Kinesiophobia and depression affect total knee arthroplasty outcome in a multivariate analysis of psychological and physical factors on 200 patients

Filardo, Giuseppe; Merli, Giulia; Roffi, Alice; Marcacci, Thomas; Ceroni, F. Berti; Raboni, D.; Bortolotti, Biancamaria; Kon, Elizaveta; Marcacci, Maurilio

doi:10.1007/s00167-016-4201-3

Cited by 53 publications

(38 citation statements)

References 38 publications

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“…In these patients, preoperative and postoperative psychological factors significantly influence recovery (Katz, ; Katz & Seltzer, ). Specifically, studies show elevated fear of movement or pain catastrophizing, and low self‐efficacy as factors associated with poor outcomes after spine surgery and total hip and knee replacement including lower physical functioning (Archer, Seebach, Mathis, Riley, & Wegener, ; Archer et al, ; Coronado, George, Devin, Wegener, & Archer, ; Filardo et al, ; Wylde, Dixon, & Blom, ) and higher pain ratings (Archer et al, ; Burns et al, ; Coronado et al, ; Filardo et al, ; Riddle, Wade, Jiranek, & Kong, ; Vissers et al, ).…”

Section: Introductionmentioning

confidence: 99%

Preoperative and postoperative psychologically informed physical therapy: A systematic review of randomized trials among patients with degenerative spine, hip, and knee conditions

Coronado

Patel

McKernan

et al. 2019

J Appl Biobehavioral Res

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Purpose: To summarize evidence on preoperative and postoperative psychologically informed physical therapy (PIPT) for improving outcomes after degenerative spine, hip, or knee surgery. Methods: Four electronic databases were searched.Randomized trials were included if they examined the efficacy of a preoperative or postoperative intervention involving the delivery of psychologically based strategies by a physical therapist for improving function/disability, pain, quality of life, or psychological factors. Outcomes at 12 months or longer were considered long-term.Results: Twelve articles representing 10 unique studies (total N = 1,127 patients, 636 (56.4%) females) in lumbar (n = 7) or cervical spine surgery (n = 1), total knee arthroplasty (n = 1), and total knee/hip arthroplasty (n = 1) were included. The most common PIPT components were coping skills training, psychoeducation, and positive reinforcement. Greater improvements following PIPT were reported in 5 (56%) studies for function/disability, 6 (60%) for pain, 5 (71%) for quality of life, and 7 (70%) for psychological factors. Of these, greater long-term benefit was reported

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Section: Introductionmentioning

confidence: 99%

Preoperative and postoperative psychologically informed physical therapy: A systematic review of randomized trials among patients with degenerative spine, hip, and knee conditions

Coronado

Patel

McKernan

et al. 2019

J Appl Biobehavioral Res

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“…Previous research has also highlighted that 60% of the increase in pain score could be related to the presence of kinesiophobia [21,22]. This was supported by findings from a large cohort study demonstrating that, independent from other psychological factors, kinesiophobia negatively influences the mental state, function and the ability to participate in social activities in patients with TKA [21]. This implies that kinesiophobia affects the biopsychosocial well-being of TKA patients.…”

Section: Introductionmentioning

confidence: 70%

“…For instance, kinesiophobia has already been associated with a reduced knee flexion range of motion among knee replacement patients [8,14]. Previous research has also highlighted that 60% of the increase in pain score could be related to the presence of kinesiophobia [21,22]. This was supported by findings from a large cohort study demonstrating that, independent from other psychological factors, kinesiophobia negatively influences the mental state, function and the ability to participate in social activities in patients with TKA [21].…”

Section: Introductionmentioning

confidence: 90%

High Levels of Kinesiophobia at Discharge from the Hospital May Negatively Affect the Short-Term Functional Outcome of Patients Who Have Undergone Knee Replacement Surgery

