Kinesiophobia and Artificial Joint Awareness After Total Knee Arthroplasty
DOI:
https://doi.org/10.61919/jhrr.v3i2.61Keywords:
Total Knee Arthroplasty, Kinesiophobia, Joint Awareness, Artificial Joint, Psychological Impact Post-SurgeryAbstract
Background: Total Knee Arthroplasty (TKA) is a commonly performed surgical procedure designed to alleviate pain and disability from knee arthritis. This study aims to explore the psychological aftermath of TKA, focusing on Kinesiophobia (fear of movement) and joint awareness.
Objective: To investigate the relationship between Kinesiophobia and the awareness of an artificial joint in patients post-TKA.
Methods: This cross-sectional study involved 64 patients aged 45-64 who underwent TKA 6-12 months prior. Exclusion criteria included other lower extremity surgeries, infection, or history of TKR revision or dislocation. The Forgotten Joint Score (FJS) and the Tampa Scale for Kinesiophobia (TSK) were used for evaluation. Data analysis was performed using SPSS.
Results: The study revealed a significant negative correlation between FJS and TSK scores (r = –0.375; p = 0.002), indicating that higher Kinesiophobia levels correlate with increased artificial joint awareness. Additionally, 20.31% of participants had Kinesiophobia and 79.69% had severe Kinesiophobia, with a notable female predominance (84.4%). The mean FJS score was 28.63 (±22.469), and the mean TSK score was 41.10 (±18.68), suggesting a moderate level of Kinesiophobia with wide variability among participants.
Conclusion: The study concludes a significant negative relationship between Kinesiophobia and artificial joint awareness post-TKA, highlighting the psychological impact of TKA on patients. These findings emphasize the need for considering psychological factors in post-operative care and rehabilitation.
Downloads
References
Kornuijt A, Kuijer P, van Drumpt RA, Siebelt M, Lenssen AF, van der Weegen W. A high physical activity level after total knee arthroplasty does not increase the risk of revision surgery during the first twelve years: A systematic review with meta-analysis and GRADE. The Knee. 2022;39:168-84.
Hussain S, Cicuttini F, Alyousef B, Wang Y. Female hormonal factors and osteoarthritis of the knee, hip and hand: a narrative review. Climacteric. 2018;21(2):132-9.
Zhang W-c, Xiao D. Efficacy of proprioceptive training on the recovery of total joint arthroplasty patients: a meta-analysis. Journal of Orthopaedic Surgery and Research. 2020;15(1):1-13.
Atik O, Hangody LR, Turan S. Total versus unicompartmental knee arthroplasty. Joint diseases and related surgery. 2023;34(2):235-6.
Karasavvidis T, Pagan Moldenhauer CA, Haddad FS, Hirschmann MT, Pagnano MW, Vigdorchik JM. Current Concepts in Alignment in Total Knee Arthroplasty. J Arthroplasty. 2023;38(7 Suppl 2):S29-s37.
Harris K, Dawson J, Gibbons E, Lim CR, Beard DJ, Fitzpatrick R, et al. Systematic review of measurement properties of patient-reported outcome measures used in patients undergoing hip and knee arthroplasty. Patient Related Outcome Measures. 2016;7:101.
Filardo G, Merli G, Roffi A, Marcacci T, Berti Ceroni F, Raboni D, et al. Kinesiophobia and depression affect total knee arthroplasty outcome in a multivariate analysis of psychological and physical factors on 200 patients. Knee Surgery, Sports Traumatology, Arthroscopy. 2017;25:3417-23.
Brown OS, Hu L, Demetriou C, Smith T, Hing C. The effects of kinesiophobia on outcome following total knee replacement: a systematic review. Archives of Orthopaedic and Trauma Surgery. 2020;140:2057-70.
ÖZÇADIRCI A, ÖZTÜRK F, ÇAĞLAR Ö, COŞKUN G. Are kinesiophobia and functional performance related to ability to forget the artificial joint in patients with total hip arthroplasty? Clinical and Experimental Health Sciences. 2021;11(2):285-90.
Dupuis F, Cherif A, Batcho C, Massé-Alarie H, Roy J-S. The Tampa Scale of Kinesiophobia: A Systematic Review of Its Psychometric Properties in People With Musculoskeletal Pain. The Clinical Journal of Pain. 2023;39(5):236-47.
Chithartha K, Nair AS, Thilak J. A long-term cross-sectional study with modified forgotten joint score to assess the perception of artificial joint after total knee arthroplasty. SICOT-J. 2021;7.
Huang H, Nagao M, Arita H, Shiozawa J, Nishio H, Kobayashi Y, et al. Reproducibility, responsiveness and validation of the Tampa Scale for Kinesiophobia in patients with ACL injuries. Health and quality of life outcomes. 2019;17(1):1-8.
Adriani M, Malahias M-A, Gu A, Kahlenberg CA, Ast MP, Sculco PK. Determining the validity, reliability, and utility of the forgotten joint score: a systematic review. The Journal of arthroplasty. 2020;35(4):1137-44.
De Vroey H, Claeys K, Shariatmadar K, Weygers I, Vereecke E, Van Damme G, et al. 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. Journal of clinical medicine. 2020;9(3):738.
Uppal H. An Analysis of Patients Undergoing Hip and Knee Arthroplasties in an Accountable Care Organization. 2020.
Palm-Vlasak L. Evaluating Design and Function of Total Knee Arthroplasty: In Vivo and Computational Studies: University of Florida; 2022.
Longo UG, De Salvatore S, Piergentili I, Indiveri A, Di Naro C, Santamaria G, et al. Total hip arthroplasty: minimal clinically important difference and patient acceptable symptom state for the forgotten joint score 12. International Journal of Environmental Research and Public Health. 2021;18(5):2267.
Cai L, Liu Y, Xu H, Xu Q, Wang Y, Lyu P. Incidence and risk factors of kinesiophobia after total knee arthroplasty in Zhengzhou, China: a cross-sectional study. The Journal of arthroplasty. 2018;33(9):2858-62.
Hiyama Y, Wada O, Nakakita S, Mizuno K. Joint awareness after total knee arthroplasty is affected by pain and quadriceps strength. Orthopaedics & Traumatology: Surgery & Research. 2016;102(4):435-9.
Sansone V, Fennema P, Applefield RC, Marchina S, Ronco R, Pascale W, et al. Translation, cross-cultural adaptation, and validation of the Italian language Forgotten Joint Score-12 (FJS-12) as an outcome measure for total knee arthroplasty in an Italian population. BMC musculoskeletal disorders. 2020;21(1):1-9.
Shivanna S, Thiagarajan A. Evaluation of outcomes of total knee replacement using forgotten joint score. International Journal of Orthopaedics. 2020;6(3):647-50.
Johnson BT, Hennessy EA. Systematic reviews and meta-analyses in the health sciences: Best practice methods for research syntheses. Social Science & Medicine. 2019;233:237-51.
Mayukh N, Al-Giffari HA. Survey and Experimentation: Critical Review of Research Design in Social Sciences. Jurnal Syntax Transformation. 2023;4(10):180-91.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Ayesha Siddiqa, Mehwish Khalid, Aniqa Tarar, Khushbu Sohail, Hunaida Iftikhar, Zainab Hassan, Syed Ali Hussain
This work is licensed under a Creative Commons Attribution 4.0 International License.
