Best evidence summary for prevention and management of kinesiophobia in patients undergoing total knee arthroplasty_West China Medical Journal

Authors：

WANG Chunyan , HU Rong , SHI Bo , MA Yanfei , LI Zongyuan ,  LI Yeping

Department of Orthopedics, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Mianyang, Sichuan 621000, P. R. China;

Corresponding?author：

LI Yeping, Email: 1337131756@qq.com

Keywords：

Total knee arthroplasty; kinesiophobia; prevention; management; evidence summary

DOI：

10.7507/1002-0179.202309031

Video：

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Objective To systematically search for evidence related to the prevention and management of kinesiophobia in patients undergoing total knee arthroplasty at home and abroad, evaluate and integrate the evidence, and to provide reference for clinical nursing practice. Methods Domestic and international evidence-based resource databases, including UpToDate, BMJ (British Medical Journal) Best Practice, National Institute for Health and Clinical Excellence guidelines network, JBI (Joanna Briggs Institute) evidence-based healthcare center database, Cochrane Library, Registered Nurses’ Association of Ontario website, China guidelines network, Web of Science, PubMed, SinoMed, China National Knowledge Infrastructure, and Wanfang were searched. Evidence related to the prevention and management of kinesiophobia after total knee arthroplasty was collected, and the search period was until June 30, 2023. The evidence extraction and integration were conducted on the literature that meets the requirements. Results A total of 10 papers were ultimately included, including 1 guideline, 1 expert consensus, 2 systematic evaluations, 4 randomized controlled studies, and 2 cohort studies. A total of 17 pieces of evidence were extracted from 5 aspects, including risk assessment, health education, intraoperative pain management, rehabilitation exercise, and patient participation. Conclusion The prevention and management of kinesiphobia after total knee arthroplasty include evidence from multiple aspects, which can provide evidence-based basis for orthopedic and rehabilitation medical staff to develop intervention plans for kinesiphobia and promote rapid recovery of patients with total knee arthroplasty.

Citation： WANG Chunyan, HU Rong, SHI Bo, MA Yanfei, LI Zongyuan, LI Yeping. Best evidence summary for prevention and management of kinesiophobia in patients undergoing total knee arthroplasty. West China Medical Journal, 2023, 38(10): 1511-1516. doi: 10.7507/1002-0179.202309031 Copy

