281. KINESIOPHOBIA AFTER TOTAL KNEE ARTHROPLASTY

Abstract

Background: Kinesiophobia (fear of movement) is one of the most important factors that affects the success of rehabilitation in many diseases, especially orthopaedic ones. total knee arthroplasty (TKA) is a surgical operation where the articular surface of a musculoskeletal joint is replaced in order to to relieve pain and restore function to the joint after damage by arthritis or some other type of trauma. Degenerative osteoarthritis, rheumatoid arthritis, traumatic arthritis, tuberculosis arthritis, pseuriatic arthritis, haemophiliac arthritis and neurapthic arthropathy are among the well-known TKA indications. Tampa Kinesiophobia Scale (TKS) is a scale comprised of 17 questions and that has been developed to measure the fear of movement and re-injury. This scale has been used frequently in the literature, and the main fears are taken as fear of work-related activities, movement and fear of being injured again. The subject can take a score in the range of 17 to 68. The higher the score, the higher the level of kinesiophobia. In many studies, it is recommended that total score is used. TKS was developed in in 1991, and its Turkish validation was done in 2011. The aim of this study is to examine the kinesiophobia in patients who have undergone a single-sided TKA. Methods: We had 60 patients in this study. 45 patients had singlesided TKA, and 15 of them had single-sided radiographic grade-3 osteoarthritis (OA). We have registered the demographic data of patients, and evaluated their kinesiophobia using TKS. Obesity, depression, anxiety, previous joint surgical operation, diagnosed neuropathy, diabetes mellitus were used as exclusion criteria. Results: The mean age was 66.6 (56-74), and mean BMI was in the normal range. In 93.3% of the patients there was kinesiohobia, whereas in the patients with single-sided OA, this was found to be 26%. In our study, there is a statistically significant difference (p<0.001) between the single-sided TKA patients and the ones with single-sided knee OA, showing the ones with single-sided TKA had more kinesiophobia. Conclusion: In the literature, there are limited studies indicating that starting to move at a later period after the surgery leads to kinesiophobia. We believe that with early rehabilitation after TKA, it is possible to have early treatment of kinesiophobia.