Factors Associated with Kinesiophobia in Patients with Knee Osteoarthritis

Abstract

Purpose This study aims to determine factors affecting kinesiophobia in patients with knee osteoarthritis (OA).

Materials and Methods The fear of movement was measured using the Tampa Scale of Kinesiophobia in 60 patients with knee OA. Pain intensity was assessed with the Visual Analog Scale, quality of life with the Nottingham Health Profile (NHP), disability with the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), anxiety and depression with the Hospital Anxiety and Depression Scale (HADS), balance with the Berg Balance Scale, mobility with the Timed Up and Go Test, and the physical activity status was measured with the International Physical Activity Questionnaire.

Results Physical mobility and emotional reactions subscales of NHP, all WOMAC subscales and the HADS depression subscale were significantly related to kinesiophobia. Muscle strength, ROM, level of physical activity, balance, mobility and anxiety were not significantly related to kinesiophobia. Quality of life and disability explained 34.4% of the variation in the Tampa Scale of Kinesiophobia.

Conclusions Kinesiophobia was associated with quality of life, disability and depression. It may be useful for clinicians to pay attention to the evaluation of psychosocial characteristics instead of physical performance parameters in order to increase treatment success in OA patients.

Zusammenfassung

ZielZiel dieser Studie ist die Ermittlung der Einflussfaktoren auf Kinesiophobie bei Patienten mit Kniearthrose.

Material und Methoden  Bei 60 Patienten mit Kniearthrose wurde mithilfe der Tampa Scale of Kinesiophobia die Angst vor Bewegung gemessen. Die Schmerzintensität wurde mit der Visual Analog Scale, die Lebensqualität mit dem Nottingham Health Profile (NHP), die Behinderung mit dem Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Angst und Depression mit der Hospital Anxiety and Depression Scale (HADS), das Gleichgewicht mit der Berg Balance Scale, die Mobilität mit dem Timed Up and Go Test und der körperliche Aktivitätsstatus mit dem International Physical Activity Questionnaire bewertet.

Ergebnisse Die Subskalen für körperliche Mobilität und emotionale Reaktionen des NHP, alle WOMAC-Subskalen und die Depressions-Subskalen des HADS waren signifikant mit Kinesiophobie assoziiert. Muskelkraft, Bewegungsfreiheit, körperlicher Aktivitätsgrad, Gleichgewicht, Mobilität und Angst waren nicht signifikant mit Kinesiophobie assoziiert. Lebensqualität und Behinderung erklärten 34,4 % der Abweichungen bei den Ergebnissen der Tampa Scale of Kinesiophobia.

Schlussfolgerung  Kinesiophobie war mit Lebensqualität, Behinderung und Depression assoziiert. Um den Behandlungserfolg bei Arthrosepatienten zu steigern, kann es für Klinikärzte sinnvoll sein, das Augenmerk auf die Bewertung der psychosozialen Merkmale statt der körperlichen Leistungsparameter zu richten.

Key words

kinesiophobia - quality of life - function - disability - depression

Schlüsselwörter

Kinesiophobie - Lebensqualität - Funktion - Behinderung - Depressionpublished online 2022

Publikationsverlauf

Artikel online veröffentlicht:
16. Februar 2022

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