1.	Cram P, Lu X, Kates SL, et al. Total knee arthroplasty volume, utilization, and outcomes among Medicare beneficiaries, 1991-2010. JAMA, 2012, 308(12): 1227-1236.
2.	韋蓉, 陸海英, 王恬, 等. 《膝骨關節炎的非手術治療: 最佳實踐專家共識》要點解讀. 護理研究, 2022, 36(7): 1129-1133.
3.	王斌, 邢丹, 董圣杰, 等. 中國膝骨關節炎流行病學和疾病負擔的系統評價. 中國循證醫學雜志, 2018, 18(2): 134-142.
4.	Monticone M, Ferrante S, Rocca B, et al. Home-based functional exercises aimed at managing kinesiophobia contribute to improving disability and quality of life of patients undergoing total knee arthroplasty: a randomized controlled trial. Arch Phys Med Rehabil, 2013, 94(2): 231-239.
5.	Gungor S, Fields K, Aiyer R, et al. Incidence and risk factors for development of persistent postsurgical pain following total knee arthroplasty: a retrospective cohort study. Medicine (Baltimore), 2019, 98(28): e16450.
6.	Rutherford RW, Jennings JM, Dennis DA. Enhancing recovery after total knee arthroplasty. Orthop Clin North Am, 2017, 48(4): 391-400.
7.	Hirakawa Y, Hara M, Fujiwara A, et al. The relationship among psychological factors, neglect-like symptoms and postoperative pain after total knee arthroplasty. Pain Res Manag, 2014, 19(5): 251-256.
8.	Leeuw M, Goossens ME, Linton SJ, et al. The fear-avoidance model of musculoskeletal pain: current state of scientific evidence. J Behav Med, 2007, 30(1): 77-94.
9.	Doury-Panchout F, Metivier JC, Fouquet B. Kinesiophobia negatively influences recovery of joint function following total knee arthroplasty. Eur J Phys Rehabil Med, 2015, 51(2): 155-161.
10.	Filardo G, Roffi A, Merli G, et al. Patient kinesiophobia affects both recovery time and final outcome after total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc, 2016, 24(10): 3322-3328.
11.	何家文, 趙晨, 鐘泓穎, 等. 全膝關節置換術后恐動癥及其影響因素研究. 中國康復醫學雜志, 2023, 38(1): 41-45, 51.
12.	朱政, 胡雁, 邢唯杰, 等. 不同類型循證問題的構成. 護士進修雜志, 2017, 32(21): 1991-1994.
13.	Hoffmann-E?er W, Siering U, Neugebauer EA, et al. Guideline appraisal with AGREE II: Systematic review of the current evidence on how users handle the 2 overall assessments. PLoS One, 2017, 12(3): e0174831.
14.	朱政, 胡雁, 周英鳳, 等. 推動證據向臨床轉化(五)證據臨床轉化研究中的文獻質量評價. 護士進修雜志, 2020, 35(11): 996-1000.
15.	胡雁, 郝玉芳. 循證護理學. 2 版. 北京: 人民衛生出版社, 2018: 56-93.
16.	周英鳳, 顧鶯, 胡雁, 等. JBI 循證衛生保健中心關于不同類型研究的質量評價工具—干預性研究的質量評價. 護士進修雜志, 2018, 33(1): 24-26.
17.	胡蓉, 陳佳麗, 寧寧, 等. 脊髓損傷病人壓力性損傷預防的最佳證據總結. 護理研究, 2022, 36(2): 211-216.
18.	王春青, 胡雁. JBI 證據預分級及證據推薦級別系統(2014 版). 護士進修雜志, 2015(11): 964-967.
19.	National Institute for Health and Clinical Excellence. Joint replacement(primary): hip, knee and shoulder. London: National Institute for Health and Clinical Excellence, 2020.
20.	沈彬, 翁習生, 廖刃, 等. 中國髖、膝關節置換術加速康復—圍術期疼痛與睡眠管理專家共識. 中華骨與關節外科雜志, 2016, 9(2): 91-97.
21.	Wolitzky-Taylor KB, Horowitz JD, Powers MB, et al. Psychological approaches in the treatment of specific phobias: a meta-analysis. Clin Psychol Rev, 2008, 28(6): 1021-1037.
22.	Carl E, Stein AT, Levihn-Coon A, et al. Virtual reality exposure therapy for anxiety and related disorders: a meta-analysis of randomized controlled trials. J Anxiety Disord, 2019, 61: 27-36.
