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Does kinesiophobia affect the early functional outcomes following total knee arthroplasty?
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 ti...
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| Published in: | Physiotherapy theory and practice 2017-06, Vol.33 (6), p.448-453 |
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| cites | cdi_FETCH-LOGICAL-c309t-8cd3216b9f805567ef60c9e8e9d214c68a4137641506d6da024866e9d87a8f8e3 |
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| container_title | Physiotherapy theory and practice |
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| creator | Güney-Deniz, Hande Irem Kınıklı, Gizem Çağlar, Ömür Atilla, Bülent Yüksel, İnci |
| description | 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 |
| doi_str_mv | 10.1080/09593985.2017.1318988 |
| format | article |
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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.</description><identifier>ISSN: 0959-3985</identifier><identifier>EISSN: 1532-5040</identifier><identifier>DOI: 10.1080/09593985.2017.1318988</identifier><identifier>PMID: 28481125</identifier><language>eng</language><publisher>England</publisher><subject>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</subject><ispartof>Physiotherapy theory and practice, 2017-06, Vol.33 (6), p.448-453</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c309t-8cd3216b9f805567ef60c9e8e9d214c68a4137641506d6da024866e9d87a8f8e3</citedby><cites>FETCH-LOGICAL-c309t-8cd3216b9f805567ef60c9e8e9d214c68a4137641506d6da024866e9d87a8f8e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28481125$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Güney-Deniz, Hande</creatorcontrib><creatorcontrib>Irem Kınıklı, Gizem</creatorcontrib><creatorcontrib>Çağlar, Ömür</creatorcontrib><creatorcontrib>Atilla, Bülent</creatorcontrib><creatorcontrib>Yüksel, İnci</creatorcontrib><title>Does kinesiophobia affect the early functional outcomes following total knee arthroplasty?</title><title>Physiotherapy theory and practice</title><addtitle>Physiother Theory Pract</addtitle><description>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.</description><subject>Aged</subject><subject>Arthroplasty, Replacement, Knee - adverse effects</subject><subject>Arthroplasty, Replacement, Knee - psychology</subject><subject>Arthroplasty, Replacement, Knee - rehabilitation</subject><subject>Biomechanical Phenomena</subject><subject>Fear</subject><subject>Female</subject><subject>Humans</subject><subject>Knee Joint - physiopathology</subject><subject>Knee Joint - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Osteoarthritis, Knee - diagnosis</subject><subject>Osteoarthritis, Knee - physiopathology</subject><subject>Osteoarthritis, Knee - psychology</subject><subject>Osteoarthritis, Knee - surgery</subject><subject>Pain Measurement</subject><subject>Pain, Postoperative - diagnosis</subject><subject>Pain, Postoperative - etiology</subject><subject>Pain, Postoperative - physiopathology</subject><subject>Pain, Postoperative - psychology</subject><subject>Phobic Disorders - diagnosis</subject><subject>Phobic Disorders - etiology</subject><subject>Phobic Disorders - physiopathology</subject><subject>Phobic Disorders - psychology</subject><subject>Range of Motion, Articular</subject><subject>Recovery of Function</subject><subject>Risk Factors</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Walk Test</subject><issn>0959-3985</issn><issn>1532-5040</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNo9kD1PwzAQQC0EoqXwE0AZWVLOduw4E0J8S5VYYGGxXOdMQ5O4xI5Q_z2J2jLdcO_dSY-QSwpzCgpuoBAFL5SYM6D5nHKqCqWOyJQKzlIBGRyT6cikIzQhZyF8AwBjgp2SCVOZopSJKfl88BiSddViqPxm5ZeVSYxzaGMSV5ig6ept4vrWxsq3pk58H61vBsX5uva_VfuVRB-HxbpFTEwXV53f1CbE7e05OXGmDnixnzPy8fT4fv-SLt6eX-_vFqnlUMRU2ZIzKpeFUyCEzNFJsAUqLEpGMyuVySjPZUYFyFKWBlimpBy2KjfKKeQzcr27u-n8T48h6qYKFuvatOj7oIcyo01BDKjYobbzIXTo9KarGtNtNQU9ZtWHrHrMqvdZB-9q_6JfNlj-W4eO_A_DAXN8</recordid><startdate>20170603</startdate><enddate>20170603</enddate><creator>Güney-Deniz, Hande</creator><creator>Irem Kınıklı, Gizem</creator><creator>Çağlar, Ömür</creator><creator>Atilla, Bülent</creator><creator>Yüksel, İnci</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170603</creationdate><title>Does kinesiophobia affect the early functional outcomes following total knee arthroplasty?</title><author>Güney-Deniz, Hande ; Irem Kınıklı, Gizem ; Çağlar, Ömür ; Atilla, Bülent ; Yüksel, İnci</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c309t-8cd3216b9f805567ef60c9e8e9d214c68a4137641506d6da024866e9d87a8f8e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Arthroplasty, Replacement, Knee - adverse effects</topic><topic>Arthroplasty, Replacement, Knee - psychology</topic><topic>Arthroplasty, Replacement, Knee - rehabilitation</topic><topic>Biomechanical Phenomena</topic><topic>Fear</topic><topic>Female</topic><topic>Humans</topic><topic>Knee Joint - physiopathology</topic><topic>Knee Joint - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Osteoarthritis, Knee - diagnosis</topic><topic>Osteoarthritis, Knee - physiopathology</topic><topic>Osteoarthritis, Knee - psychology</topic><topic>Osteoarthritis, Knee - surgery</topic><topic>Pain Measurement</topic><topic>Pain, Postoperative - diagnosis</topic><topic>Pain, Postoperative - etiology</topic><topic>Pain, Postoperative - physiopathology</topic><topic>Pain, Postoperative - psychology</topic><topic>Phobic Disorders - diagnosis</topic><topic>Phobic Disorders - etiology</topic><topic>Phobic Disorders - physiopathology</topic><topic>Phobic Disorders - psychology</topic><topic>Range of Motion, Articular</topic><topic>Recovery of Function</topic><topic>Risk Factors</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Walk Test</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Güney-Deniz, Hande</creatorcontrib><creatorcontrib>Irem Kınıklı, Gizem</creatorcontrib><creatorcontrib>Çağlar, Ömür</creatorcontrib><creatorcontrib>Atilla, Bülent</creatorcontrib><creatorcontrib>Yüksel, İnci</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Physiotherapy theory and practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Güney-Deniz, Hande</au><au>Irem Kınıklı, Gizem</au><au>Çağlar, Ömür</au><au>Atilla, Bülent</au><au>Yüksel, İnci</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Does kinesiophobia affect the early functional outcomes following total knee arthroplasty?</atitle><jtitle>Physiotherapy theory and practice</jtitle><addtitle>Physiother Theory Pract</addtitle><date>2017-06-03</date><risdate>2017</risdate><volume>33</volume><issue>6</issue><spage>448</spage><epage>453</epage><pages>448-453</pages><issn>0959-3985</issn><eissn>1532-5040</eissn><abstract>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.</abstract><cop>England</cop><pmid>28481125</pmid><doi>10.1080/09593985.2017.1318988</doi><tpages>6</tpages></addata></record> |
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| source | Taylor and Francis:Jisc Collections:Taylor and Francis Read and Publish Agreement 2024-2025:Medical Collection (Reading list) |
| 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 |
| title | Does kinesiophobia affect the early functional outcomes following total knee arthroplasty? |
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