Does kinesiophobia affect the early functional outcomes following total knee arthroplasty?

• Published in: Physiotherapy theory and practice 2017-06, Vol.33 (6), p.448-453
• Main Authors: Güney-Deniz, Hande, Irem Kınıklı, Gizem, Çağlar, Ömür, Atilla, Bülent, Yüksel, İnci
• Format: Article
• Language: English
• Subjects: Aged; Arthroplasty, Replacement, Knee - adverse effects; Arthroplasty, Replacement, Knee - psychology; Arthroplasty, Replacement, Knee - rehabilitation; Biomechanical Phenomena; Fear; Female; Humans; Knee Joint - physiopathology; Knee Joint - surgery; Male; Middle Aged; Osteoarthritis, Knee - diagnosis; Osteoarthritis, Knee - physiopathology; Osteoarthritis, Knee - psychology; Osteoarthritis, Knee - surgery; Pain Measurement; Pain, Postoperative - diagnosis; Pain, Postoperative - etiology; Pain, Postoperative - physiopathology; Pain, Postoperative - psychology; Phobic Disorders - diagnosis; Phobic Disorders - etiology; Phobic Disorders - physiopathology; Phobic Disorders - psychology; Range of Motion, Articular; Recovery of Function; Risk Factors; Time Factors; Treatment Outcome; Walk Test
• ISSN: 0959-3985; 1532-5040
• DOI: 10.1080/09593985.2017.1318988

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