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Fear of movement and other associated factors in older patients with total knee arthroplasty

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Abstract

Background

Kinesiophobia is an important risk factor for functional activities of patients in the early stage following total knee arthroplasty (TKA).

Aims

This study aimed to investigate the relationship between fear of movement and associated factors in older patients in the late stage after TKA.

Methods

The study included 45 older patients (mean age:70.11 ± 0.90 years) with knee osteoarthritis who underwent TKA. Kinesiophobia was assessed with the Tampa Scale of Kinesiophobia (TSK). Pain and strength in the quadriceps femoris (QF) muscle were assessed by the Visual Analog Scale and hand-held dynamometer, respectively. Functional level was determined using the 30-s sit-to-stand test (STS) and 10-m walking test.

Results

There were correlations between TSK and QF muscle strength (r =  −0.538, p < 0.001), activity pain level (r = 0.489, p = 0.001), and 30-s STS (r =  −0.306, p = 0.041). There were no correlations between TSK and age (r = 0.207, p = 0.172) and 10-m walking test (r = 0.112, p = 0.465).

Conclusions

Increased pain and decreased QF muscle strength and functional level on STS were related with fear of movement in TKA patients. It was concluded that kinesiophobia of older patients with TKA must be considered during the assessment and rehabilitation program in the late stage after TKA.

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Author information

Authors and Affiliations

  1. Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Ege University, Izmir, Turkey

    Serkan Bakırhan & Nuray Elibol

  2. Department of Orthopedic Physiotherapy, Faculty of Physical Therapy and Rehabilitation, Dokuz Eylül University, Izmir, Turkey

    Bayram Unver

  3. Department of Orthopedics, Faculty of Medicine, Dokuz Eylül University, Izmir, Turkey

    Vasfi Karatosun

Authors
  1. Serkan Bakırhan
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  2. Bayram Unver
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  3. Nuray Elibol
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  4. Vasfi Karatosun
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Corresponding author

Correspondence to Nuray Elibol.

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Ethical approval

The study was carried out in accordance with the ethical principles and the Helsinki Declaration. Informed consent of the patients was obtained. This study was approved by the local ethics committee (ethical committee for human research, Dokuz Eylül University hospital protocol number 239/2009).

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Informed consent was obtained from the patients.

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The authors declare no competing interests.

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Bakırhan, S., Unver, B., Elibol, N. et al. Fear of movement and other associated factors in older patients with total knee arthroplasty. Ir J Med Sci 192, 2217–2222 (2023). https://doi.org/10.1007/s11845-022-03214-4

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  • DOI: https://doi.org/10.1007/s11845-022-03214-4

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