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首页> 外文期刊>Physiotherapy theory and practice >Does kinesiophobia affect the early functional outcomes following total knee arthroplasty?
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Does kinesiophobia affect the early functional outcomes following total knee arthroplasty?

机译：运动恐惧症是否影响全膝关节置换术后的早期功能性结果？

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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.
机译：本研究的目的是探讨动力学恐惧症对膝关节间关节术（TKA）后早期功能性结果的影响，以及如何与功能性结果和疼痛有关。用于运动学（TSK），2分钟步行（2-MWT）的坦帕规模，以及定时和去试验（TUG）用于评估排放日的46名TKA患者。记录疼痛水平和主动膝关节屈曲范围（ROM）。基于TSK水平，患者分为两组，作为高动虫恐惧症（I，N = 22）和低动力学恐惧症（II族，N = 24）。拖轮结果在组之间相似（P = 0.826）。结果（P <0.001），疼痛水平（P = 0.003），膝关屈曲ROM（p = 0.025）在II组中均更好，当II组相比，在I组中，与I族相比，与2-MWT结果明显相关（r = -0.40; p = 0.003），疼痛水平（r = 0.80; p <0.001），膝关节屈曲rom（r = -0.47; p = 0.001）。回归分析表明，41％的2-MWT评分，47％的膝关节屈曲ROM，60％的疼痛程度变化可以通过运动学恐惧症进行解释。结果表明，TKA后的早期结果受到对运动痛苦的影响。临床医生需要考虑在设计，实施和监测日常治疗运动方案时恐惧运动和功能结果之间的相互关系。

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