Prevalence of Kinesiophobia and Its Correlation with Physiotherapy in Post-Operative Total Knee Arthroplasty (TKA) Patients - A Cross Sectional Study

Background: Kinesiophobia is a condition in which a patient has an excessive, irrational and debilitating fear of physical movement and activity resulting from a feeling of vulnerability to painful injury or re-injury. kinesiophobia had been widely assessed in various conditions including Parkinson‟s disease, fibromyalgia, spinal stenosis and low back pain but its prevalence and influence on functional recovery after total knee arthroplasty remains unexplored.

Aim: To find out the prevalence of kinesiophobia and it‟s correlation with physiotherapy in post-operative total knee arthroplasty (TKA) patients.

Methods: In this cross sectional study, 51 total knee arthoplasty patients were evaluated or assessed for kinesiophobia using Tampa scale of kinesiophobia. Also the patients were divided into 2 groups: Group A-total knee arthroplasty patients who received physiotherapy rehabilitation after total knee arthoplasty and group B-total knee arthroplasty patients who did not received physiotherapy rehabilitation after total knee arthroplasty. Both the groups were evaluated and compared for the presence of kinesiophobia.

Results: Z test for equality of two proportion was conducted (p< 0.05). Hence there is a significant difference between two "p" values.

Conclusion: There was presence of kinesiophobia in total knee arhtroplasty patients .There was a significant difference in the level of kinesiophobia between post-operative total knee arthroplasty patients who received physiotherapy and those who did not.

背景：运动恐惧症是一种患者因感到易于遭受或再次遭受痛苦伤害的脆弱感，而对身体运动和活动产生过度、非理性和致残性恐惧的疾病。运动恐惧症已在包括帕金森病、纤维肌痛、椎管狭窄和腰背痛等众多疾病中进行广泛评估，但其患病率和其对全膝关节置换术后功能恢复的影响尚未得到充分研究。
目标：探究运动恐惧症的患病率及其与全膝关节置换术后患者物理治疗的关联。
方法：在本项横断面研究中，对51例全膝关节置换术患者进行了运动恐惧症的评估，使用坦帕运动恐惧症量表进行评估。同时，患者被分为两组：A组为在全膝关节置换术后接受物理治疗康复的全膝关节置换术患者，B组为在全膝关节置换术后未接受物理治疗康复的全膝关节置换术患者。两组均进行了评估和比较，以确定是否存在运动恐惧症。
结果：进行了两样本比例相等性的Z检验（p<0.05）。因此，两组的“p”值之间存在显著差异。
结论：全膝关节置换术患者中存在运动恐惧症。接受物理治疗的术后全膝关节置换术患者与未接受物理治疗的患者在运动恐惧症的程度上存在显著差异。