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AB1103-HPR Relationship between Physical and Mental Status and Kinesiophobia in Patients with Arthroplasty during Inpatients Period
  1. S. Cekmece1,
  2. R.H. Baris1,
  3. B. Unver1,
  4. V. Karatosun2
  1. 1School of Physical Therapy and Rehabilitation
  2. 2Department of Orthopedics, Faculty of Medicine, Dokuz Eylül University, Izmir, Turkey

Abstract

Background Kinesiophobia is simply defined as a fear of movement and physical activity.It can be seen in patients as a result of any injury, which results in pain or a fear of injury recurrence. It leads to decreased motion and disuse that may result in a chronic pain syndrome and decreased physical function. Especially arthroplasty patients who suffer from osteoarthritis before the operation, physical and mental state of the patients affected due to pain and bigger incision areas (1). This situation can cause kinesiophobia, mental problems and a lower quality of life.

Objectives The purpose of this study was to investigate the relationship between kinesiophobia, mental condition and quality of life in patients undergoing arthroplasty.

Methods One hundred ninety one arthroplasty patients [76 total knee arthroplasty (TKA) and 115 total hip arthroplasty (THA)] were included in the study. Quality of life was evaluated with the 12-Item Short Form Health Survey (SF-12) and European Quality of Life-5 Dimensions (EQ-5D), kinesiophobia was evaluated with the TAMPA Scale and anxiety-depression were evaluated with the Hospital Anxiety and Depression Scale (HADS) preoperatively and at discharge. The patients' daily health condition were evaluated with EQ-5D Visual Analogue Scale (EQ-5DVAS). All five components of EQ-5D (mobility, self-care, usual activities, pain and anxiety/depression), EQ-5DVAS and two components of SF-12 [physical component (PCS-12) and mental component (MCS-12], HADS, TAMPA Scale were used in the statistical analysis. Bivariate correlation and coefficient pearson were used in the analysis (p<0.05).

Results Both gender and age parameters showed similarity between patients with THA and patients with TKA. There was a correlation between TAMPA and both pre-operative scores [TAMPA/SF-12 Total (r=0.204), TAMPA/EQ5D Total (r=0.226), TAMPA/HADS Anxiety (r=0.243), TAMPA/ HADS Depression (r=0.320)] and discharge scores [TAMPA/SF-12 Mental component (r=0.227), TAMPA/SF-12 Physical component (r=0.150), TAMPA/SF-12 Total (r=0.256), TAMPA/EQ5D Mobility (r=0.221), TAMPA/EQ5D Self-Care (r=0.129), TAMPA/EQ5D Usual Activities (r=0.143), TAMPA/EQ5D Pain/Discomfort (r=0.247), TAMPA/EQ5D Anxiety/Depression (r=0.268), TAMPA/HADS Anxiety (r=0.341), TAMPA/ HADS Depression (r=0.313)].

Conclusions According to the results of this study, SF-12, EQ5-D and HADS have been found to correlate with TAMPA. This situation shows that the deterioration in quality of life is related to anxiety-depression and kinesiophobia. The reason of having a low score on TAMPA scale could be associated with high pain level. This high pain level limits the daily living activities such as walking. Daily living activity limitation in patients with THA and TKA due to pain, kinesiophobia could lead to more depression. Researchers considering this relationship might be beneficial to improve outcomes of the treatment.

  1. Doury-Panchout F, Metivier JC, Fouquet B. (2015) Kinesiophobia negatively influences recovery of joint function following total knee arthroplasty. Eur J Phys Rehabil Med. 51(2):155–61.

Disclosure of Interest None declared

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