SynthesisJournal of orthopaedic surgery and research2025
Prevalence and influencing factors of kinesiophobia after total knee arthroplasty: a systematic review and meta-analysis.
Synthesis in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Facilitators and barriers to rehabilitation exercise adherence among patients after total hip and total knee arthroplasty: a qualitative meta-synthesis.BMC musculoskeletal disorders · 2026Pooled it
- The effect of an artificial intelligence-assisted motivational procedure on kinesiophobia and mobility after total knee arthroplasty: a randomized controlled trial.BMC musculoskeletal disorders · 2026Trial
- Targeting Kinesiophobia After Thoracic Surgery with an Integrated Protection Motivation and Exposure Intervention: A Randomized Controlled Trial.Journal of pain research · 2025Trial
- Prevalence and associated factors of kinesiophobia in postoperative patients with breast cancer: A systematic review and meta-analysis.Asia-Pacific journal of oncology nursing · 2026Review
- Efficacy of Noninvasive Interventions for Reducing Postoperative Kinesiophobia in Patients Undergoing Primary Total Knee Arthroplasty: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.Arthroplasty today · 2026Article
- Major discrepancies in recommendations regarding long-term activity restrictions following knee replacement: a survey among Swedish physiotherapists.BMC musculoskeletal disorders · 2026Article
- Factors associated with early swelling after total knee arthroplasty and poor venous return : the impact of quadriceps strength, activity and preoperative anticoagulation.BMC musculoskeletal disorders · 2026Observational
- Application value of transcutaneous electrical acupoint stimulation in improving knee joint function after knee arthroplasty in elderly patients.American journal of translational research · 2026Article
- Latent profiles of kinesiophobia and associated factors in patients with rheumatoid arthritis: a cross-sectional study.Frontiers in medicine · 2026Article
- Association between intraoperative noise intensity during hip arthroplasty and the postoperative risk of kinesiophobia: a prospective cohort study.Frontiers in surgery · 2026Article
- Surgery-related factors associated with early postoperative kinesiophobia in geriatric hip fracture patients: a risk stratification model.Frontiers in medicine · 2026Article
- Early Postoperative Rehabilitation Behavior After Total Joint Arthroplasty: A Theory-Informed Qualitative Study.Journal of multidisciplinary healthcare · 2026Article
- Early kinesiophobia and its associated factors among patients after arthroscopic rotator cuff repair: a cross-sectional study based on latent profile analysis.BMC musculoskeletal disorders · 2025Article
- Postoperative kinesiophobia in elderly patients with femoral neck fractures: a prospective study of psychological and social determinants.Frontiers in psychology · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundKnee osteoarthritis is a common degenerative disease in the elderly, and total knee arthroplasty is an effective treatment for end-stage knee joint diseases. However, kinesiophobia after surgery can impede patients' rehabilitation and affect the recovery of knee joint function. There are differences in the research on its related influencing factors.
objectivesThis meta-analysis examined the prevalence and risk factors of kinesiophobia after TKA.
methodsPubmed, The Cochrane Library, China National Knowledge Infrastructure (CNKI), Embase, Web of Science on the prevalence and risk factors of kinesiophobia after TKA was searched in science, MEDLINE and other databases. Duplicate literature, low quality literature, literature with inconsistent observation indicators, and literature without full text were excluded. Two independent researchers used Newcastle-Ottawa Scale (NOS) to evaluate the quality of the included literature. After data extraction, Meta-analysis was performed using Stata17.0.
resultsA total of 11 articles involving 4039 cases were included in this meta-analysis to assess the prevalence of kinesiophobia after TKA. The overall prevalence was found to be 35% (95% CI: 27-44%). Subgroup analyses revealed varying prevalence rates based on age, education, income, and residence, with the highest prevalence observed in individuals under 65 years and those with lower levels of education and income. Key factors influencing the prevalence of kinesiophobia included pain (OR = 2.313, 95% CI: 1.556-3.07), low social support (OR = 1.681, 95% CI: 1.000-2.361), and negative coping strategies (OR = 1.344, 95% CI: 1.165-1.523).
conclusionThe prevalence of kinesiophobia after TKA is high. There are differences in the prevalence of kinesiophobia among people with different places of residence, different education levels, and different monthly incomes. At the same time, it is affected by many factors such as postoperative pain, low social support, low self-efficacy, negative coping, old age, and low education level.
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