23.	?etinkaya F, Karakoyun A. The effects of elastic band exercise on the pain, kinesiophobia, functional, and psychological status after total knee arthroplasty: a randomized controlled trial. Clin Rheumatol, 2022, 41(10): 3179-3188.
24.	Eymir M, Unver B, Karatosun V. Relaxation exercise therapy improves pain, muscle strength, and kinesiophobia following total knee arthroplasty in the short term: a randomized controlled trial. Knee Surg Sports Traumatol Arthrosc, 2022, 30(8): 2776-2785.
25.	Degirmenci E, Ozturan KE, Kaya YE, et al. Effect of sedation anesthesia on kinesiophobia and early outcomes after total knee arthroplasty. J Orthop Surg (Hong Kong), 2020, 28(1): 2309499019895650.
26.	Cai L, Gao H, Xu H, et al. Does a program based on cognitive behavioral therapy affect kinesiophobia in patients following total knee arthroplasty? A randomized, controlled trial with a 6-month follow-up. J Arthroplasty, 2018, 33(3): 704-710.
27.	李海云, 徐化. Otago 運動對老年全膝關節置換術后患者恐動程度及跌倒風險的影響. 護士進修雜志, 2020, 35(11): 965-969.
28.	蔡立柏, 劉延錦, 李英, 等. 多學科協作干預方案在全膝關節置換術后恐動癥患者中的應用研究. 中華護理雜志, 2020, 55(4): 494-499.
29.	Edwards RR, Goble L, Kwan A, et al. Catastrophizing, pain, and social adjustment in scleroderma: relationships with educational level. Clin J Pain, 2006, 22(7): 639-646.
30.	Stubbs B, Hurley M, Smith T. What are the factors that influence physical activity participation in adults with knee and hip osteoarthritis? A systematic review of physical activity correlates. Clin Rehabil, 2015, 29(1): 80-94.
31.	Gunn AH, Schwartz TA, Arbeeva LS, et al. Fear of movement and associated factors among adults with symptomatic knee osteoarthritis. Arthritis Care Res (Hoboken), 2017, 69(12): 1826-1833.
32.	Bauman AE, Reis RS, Sallis JF, et al. Correlates of physical activity: why are some people physically active and others not?. Lancet, 2012, 380(9838): 258-271.
33.	雷夢迪, 張倬萁, 潘蘭霞, 等. 全膝關節置換術后病人恐動癥列線圖預測模型的構建. 護理研究, 2023, 37(1): 40-46.
34.	胡文. 簡體中文版 TSK 和 FABQ 量表的文化調適及其在退行性腰腿痛中的應用研究. 上海: 第二軍醫大學, 2012.
35.	Wainwright TW, Gill M, McDonald DA, et al. Consensus statement for perioperative care in total hip replacement and total knee replacement surgery: Enhanced Recovery After Surgery (ERAS^?) Society recommendations. Acta Orthop, 2020, 91(1): 3-19.
36.	Mou P, Wang D, Tang XM, et al. Adductor canal block combined with ipack block for postoperative analgesia and function recovery following total knee arthroplasty: a prospective, double-blind, randomized controlled study. J Arthroplasty, 2022, 37(2): 259-266.
37.	Louw A, Puentedura EJ, Reed J, et al. A controlled clinical trial of preoperative pain neuroscience education for patients about to undergo total knee arthroplasty. Clin Rehabil, 2019, 33(11): 1722-1731.
38.	Fagevik Olsén M, Slobo M, Klarin L, et al. Physical function and pain after surgical or conservative management of multiple rib fractures - a follow-up study. Scand J Trauma Resusc Emerg Med, 2016, 24(1): 128.
39.	Morone NE, Abebe KZ, Morrow LA, et al. Pain and decreased cognitive function negatively impact physical functioning in older adults with knee osteoarthritis. Pain Med, 2014, 15(9): 1481-1487.
40.	郭玉茹. 單側全膝關節置換恐動癥患者功能鍛煉決策輔助方案的構建與應用. 鄭州: 鄭州大學, 2020.
41.	張衛紅, 王培霞, 馬紅娜, 等. 術前預康復在老年膝關節置換合并肌少癥患者中的應用. 中華現代護理雜志, 2023, 29(7): 867-872.

