ArticleJournal of orthopaedic surgery and research2023
Heterogeneous trajectories of kinesiophobia and their effects on rehabilitation outcomes after total knee arthroplasty: a prospective cohort study.
Article in Journal of orthopaedic surgery and research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.
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Who cites it
8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.
- Does Robotic-Assisted Total Knee Arthroplasty Improve Outcomes of Adult Osteoarthritis Patients-A Systematic Review and Trial Sequential Meta-Analysis.Orthopaedic surgery · 2025Pooled it
- Prevalence and influencing factors of kinesiophobia after total knee arthroplasty: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2025Pooled it
- Latent profile analysis and associated factors of kinesophobia in patients with hip fractures.BMC psychology · 2026Observational
- Investigating the dynamic relationship between joint function outcomes and kinesiophobia following total knee arthroplasty.Frontiers in psychology · 2026Article
- The Relationship Among Pain, Intrinsic Capacity, and Fear of Movement in Patients with Knee Osteoarthritis: A Moderated Network Analysis.Journal of pain research · 2026Article
- Perceptions, needs, and experiences of kinesiophobia management after total knee arthroplasty: a qualitative study from the perspectives of patients, caregivers, and healthcare providers.Frontiers in public health · 2026Article
- Symptom characteristics in patients undergoing acute type A aortic dissection surgery post-discharge phase: a prospective observational study.European journal of medical research · 2025Observational
- Effectiveness of video-based intervention on kinesiophobia and short-term functional outcome among patients with total knee arthroplasty: A quasi experimental study.Journal of education and health promotion · 2025Article
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundKinesiophobia is one of the most common and aversive psychological phenomena among patients after total knee arthroplasty (TKA). This study aimed to identify trajectories of kinesiophobia, examine factors distinguishing these trajectories, and clarify the association between trajectories of kinesiophobia and rehabilitation outcomes.
methodsIn this prospective cohort study, the patients who underwent TKA were recruited between December 2021 and April 2022 from three orthopedic wards of a tertiary hospital in China. Kinesiophobia was measured using the Tampa Scale for Kinesiophobia at baseline (T0), and then at 1 month (T1) and 3 months (T2) after TKA to perform latent class growth analysis. Meanwhile, rehabilitation outcomes were assessed at 3 months after TKA, using the Kessler Psychological Distress Scale, the Hospital for Special Surgery-Knee Scale, Barthel Index, and the Impact on Participation and Autonomy questionnaire.
resultsThe four kinesiophobia trajectories identified were as follows: low stable group (n = 120), rapid recovering group (n = 31), slow recovering group (n = 48), and stable moderate group (n = 58). Body mass index, employment status, heart disease, and pain degree significantly predicted trajectory groups (all p < 0.05). Analysis of variance revealed significant differences between the four kinesiophobia trajectories concerning all rehabilitation outcomes, except for the activities of daily living.
conclusionDistinct kinesiophobia trajectories were identified, and nurses should assess the kinesiophobia of patients after TKA in the early phase. Patients in the slow recovering group are worthy of a specific focus because of their poor recovery after undergoing TKA. As important sources of psychosocial care, nurses need to customize psychological interventions for patients after TKA depending on each kinesiophobia trajectory.
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