Du Xingbin, Shao Yuanwei, Xue Jian, Kong Jianda
College of General Education, Shandong Huayu University of Technology, Zibo, China.
College of Sports Science, Qufu Normal University, Qufu, China.
J Orthop Surg Res. 2025 Apr 1;20(1):332. doi: 10.1186/s13018-025-05752-w.
Knee osteoarthritis is a common degenerative disease in the elderly, and total knee arthroplasty is an effective treatment for end-stage knee joint diseases. However, kinesiophobia after surgery can impede patients' rehabilitation and affect the recovery of knee joint function. There are differences in the research on its related influencing factors.
This meta-analysis examined the prevalence and risk factors of kinesiophobia after TKA.
Pubmed, The Cochrane Library, China National Knowledge Infrastructure (CNKI), Embase, Web of Science on the prevalence and risk factors of kinesiophobia after TKA was searched in science, MEDLINE and other databases. Duplicate literature, low quality literature, literature with inconsistent observation indicators, and literature without full text were excluded. Two independent researchers used Newcastle-Ottawa Scale (NOS) to evaluate the quality of the included literature. After data extraction, Meta-analysis was performed using Stata17.0.
A total of 11 articles involving 4039 cases were included in this meta-analysis to assess the prevalence of kinesiophobia after TKA. The overall prevalence was found to be 35% (95% CI: 27-44%). Subgroup analyses revealed varying prevalence rates based on age, education, income, and residence, with the highest prevalence observed in individuals under 65 years and those with lower levels of education and income. Key factors influencing the prevalence of kinesiophobia included pain (OR = 2.313, 95% CI: 1.556-3.07), low social support (OR = 1.681, 95% CI: 1.000-2.361), and negative coping strategies (OR = 1.344, 95% CI: 1.165-1.523).
The prevalence of kinesiophobia after TKA is high. There are differences in the prevalence of kinesiophobia among people with different places of residence, different education levels, and different monthly incomes. At the same time, it is affected by many factors such as postoperative pain, low social support, low self-efficacy, negative coping, old age, and low education level.
膝关节骨关节炎是老年人常见的退行性疾病，全膝关节置换术是终末期膝关节疾病的有效治疗方法。然而，术后运动恐惧会阻碍患者康复，影响膝关节功能恢复。其相关影响因素的研究存在差异。
本荟萃分析探讨全膝关节置换术后运动恐惧的患病率及危险因素。
在科学、MEDLINE等数据库中检索Pubmed、Cochrane图书馆、中国知网（CNKI）、Embase、Web of Science关于全膝关节置换术后运动恐惧患病率及危险因素的文献。排除重复文献、低质量文献、观察指标不一致的文献以及无全文的文献。两名独立研究人员使用纽卡斯尔-渥太华量表（NOS）评估纳入文献的质量。数据提取后，使用Stata17.0进行荟萃分析。
本荟萃分析共纳入11篇文章，涉及4039例病例，以评估全膝关节置换术后运动恐惧的患病率。总体患病率为35%（95%CI：27-44%）。亚组分析显示，根据年龄、教育程度、收入和居住地不同，患病率有所差异，65岁以下以及教育程度和收入水平较低者患病率最高。影响运动恐惧患病率的关键因素包括疼痛（OR = 2.313，95%CI：1.556-3.07）、社会支持低（OR = 1.681，95%CI：1.000-2.361）和消极应对策略（OR = 1.344，95%CI：1.165-1.523）。
全膝关节置换术后运动恐惧患病率较高。不同居住地、不同教育程度和不同月收入人群的运动恐惧患病率存在差异。同时，它受术后疼痛、社会支持低、自我效能感低、消极应对、年龄大、教育程度低等多种因素影响。
