Evidence map›Paper›PMID 41859150›Full record

ArticleFrontiers in medicine2026

The effect of an early ambulation program based on cognitive behavioral therapy for elderly patients with kinesiophobia after total hip arthroplasty.

Yu Xie, Shuying Liu, Chunmei Li, Yan Luo, Ran Chen, Wanfei Wu, Lianyang Zhang, Qingshan Guo, Yufeng Zhao, Siru Zhou and 2 more

Abstract read
In one paragraph

Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Yu XieSchool of Nursing, Army Medical University (Third Military Medical University), Chongqing, China.
Shuying LiuWar Trauma Medical Center, State Key Laboratory of Trauma and Chemical Poisoning, Army Medical Center, Daping Hospital, Army Medical University, Chongqing, China.
Chunmei LiWar Trauma Medical Center, State Key Laboratory of Trauma and Chemical Poisoning, Army Medical Center, Daping Hospital, Army Medical University, Chongqing, China.
Yan LuoWar Trauma Medical Center, State Key Laboratory of Trauma and Chemical Poisoning, Army Medical Center, Daping Hospital, Army Medical University, Chongqing, China.
Ran ChenWar Trauma Medical Center, State Key Laboratory of Trauma and Chemical Poisoning, Army Medical Center, Daping Hospital, Army Medical University, Chongqing, China.
Wanfei WuWar Trauma Medical Center, State Key Laboratory of Trauma and Chemical Poisoning, Army Medical Center, Daping Hospital, Army Medical University, Chongqing, China.
Lianyang ZhangWar Trauma Medical Center, State Key Laboratory of Trauma and Chemical Poisoning, Army Medical Center, Daping Hospital, Army Medical University, Chongqing, China.
Qingshan GuoWar Trauma Medical Center, State Key Laboratory of Trauma and Chemical Poisoning, Army Medical Center, Daping Hospital, Army Medical University, Chongqing, China.
Yufeng ZhaoWar Trauma Medical Center, State Key Laboratory of Trauma and Chemical Poisoning, Army Medical Center, Daping Hospital, Army Medical University, Chongqing, China.
Siru ZhouWar Trauma Medical Center, State Key Laboratory of Trauma and Chemical Poisoning, Army Medical Center, Daping Hospital, Army Medical University, Chongqing, China.
Jun FeiWar Trauma Medical Center, State Key Laboratory of Trauma and Chemical Poisoning, Army Medical Center, Daping Hospital, Army Medical University, Chongqing, China.
Yu LuoSchool of Nursing, Army Medical University (Third Military Medical University), Chongqing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to evaluate the effectiveness of an early ambulation program based on cognitive behavioral therapy for elderly patients with kinesiophobia after Total hip arthroplasty (THA). Methods: A quasi-experimental study design was adopted. Elderly patients with post-THA kinesiophobia admitted between December 2023 and December 2024 were enrolled and divided into a control group and an intervention group. The control group received routine health education and rehabilitation training. Whereas the intervention group received a cognitive-behavioral therapy-based early mobilization program. Postoperative data were collected, including the time of first ambulation kinesiophobia scores, pain scores, Harris scores, ADL scores. Postoperative follow-up of the patient's kinesiophobia, pain, Harris, ADL scores was conducted at one and 3 months. Statistical analysis was conducted using Results: Baseline characteristics were comparable between the two groups. The intervention group demonstrated a significantly shorter time to first ambulation compared to the control group. Kinesiophobia scores improved significantly over the three postoperative time points assessed. Pain scores, Harris scores, and ADL scores also showed significant improvements. Additionally, the intervention group had a significantly shorter hospital stay and lower hospitalization costs. Conclusion: The CBT-based early mobilization intervention effectively improved health outcomes in elderly patients with post-THA kinesiophobia, offering valuable insights for clinical practice. Clinical trial registration: http://www.chictr.org.cn/showproj.aspx?proj=2400094636&lang=en, Identifier ChiCTR2400094636.

Indexed as

cognitive behavioral therapyearly ambulationfear avoidancegeriatric kinesiophobiahip arthroplasty

Identifiers

PMID41859150
PMCPMC12996135

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.