De Vroey Henri, Claeys Kurt, Shariatmadar Keivan, Weygers Ive, Vereecke Evie, Van Damme Geert, Hallez Hans, Staes Filip
KU Leuven, Campus Bruges, Department of Rehabilitation Sciences, Spoorwegstraat 12, 8200 Bruges, Belgium.
KU Leuven, Campus Bruges, Department of Mechanical Engineering, Spoorwegstraat 12, 8200 Bruges, Belgium.
J Clin Med. 2020 Mar 9;9(3):738. doi: 10.3390/jcm9030738.
Kinesiophobia is a psycho-cognitive factor that hampers recovery after orthopedic surgery. No evidence exists on the influence of kinesiophobia on the short-term recovery of function in patients with knee replacement (KR). Therefore, the aim of the present study is to investigate the impact of kinesiophobia on short-term patient-reported outcomes (PROMs) and performance-based measures (PBMs).
Forty-three KR patients filled in the Tampa scale for kinesiophobia (TSK) at time of discharge. Patients with TSK ≥ 37 were allocated to the kinesiophobia group ( = 24), others to the no-kinesiophobia group ( = 19). Patients were asked to complete PROMs and to execute PBMs at discharge and at 6-weeks follow-up. An independent samples t-test was used to compare group differences for PROMs and PBMs at both measurement sessions. Multiple linear regression analysis models were used to model PBM outcomes from age, pain and TSK scores.
Significant differences were observed between groups for PROMs and PBMs. Kinesiophobia significantly contributed to the reduced functional outcomes.
At discharge from the hospital, 55.8% of KR patients demonstrated high levels of kinesiophobia (TSK ≥ 37). This may negatively influence short-term recovery of these patients, by putting them at higher risk for falling and reduced functionality.
运动恐惧是一种心理认知因素，会阻碍骨科手术后的康复。目前尚无证据表明运动恐惧对膝关节置换术（KR）患者的短期功能恢复有何影响。因此，本研究的目的是调查运动恐惧对患者报告结局（PROMs）和基于表现的测量指标（PBMs）短期结果的影响。
43例KR患者在出院时填写了坦帕运动恐惧量表（TSK）。TSK≥37分的患者被分配到运动恐惧组（n = 24），其他患者被分配到无运动恐惧组（n = 19）。患者被要求在出院时和随访6周时完成PROMs并执行PBMs。采用独立样本t检验比较两个测量阶段PROMs和PBMs的组间差异。使用多元线性回归分析模型从年龄、疼痛和TSK评分对PBM结果进行建模。
PROMs和PBMs在组间观察到显著差异。运动恐惧显著导致功能结果降低。
出院时，55.8%的KR患者表现出高水平的运动恐惧（TSK≥37）。这可能会对这些患者的短期康复产生负面影响，使他们面临更高的跌倒风险和功能下降风险。
