Kinesiophobia and its association with functional outcome and quality of life 6-8 years after total hip arthroplasty.

IF 1.1 4区医学 Q3 ORTHOPEDICS

Acta orthopaedica et traumatologica turcica Pub Date : 2022-07-01 DOI:10.5152/j.aott.2022.21318

Bariq Al-Amiry, Andreas Rahim, Björn Knutsson, Leif Mattisson, Arkan Sayed-Noor

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引用次数: 0

Abstract

Objective: The aim of this study was to assess the incidence and severity of kinesiophobia, and to determine the relationship between Tampa Scale of Kinesiophobia (TSK) scores, functional outcome and quality of life (QoL) 6-8 years after Total Hip Arthroplasty (THA).

Methods: 161 patients (78 male and 83 female) with unilateral primary osteoarthritis (OA) treated with THA between September 2010 and December 2013 were included in this study. Western Ontario and McMaster Universities Osteoarthritis (WOMAC) and EQ-5D scores were measured preoperatively. At 6-8 years follow-up, these scores were repeated and TSK scores were also measured. According to the TSK, patients were divided into two groups for further comparisons and analysis: without kinesiophobia (TSK-score ≤ 36) and with kinesiophobia (TSK-score >36).

Results: There were 99 patients (61.5%) with no kinesiophobia (TSK score ≤ 36, TSK mean 28.4, SD 4.7) and 62 patients (38.5%) with kinesiophobia (TSK score > 36, TSK mean 42.8, SD 5.3). Patients with and without kinesiophobia were not statistically different regarding age, sex or body mass index. (P = 0.20, P = 0.99, P = 0.22, respectively). In the group with no kinesiophobia, the mean 6-8 years WOMAC was 12.4 (SD 15.6), while the absolute delta (Δ) value between preoperative and 6-8 years WOMAC was 46.2 (SD 20.4), compared to the group with kinesiophobia where the mean 6-8 years WOMAC was 32.2 (SD 23.4), while the absolute delta (Δ) value between preoperative and 6-8 years WOMAC was 32.3 (SD 25.5): both P < 0.001. The group with no kinesiophobia had a mean 6-8 years EQ-5D of 0.81 (SD 0.22), while the absolute delta (Δ) value between preoperative and 6-8 years EQ-5D was 0.44 (SD 0.26), compared to the group with kinesiophobia where the mean 6-8 years EQ-5D was 0.57 (SD 0.23), while the absolute delta (Δ) value between preoperative and 6-8 years EQ-5D was 0.33 (SD 0.26): P < 0.001 and P = 0.03, respectively. TSK scores were associated with worse WOMAC and EQ-5D scores, higher proportion of dependence on walking aids and increased THArelated adverse events (all P < 0.05).

Conclusion: This study has shown us that there is a high incidence of kinesiophobia 6-8 years after surgery and treating kinesiophobia early after THA might improve the outcome.

Level of evidence: Level IV, Therapeutic Study.

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全髋关节置换术后6-8年运动恐惧症及其与功能结局和生活质量的关系。

目的:本研究的目的是评估运动恐惧症的发生率和严重程度，并确定坦帕运动恐惧症量表(TSK)评分与全髋关节置换术(THA)后6-8年的功能结局和生活质量(QoL)之间的关系。方法:2010年9月至2013年12月，161例单侧原发性骨关节炎(OA)患者(男性78例，女性83例)接受THA治疗。术前测量西安大略和麦克马斯特大学骨关节炎(WOMAC)和EQ-5D评分。在6-8年的随访中，重复这些评分，并测量TSK评分。根据TSK将患者分为无运动恐惧症组(TSK评分≤36)和有运动恐惧症组(TSK评分>36)两组进行比较分析。结果:无运动恐惧症患者99例(61.5%)(TSK评分≤36,TSK均值28.4,SD 4.7)，有运动恐惧症患者62例(38.5%)(TSK评分> 36,TSK均值42.8,SD 5.3)。运动恐惧症患者和非运动恐惧症患者在年龄、性别和体重指数方面没有统计学差异。(P = 0.20, P = 0.99, P = 0.22)。无运动恐惧症组6-8年WOMAC平均为12.4 (SD 15.6)，术前至6-8年WOMAC的绝对Δ (Δ)值为46.2 (SD 20.4)，而运动恐惧症组6-8年WOMAC的平均为32.2 (SD 23.4)，术前至6-8年WOMAC的绝对Δ (Δ)值为32.3 (SD 25.5)，均P < 0.001。无运动恐惧症组6-8年EQ-5D平均值为0.81 (SD 0.22)，术前与6-8年EQ-5D的绝对Δ (Δ)值为0.44 (SD 0.26)，而运动恐惧症组6-8年EQ-5D的平均值为0.57 (SD 0.23)，而术前与6-8年EQ-5D的绝对Δ (Δ)值为0.33 (SD 0.26): P < 0.001和P = 0.03。TSK评分与较差的WOMAC和EQ-5D评分、较高的助行器依赖比例和thr相关不良事件增加相关(均P < 0.05)。结论:本研究表明，术后6-8年运动恐惧症发生率较高，THA术后早期治疗运动恐惧症可改善预后。证据等级:IV级，治疗性研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta orthopaedica et traumatologica turcica ORTHOPEDICS-

CiteScore

2.00

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Acta Orthopaedica et Traumatologica Turcica (AOTT) is an international, scientific, open access periodical published in accordance with independent, unbiased, and double-blinded peer-review principles. The journal is the official publication of the Turkish Association of Orthopaedics and Traumatology, and Turkish Society of Orthopaedics and Traumatology. It is published bimonthly in January, March, May, July, September, and November. The publication language of the journal is English. The aim of the journal is to publish original studies of the highest scientific and clinical value in orthopedics, traumatology, and related disciplines. The scope of the journal includes but not limited to diagnostic, treatment, and prevention methods related to orthopedics and traumatology. Acta Orthopaedica et Traumatologica Turcica publishes clinical and basic research articles, case reports, personal clinical and technical notes, systematic reviews and meta-analyses and letters to the Editor. Proceedings of scientific meetings are also considered for publication. The target audience of the journal includes healthcare professionals, physicians, and researchers who are interested or working in orthopedics and traumatology field, and related disciplines.