Vroey

Claeys

Shariatmadar

et al. 2020

JCM

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Background: Kinesiophobia is a psycho-cognitive factor that hampers recovery after orthopedic surgery. No evidence exists on the influence of kinesiophobia on the short-term recovery of function in patients with knee replacement (KR). Therefore, the aim of the present study is to investigate the impact of kinesiophobia on short-term patient-reported outcomes (PROMs) and performance-based measures (PBMs). Methods: Forty-three KR patients filled in the Tampa scale for kinesiophobia (TSK) at time of discharge. Patients with TSK ≥ 37 were allocated to the kinesiophobia group (n = 24), others to the no-kinesiophobia group (n = 19). Patients were asked to complete PROMs and to execute PBMs at discharge and at 6-weeks follow-up. An independent samples t-test was used to compare group differences for PROMs and PBMs at both measurement sessions. Multiple linear regression analysis models were used to model PBM outcomes from age, pain and TSK scores. Results: Significant differences were observed between groups for PROMs and PBMs. Kinesiophobia significantly contributed to the reduced functional outcomes. Conclusion: At discharge from the hospital, 55.8% of KR patients demonstrated high levels of kinesiophobia (TSK ≥ 37). This may negatively influence short-term recovery of these patients, by putting them at higher risk for falling and reduced functionality.

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“…Furthermore, Roaldsen et al 27 also reported that fear of moving may be used as a marker for the level of physical activity. Another study by Filardo et al 28 on 200 patients with total knee arthroplasty showed that kinesophobia was also significantly associated with depression, particularly when avoiding physical activity.…”

Section: Discussionmentioning

confidence: 98%

Can Fear of Movement, Depression and Functional Performance be a Predictor of Physical Activity Level in Patients With Knee Osteoarthritis?

et al. 2019

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Objectives: This study aims to explore whether fear of movement, depression and functional performance are predictors of physical activity levels in patients with knee osteoarthritis (OA). Patients and methods: A total of 200 patients (80 males, 120 females; mean age 53.23±5.99 years; range, 40 to 65 years) with knee OA participated in this cross-sectional, correlational-design study. Oxford Knee Score (OKS) was used to evaluate physical function and pain through patient perspective. Six-Minute Walk Test (6-MWT) was used to evaluate functional performance. International Physical Activity Questionnaire-Short Form (IPAQ-SF) was used to assess subjective physical activity level. A 17-item of the self-reported Tampa Scale for Kinesiophobia (TSK) questionnaire was used to determine the fear of movement level. Beck Depression Inventory (BDI) was used as a self-reported measure for depression level. Spearman correlation analysis and the linear regression model with R-square (R 2) were used to correlate and explain the total variance. Results: International Physical Activity Questionnaire-Short Form was significantly correlated to OKS (r=-0.550), 6-MWT (r=-0.561), TSK (r=-0.693) and BDI (r=-0.429) in patients with OA (p<0.001). Linear regression analysis revealed that OKS, 6-MWT test, TSK and BDI were independently associated with IPAQ-SF in predicting physical activity level in patients with knee OA (p≤0.001; R 2 =0.621). Conclusion: This study increases the understanding of the predictors of physical activity level related to fear of movement, depression and functional performance in patients with knee OA. Improving physical activity levels in OA population is necessary to implement early treatment strategies before the disease progresses and more costly solutions are needed.

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Kinesiophobia and depression affect total knee arthroplasty outcome in a multivariate analysis of psychological and physical factors on 200 patients

Abstract: IV.

Cited by 53 publications

References 38 publications

Preoperative and postoperative psychologically informed physical therapy: A systematic review of randomized trials among patients with degenerative spine, hip, and knee conditions

Preoperative and postoperative psychologically informed physical therapy: A systematic review of randomized trials among patients with degenerative spine, hip, and knee conditions

High Levels of Kinesiophobia at Discharge from the Hospital May Negatively Affect the Short-Term Functional Outcome of Patients Who Have Undergone Knee Replacement Surgery

Can Fear of Movement, Depression and Functional Performance be a Predictor of Physical Activity Level in Patients With Knee Osteoarthritis?

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