Fear of movement and other associated factors in older patients with total knee arthroplasty

Bakırhan S., Unver B., Elibol N., Karatosun V. A.

IRISH JOURNAL OF MEDICAL SCIENCE, no.5, pp.2217-2222, 2023 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Publication Date: 2023
  • Doi Number: 10.1007/s11845-022-03214-4
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Biotechnology Research Abstracts, CAB Abstracts
  • Page Numbers: pp.2217-2222
  • Dokuz Eylül University Affiliated: Yes


Background Kinesiophobia is an important risk factor for functional activities of patients in the early stage following total knee arthroplasty (TKA). Aims This study aimed to investigate the relationship between fear of movement and associated factors in older patients in the late stage after TKA. Methods The study included 45 older patients (mean age:70.11 +/- 0.90 years) with knee osteoarthritis who underwent TKA. Kinesiophobia was assessed with the Tampa Scale of Kinesiophobia (TSK). Pain and strength in the quadriceps femoris (QF) muscle were assessed by the Visual Analog Scale and hand-held dynamometer, respectively. Functional level was determined using the 30-s sit-to-stand test (STS) and 10-m walking test. Results There were correlations between TSK and QF muscle strength (r = -0.538, p < 0.001), activity pain level (r = 0.489, p = 0.001), and 30-s STS (r = -0.306, p = 0.041). There were no correlations between TSK and age (r = 0.207, p = 0.172) and 10-m walking test (r = 0.112, p = 0.465). Conclusions Increased pain and decreased QF muscle strength and functional level on STS were related with fear of movement in TKA patients. It was concluded that kinesiophobia of older patients with TKA must be considered during the assessment and rehabilitation program in the late stage after TKA.