ArticleBMC musculoskeletal disorders2024
Heterogeneity of social participation in patients three months after total knee arthroplasty: a latent profile analysis.
Article in BMC musculoskeletal disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed.
- Dual regulation of inflammation and ferroptosis: An injectable hydrogel targeting macrophages for the treatment of temporomandibular joint osteoarthritis and knee osteoarthritis.Materials today. Bio · 2026Article
- Heterogeneity in decision-making engagement among total knee arthroplasty patients in China: a cross-sectional study.BMJ open · 2026Article
- Long term biopsychosocial outcomes and their associations after total knee arthroplasty in individuals with knee osteoarthritis.Scientific reports · 2026Article
- Article
- ICF rehabilitation set responsiveness after total knee arthroplasty: a retrospective study.Frontiers in rehabilitation sciences · 2026Article
- Article
- Association between social participation and hope levels in stroke patients: a cross-sectional study.Frontiers in psychology · 2025Article
- A longitudinal qualitative study on the care needs journey map of primary caregivers of patients undergoing total knee arthroplasty.Frontiers in rehabilitation sciences · 2025Article
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Abstract
backgroundSocial participation is an important index of rehabilitation and social reintegration in patients after total knee arthroplasty (TKA). However, most existing studies focus on improving patients' functioning and activities, with only a few examining the social participation among patients after TKA. Therefore, the study aims to investigate the heterogeneity of social participation in patients three months after TKA and analyze subgroup influencing factors, to promote functional exercise and postoperative follow-up in specific patients.
methodsThis cross-sectional study recruited 255 patients who underwent TKA in a Tertiary Hospital in Jinan City, China, from March to July 2022. Three months after having undergone TKA, participants' data were collected using the Numeric Pain Rating Scale, the Chinese version of the Tampa Scale of Kinesiophobia, the 10-item Kessler Psychological Distress Scale, Hospital for Special Surgery Knee-rating Scale, and Impact on Participation and Autonomy Questionnaire. Latent profile analysis was used to identify categories of patients' social participation. Multiple logistic regression analysis was used to analyze the influencing factors of the different subgroups.
resultsThree months after TKA, the patients were divided into three subgroups: low social participation group (17.9%), moderate social participation group (40.8%), and high social participation group (41.3%). The vast majority of patients who underwent TKA exhibited moderate-to-high level of social participation. The multiple logistic regression analysis results showed that age, degree of pain, knee function, and kinesiophobia were the influencing factors of the potential profiles of social participation in patients three months after TKA (p < 0.05).
conclusionThese results support a distinct categorical feature of social participation among patients three months after undergoing TKA. Medical staff need to provide targeted guidance according to the potential classification characteristics of social participation to improve the level of social participation and promote rehabilitation of patients.
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