute walking test, and knee range of motion. Kinesiophobia was measured on POD5 using the Tampa Scale for Kinesiophobia (TSK) and multivariable logistic regression was used to assess factors associated with kinesiophobia. Among 75 TKA patients, 27% exhibited kinesiophobia. The final regression model highlighted PCStotal on POD5 (OR=6.2, CI=1.9-19.9), PCStotal (OR=2.1, CI=1.2-3.8) on POD1, and the intensity of chronic pain before surgery (OR=1.4, CI=1.1-2.1) as significant kinesiophobia predictors. On POD5, those with kinesiophobia showed increased dependency, slower gait, and poorer knee extension recovery. This study highlights the importance of identifying and addressing kinesiophobia in TKA patients to optimize functional outcomes and improve recovery. Also, it is important to assess not only pain intensity but also the physical and emotional interference caused by pain, which can contribute to the development of kinesiophobia.
Keywords
Kinesiophobia; TKA; pain; functional recovery
Subject
Medicine and Pharmacology, Orthopedics and Sports Medicine
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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