Knee Osteoarthritis and Kinesiophobia

Kinesiophobia in Patients With Total Knee Arthroplasty

Kinesiophobia after total knee arthroplasty is an important parameter affecting recovery. However, the relationship between kinesiophobia and the factors it may cause is not clear. Therefore, this study aimed to examine the relationship between kinesiophobia, pain, fear of falling, mobility and proprioception in the early period after total knee arthroplasty.

Study Overview

• Status: Completed
• Conditions: Knee Osteoarthritis; Kinesiophobia

Detailed Description

Various biopsychosocial factors affect the recovery process and quality of life after total knee arthroplasty. This situation reaches a level that can affect the daily life activities of patients, especially in the long term. Especially kinesiophobia is one of these factors. This condition also affects the proprioceptive sense in the knee, the capacity to move and the fear of falling. However, studies have generally examined long-term effects after total knee arthroplasty. Early studies are limited in number. More studies are needed to better understand the relationship between kinesiophobia and biopsychosocial factors. Additionally, the lack of relationship between the patients' kinesiophobia level, fear of falling, and proprioception in the early period after TKA draws attention. Therefore, this study aimed to examine the relationship between kinesiophobia, pain, fear of falling, mobility and proprioception in the early period after TKA.

• Study Type: Observational
• Enrollment (Actual): 81

Contacts and Locations

Study Locations

• Turkey
  • Ankara, Turkey
    • Ankara Pursaklar Public Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: N/A

• Sampling Method: Probability Sample

Study Population

Individuals who have undergone total knee arthroplasty surgery will be included in the study. Patients will be divided into two groups, high and low kinesiophobia levels, according to the Tampa Kinesiophobia Scale.

Description

Inclusion Criteria:

• Being between the ages of 18-80
• Total knee arthroplasty surgery due to knee osteoarthritis
• Volunteering to participate in the study

Exclusion Criteria:

• Previously had knee surgery or fracture
• Diagnosed with rheumatoid arthritis
• Those with severe obesity (BMI > 40 kg/m2)
• Those with sensory and motor impairments
• Revision knee arthroplasty planned
• Venous thromboembolism
• Neurological diseases (MS, Parkinson, etc.)
• Early post-surgical complications

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort
Higher Kinesiophobia; It is a group with a high level of kinesiophobia according to the "Tampa kinesiophobia scale".
Lower Kinesiophobia; It is a group with a low level of kinesiophobia according to the "Tampa kinesiophobia scale".

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Kinesiophobia	Tampa Kinesiophobia Scale will be used to measure the level of fear of movement and re-injury. In this scale, a score ranges from 17 to 68, and an increase in the score means an increase in kinesiophobia. A score of 39.5 and above indicates the presence of high kinesiophobia.	Baseline
Severity of pain	Visual analog scale (VAS) will be used to evaluate individuals' level of knee pain. A value of 0 indicates no pain, a value of 10 indicates very high pain.	Baseline
Functional mobility	'Timed Up and Go Test' will be used to evaluate the mobility and functions of the patients.	Baseline
Proprioception	Patients' knee joint proprioception sense will be measured with the 'Knee Joint Position Sense Test'. The angle of deviation from the target angle will be determined.	Baseline
Fear of falling	While performing daily living activities, self-confidence and fear of falling will be evaluated with The Falls Efficacy Scale-International. A score between 16-65 is taken and as the total score increases, the probability of falling increases.	Baseline

Collaborators and Investigators

• Sponsor: Karabuk University

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2024
• Primary Completion (Actual): June 30, 2024
• Study Completion (Actual): November 13, 2024

Study Registration Dates

• First Submitted: March 22, 2024
• First Submitted That Met QC Criteria: March 22, 2024
• First Posted (Actual): March 28, 2024

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: December 13, 2024
• Last Verified: December 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Musculoskeletal Diseases; Mental Disorders; Arthritis; Joint Diseases; Rheumatic Diseases; Phobic Disorders; Anxiety Disorders; Kinesiophobia; Osteoarthritis; Osteoarthritis, Knee
• Other Study ID Numbers: Karabuk-006

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No