• Serkan Bakırhan, Bayram Unver, Nuray Elibol, and Vasfi Karatosun.
• Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Ege University, Izmir, Turkey.
• Ir J Med Sci. 2023 Oct 1; 192 (5): 221722222217-2222.

BackgroundKinesiophobia is an important risk factor for functional activities of patients in the early stage following total knee arthroplasty (TKA).AimsThis study aimed to investigate the relationship between fear of movement and associated factors in older patients in the late stage after TKA.MethodsThe study included 45 older patients (mean age:70.11 ± 0.90 years) with knee osteoarthritis who underwent TKA. Kinesiophobia was assessed with the Tampa Scale of Kinesiophobia (TSK). Pain and strength in the quadriceps femoris (QF) muscle were assessed by the Visual Analog Scale and hand-held dynamometer, respectively. Functional level was determined using the 30-s sit-to-stand test (STS) and 10-m walking test.ResultsThere were correlations between TSK and QF muscle strength (r =  -0.538, p < 0.001), activity pain level (r = 0.489, p = 0.001), and 30-s STS (r =  -0.306, p = 0.041). There were no correlations between TSK and age (r = 0.207, p = 0.172) and 10-m walking test (r = 0.112, p = 0.465).ConclusionsIncreased pain and decreased QF muscle strength and functional level on STS were related with fear of movement in TKA patients. It was concluded that kinesiophobia of older patients with TKA must be considered during the assessment and rehabilitation program in the late stage after TKA.© 2022. The Author(s), under exclusive licence to Royal Academy of Medicine in Ireland.

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