High levels of kinesiophobia at discharge from the hospital may negatively affect the short-term functional outcome of patients who have undergone knee replacement surgery
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BACKGROUND: Kinesiophobia is a psycho-cognitive factor that hampers recovery after orthopedic surgery. No evidence exists on the influence of kinesiophobia on the short-term recovery of function in patients with knee replacement (KR). Therefore, the aim of the present study is to investigate the impact of kinesiophobia on short-term patient-reported outcomes (PROMs) and performance-based measures (PBMs). METHODS: = 19). Patients were asked to complete PROMs and to execute PBMs at discharge and at 6-weeks follow-up. An independent samples t-test was used to compare group differences for PROMs and PBMs at both measurement sessions. Multiple linear regression analysis models were used to model PBM outcomes from age, pain and TSK scores. RESULTS: Significant differences were observed between groups for PROMs and PBMs. Kinesiophobia significantly contributed to the reduced functional outcomes. CONCLUSION: At discharge from the hospital, 55.8% of KR patients demonstrated high levels of kinesiophobia (TSK ≥ 37). This may negatively influence short-term recovery of these patients, by putting them at higher risk for falling and reduced functionality.
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Providing the treatment within the first 2 weeks following surgery coincides with the phase when patients gradually resume activity and are at increased risk of developing avoidance behaviors in response to pain.
“providing the treatment within the first 2 weeks following surgery coincides with the phase when patients gradually resume activity and are at increased risk of developing avoidance behaviors in response to pain, which might lead to worse outcomes.40”
From Acceptance and commitment therapy for prevention of chronic pain after total knee arthroplasty. (2026) · cites this paper as [40]
The Introduction and Discussion (pages not available in our copy) link fear of movement after knee surgery to inactivity, disuse, and poorer recovery, supporting the concern about avoidance and outcomes. The paper does not establish that patients gradually resume activity or face an increased risk of developing pain-related avoidance specifically within the first two weeks after surgery; it assessed patients at discharge (three days) and at six weeks. (LLM, conf=0.85)
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Bibliometric analysis of publications on kinesiophobia in orthopedics between 1970 - 2023
Kurt, M. (2024) · Journal of Health Sciences and Medicine · doi:10.32322/jhsm.1379627
Determining the Factors Affecting Fear of Movement in Patients Undergoing Total Knee Replacement
Emre, N. Y., & Karadağ, M. (2025) · Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi · doi:10.38108/ouhcd.1399561
Sever, G. B., MERCAN, M., Konukoğlu, L., Kırmacı, Z. İ. K., & Ergün, N. (2025) · Acta Orthopaedica Belgica · doi:10.52628/91.1.8616
Kinesiophobia and Pain Coping on Patients with Gonarthrosis: Postoperative Pain and Mobility
Şenol, T., & Çelik, S. (2025) · Pain Management Nursing · doi:10.1016/j.pmn.2025.12.008
Farooqui, I., & Gracias, A. (2026) · Journal of Bodywork and Movement Therapies · doi:10.1016/j.jbmt.2026.06.007
Mimoto, N., Fukuda, W., & Gomi, N. (2026) · European Journal of Physiotherapy · doi:10.1080/21679169.2026.2687777
Correlation analysis between kinesiophobia and physical function in patients with hip osteoarthritis
Caduda, S. D. S., Almeida, V. C., Figueredo, I. D. M., Santos, K. A. M., Neto, J. P. D. F., & Júnior, W. M. D. S. (2026) · Fisioterapia em Movimento · doi:10.1590/fm.2026.39115
Gao, X., Wang, Y., Shao, X., Di, Y., Wang, R., & Chen, Y. (2026) · Frontiers in Medicine · doi:10.3389/fmed.2026.1900689
Jiang, J., Xu, A., Dai, Y., Huang, Z., Zhang, L., & Li, J. (2026) · Frontiers in Surgery · doi:10.3389/fsurg.2026.1945025
- Authors
- De Vroey, H., Claeys, K., Shariatmadar, K., Weygers, I., Vereecke, E., Van Damme, G., Hallez, H., & Staes, F.
- Affiliations
- KU Leuven, Campus Bruges, Department of Rehabilitation Sciences, Spoorwegstraat 12, 8200 Bruges, Belgium
- KU Leuven (BE)
- AZ Sint Lucas Hospital, Department of Orthopedic Surgery, Sint-Lucaslaan 29, 8310 Bruges, Belgium
- ORCID
- Venue
- Journal of Clinical Medicine
- Publisher
- MDPI AG
- Published
- 2020-03-09
- Volume
- 9
- Issue
- 3
- Pages
- 738
- ISSN
- 2077-0383 (ISSN-L)
- PMC
- PMC7141217
- OpenAlex
- W3010034962
- Cited by
- 45
- References
- 54
- Citations by year
- 2026: 6 · 2025: 12 · 2024: 11 · 2023: 4 · 2022: 6 · 2021: 5 · 2020: 1
- FWCI
- 3.66
- Type
- journal article
- Language
- en
- Open access
- gold
- dx.doi.org
- Licence
- Locations
- Journal of Clinical Medicine (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Lirias (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- European Regional Development Fund (1047)
- Topics
- Health Sciences › Medicine › Surgery › Total Knee Arthroplasty Outcomes
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Surgery › Knee injuries and reconstruction techniques
- Keywords
- kinesiophobia, knee arthroplasty, total knee arthroplasty, postoperative recovery, functional outcome, patient-reported outcomes, performance-based measures, fear of falling, hospital discharge, postoperative pain
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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