Article

The purpose of this study was to investigate the effects of kinesiophobia on
early functional outcomes in patients following total knee arthroplasty (TKA) and
how kinesiophobia is related to functional outcomes and pain. The Tampa Scale for
Kinesiophobia (TSK), 2-minute walk test (2-MWT), and the timed up and go test
(TUG) were used to assess 46 TKA patients on discharge day. The pain levels and
active knee flexion range of motion (ROM) were recorded. Patients were divided
into two groups as high kinesiophobia (Group I, n = 22) and low kinesiophobia
(Group II, n = 24) based on the TSK levels. The TUG results were similar between
groups (p = 0.826). 2-MWT results (p < 0.001), pain levels (p = 0.003), and knee
flexion ROM (p = 0.025) scores were better in Group II when compared to Group I.
The TSK scores were significantly correlated with 2-MWT results (r = -0.40; p =
0.003), pain levels (r = 0.80; p < 0.001), and knee flexion ROM (r = -0.47; p =
0.001). The regression analysis revealed that 41% of 2-MWT score, 47% of knee
flexion ROM, and 60% of pain level changes could be explained by kinesiophobia
level. The results suggest that early outcomes following TKA were affected by the
pain-related fear of movement. The clinicians need to consider the
interrelationships between fear of movement and functional outcomes when
designing, implementing, and monitoring daily therapeutic exercise programs.

Langue : ANGLAIS