Patient kinesiophobia affects both recovery time and final outcome after total knee arthroplasty

Filardo, Giuseppe; Roffi, Alice; Merli, Giulia; Marcacci, Thomas; Ceroni, F. Berti; Raboni, D.; Bortolotti, Biancamaria; Pasqual, Laura De; Marcacci, Maurilio

doi:10.1007/s00167-015-3898-8

Cited by 52 publications

(39 citation statements)

References 22 publications

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“…This value is in line with the average score of 18.2 (DS 7.7) reported by Stockton and Mersegne [ 26 ] in which the evaluation was carried out on the sixth postoperative day. Kinesiophobia was highlighted as a significant factor in various studies [ 19 – 23 , 30 ], which showed a worse outcome compared to post-operative recovery.…”

Section: Discussionmentioning

confidence: 99%

Is kinesiophobia a predictor of early functional performance after total hip replacement? A prospective prognostic cohort study

Morri

Venturini

Franchini

et al. 2020

BMC Musculoskelet Disord

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Background Considerable attention has been paid to the role of kinesiophobia with respect to knee prosthesis but it has not yet been studied as a prognostic factor of short-term functional performance following total hip replacement. The main purpose of the present study is to examine the possible predictors of early functional performance of patients undergoing total primary hip arthroplasty, including demographics as age, sex and body mass index, preoperative functional ability, type of anaesthesia, level of haemoglobin, pain and level of kinesiophobia before surgery. Secondly, we want to describe the main characteristics of the population with the highest levels of kinesiophobia. Methods A prospective, prognostic cohort study was carried out. Patients undergoing primary hip replacement were recruited consecutively. The main outcome is the early functional performance achieved by patients after surgery and measured using the Iowa Level of Assistance (ILOA) scale on the fifth postoperative day. Preoperative kinesiophobia was measured by the Tampa Scale and the preoperative functional ability by the Western Ontario and McMaster Osteoarthritis Index (WOMAC). The multivariate analysis was performed by the General Linear Model. The analysis of the population with high levels of kinesiophobia was conducted by identifying a cut-off of 40 compared to the Tampa Scale. Results Statistical analysis was performed on 269 patients. The average ILOA score recorded was 19.5 (DS 8.3). The levels of kinesiophobia, showed an average score of 35.1 (7.8) and it was not associated with early functional performance. The independent predictive factors include age, sex and body mass index. Kinesiophobia high levels were recorded in 30% of the population and this population had a higher level of pre-operative WOMAC score. Conclusions Early functional performance after hip replacement surgery was not correlated with the level of kinesiophobia. Three significant factors that describe a population most at risk of not achieving optimal functional performance are increased age, being female and increase in body mass index. In the preoperative phase, high levels of kinesiophobia were associated with more impaired preoperative functional ability. Trial registration Current Controlled Trials NCT02786121, May 2016. Retrospectively registered.

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Section: Discussionmentioning

confidence: 99%

Is kinesiophobia a predictor of early functional performance after total hip replacement? A prospective prognostic cohort study

Morri

Venturini

Franchini

et al. 2020

BMC Musculoskelet Disord

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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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“…Patient psychological traits influence interpretation of pain and adjustment to pain, which may have more effect on patient outcomes and recovery than initially observed. 19,20 According to the fear avoidance model of musculoskeletal pain, when a patient experiences recurrent pain, they may have an exaggerated or inappropriate response to that pain, known as pain catastrophizing, which may lead to an excessive fear of physical movement arising from the belief of susceptibility to injury, known as kinesiophobia. 21 This can often lead to avoidance of physical activity, which negatively affects patient performance in postoperative therapy and recovery.…”

mentioning

confidence: 99%

“…23 Greater levels of pain catastrophizing have been shown to negatively influence the outcome of total knee arthroplasty (TKA) 24,25 and spine surgery for lumbar stenosis. 26 Greater levels of kinesiophobia also have been shown to have a negative effect on the outcome of TKA 19,24,27 as well as spine surgery for degenerative diseases of the cervical and lumbar spine. 28 It has been shown that kinesiophobia also impacts anterior cruciate ligament reconstruction, with greater postoperative TSK and TSK-11 scores correlated with worse self-reported outcomes and return to activities following surgery.…”

mentioning

confidence: 99%

What is the Role of Kinesiophobia and Pain Catastrophizing in Outcomes After Hip Arthroscopy for Femoroacetabular Impingement Syndrome?

Clapp

Nwachukwu

Beck

et al. 2020

Arthroscopy, Sports Medicine, and Rehabilitation

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Purpose: To (1) investigate trends in kinesiophobia and pain catastrophizing after hip arthroscopy for femoroacetabular impingement syndrome (FAIS), and (2) determine whether kinesiophobia and pain catastrophizing scores are associated with achieving minimal clinically important difference (MCID) for any of the hip-specific patient-reported outcome questionnaires. Methods: Patients undergoing primary hip arthroscopy for treatment of FAIS between December 2016 and March 2017 were prospectively enrolled. Patients received the Tampa Scale of Kinesiophoibia-11 (TSK-11) and Pain Catastrophizing Scale (PCS) questionnaires preoperatively, 6 months, and 1 year postoperatively. They also received the hip-specific patient-reported outcome questionnaires (Hip Outcome Score Activities of Daily Living and Sport-Specific subscales, modified Harris Hip Score, and International Hip Outcome Tool-12), as well as visual analog scale for satisfaction and pain preoperatively and 1-year postoperatively. The threshold for achieving MCID was determined for each hip outcome tool, and patients achieving MCID were compared with those who did not. Results: A total of 85 (80.2%) patients (mean age: 33.7 AE 12.4 years; female: 75.3%) were included in the final analysis. At 1-year follow-up, there was a significant reduction in TSK-11 scores (26.22 AE 5.99 to 18.70 AE 6.49; P < .001) and PCS scores (17.81 AE 10.13 to 4.77 AE 7.57; P < .001) when compared with preoperative scores. 1-year PCS scores were significantly lower in patients achieving MCID compared with patients failing to achieve MCID (3.2 AE 4.4 vs 10.8 AE 15.2; P ¼ .006). There were no significant differences in TSK-11 scores between those achieving and not achieving MCID. Conclusions: Patient kinesiophobia and pain catastrophizing both show significant improvements 1 year after undergoing hip arthroscopy for FAIS. However, pain catastrophizing scores at 1 year are significantly greater in patients not achieving MCID, whereas no association was identified between kinesiophobia and likelihood for MCID achievement. This suggests PCS may be a more useful tool than TSK-11 during postoperative rehabilitation for identifying patients at risk for not achieving MCID.

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Patient kinesiophobia affects both recovery time and final outcome after total knee arthroplasty

Abstract: IV.

Cited by 52 publications

References 22 publications

Is kinesiophobia a predictor of early functional performance after total hip replacement? A prospective prognostic cohort study

Is kinesiophobia a predictor of early functional performance after total hip replacement? A prospective prognostic cohort study

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

What is the Role of Kinesiophobia and Pain Catastrophizing in Outcomes After Hip Arthroscopy for Femoroacetabular Impingement Syndrome?

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