1. Cram P, Lu X, Kates SL, et al. Total knee arthroplasty volume, utilization, and outcomes among Medicare beneficiaries, 1991-2010. JAMA, 2012, 308(12): 1227-1236.
2. 韋蓉, 陸海英, 王恬, 等. 《膝骨關節炎的非手術治療: 最佳實踐專家共識》要點解讀. 護理研究, 2022, 36(7): 1129-1133.
3. 王斌, 邢丹, 董圣杰, 等. 中國膝骨關節炎流行病學和疾病負擔的系統評價. 中國循證醫學雜志, 2018, 18(2): 134-142.
4. Monticone M, Ferrante S, Rocca B, et al. Home-based functional exercises aimed at managing kinesiophobia contribute to improving disability and quality of life of patients undergoing total knee arthroplasty: a randomized controlled trial. Arch Phys Med Rehabil, 2013, 94(2): 231-239.
5. Gungor S, Fields K, Aiyer R, et al. Incidence and risk factors for development of persistent postsurgical pain following total knee arthroplasty: a retrospective cohort study. Medicine (Baltimore), 2019, 98(28): e16450.
6. Rutherford RW, Jennings JM, Dennis DA. Enhancing recovery after total knee arthroplasty. Orthop Clin North Am, 2017, 48(4): 391-400.
7. Hirakawa Y, Hara M, Fujiwara A, et al. The relationship among psychological factors, neglect-like symptoms and postoperative pain after total knee arthroplasty. Pain Res Manag, 2014, 19(5): 251-256.
8. Leeuw M, Goossens ME, Linton SJ, et al. The fear-avoidance model of musculoskeletal pain: current state of scientific evidence. J Behav Med, 2007, 30(1): 77-94.
9. Doury-Panchout F, Metivier JC, Fouquet B. Kinesiophobia negatively influences recovery of joint function following total knee arthroplasty. Eur J Phys Rehabil Med, 2015, 51(2): 155-161.
10. Filardo G, Roffi A, Merli G, et al. Patient kinesiophobia affects both recovery time and final outcome after total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc, 2016, 24(10): 3322-3328.
11. 何家文, 趙晨, 鐘泓穎, 等. 全膝關節置換術后恐動癥及其影響因素研究. 中國康復醫學雜志, 2023, 38(1): 41-45, 51.
12. 朱政, 胡雁, 邢唯杰, 等. 不同類型循證問題的構成. 護士進修雜志, 2017, 32(21): 1991-1994.
13. Hoffmann-E?er W, Siering U, Neugebauer EA, et al. Guideline appraisal with AGREE II: Systematic review of the current evidence on how users handle the 2 overall assessments. PLoS One, 2017, 12(3): e0174831.
14. 朱政, 胡雁, 周英鳳, 等. 推動證據向臨床轉化(五)證據臨床轉化研究中的文獻質量評價. 護士進修雜志, 2020, 35(11): 996-1000.
15. 胡雁, 郝玉芳. 循證護理學. 2 版. 北京: 人民衛生出版社, 2018: 56-93.
16. 周英鳳, 顧鶯, 胡雁, 等. JBI 循證衛生保健中心關于不同類型研究的質量評價工具—干預性研究的質量評價. 護士進修雜志, 2018, 33(1): 24-26.
17. 胡蓉, 陳佳麗, 寧寧, 等. 脊髓損傷病人壓力性損傷預防的最佳證據總結. 護理研究, 2022, 36(2): 211-216.
18. 王春青, 胡雁. JBI 證據預分級及證據推薦級別系統(2014 版). 護士進修雜志, 2015(11): 964-967.
19. National Institute for Health and Clinical Excellence. Joint replacement(primary): hip, knee and shoulder. London: National Institute for Health and Clinical Excellence, 2020.
20. 沈彬, 翁習生, 廖刃, 等. 中國髖、膝關節置換術加速康復—圍術期疼痛與睡眠管理專家共識. 中華骨與關節外科雜志, 2016, 9(2): 91-97.
21. Wolitzky-Taylor KB, Horowitz JD, Powers MB, et al. Psychological approaches in the treatment of specific phobias: a meta-analysis. Clin Psychol Rev, 2008, 28(6): 1021-1037.
22. Carl E, Stein AT, Levihn-Coon A, et al. Virtual reality exposure therapy for anxiety and related disorders: a meta-analysis of randomized controlled trials. J Anxiety Disord, 2019, 61: 27-36.
23. ?etinkaya F, Karakoyun A. The effects of elastic band exercise on the pain, kinesiophobia, functional, and psychological status after total knee arthroplasty: a randomized controlled trial. Clin Rheumatol, 2022, 41(10): 3179-3188.
24. Eymir M, Unver B, Karatosun V. Relaxation exercise therapy improves pain, muscle strength, and kinesiophobia following total knee arthroplasty in the short term: a randomized controlled trial. Knee Surg Sports Traumatol Arthrosc, 2022, 30(8): 2776-2785.
25. Degirmenci E, Ozturan KE, Kaya YE, et al. Effect of sedation anesthesia on kinesiophobia and early outcomes after total knee arthroplasty. J Orthop Surg (Hong Kong), 2020, 28(1): 2309499019895650.
26. Cai L, Gao H, Xu H, et al. Does a program based on cognitive behavioral therapy affect kinesiophobia in patients following total knee arthroplasty? A randomized, controlled trial with a 6-month follow-up. J Arthroplasty, 2018, 33(3): 704-710.
27. 李海云, 徐化. Otago 運動對老年全膝關節置換術后患者恐動程度及跌倒風險的影響. 護士進修雜志, 2020, 35(11): 965-969.
28. 蔡立柏, 劉延錦, 李英, 等. 多學科協作干預方案在全膝關節置換術后恐動癥患者中的應用研究. 中華護理雜志, 2020, 55(4): 494-499.
29. Edwards RR, Goble L, Kwan A, et al. Catastrophizing, pain, and social adjustment in scleroderma: relationships with educational level. Clin J Pain, 2006, 22(7): 639-646.
30. Stubbs B, Hurley M, Smith T. What are the factors that influence physical activity participation in adults with knee and hip osteoarthritis? A systematic review of physical activity correlates. Clin Rehabil, 2015, 29(1): 80-94.
31. Gunn AH, Schwartz TA, Arbeeva LS, et al. Fear of movement and associated factors among adults with symptomatic knee osteoarthritis. Arthritis Care Res (Hoboken), 2017, 69(12): 1826-1833.
32. Bauman AE, Reis RS, Sallis JF, et al. Correlates of physical activity: why are some people physically active and others not?. Lancet, 2012, 380(9838): 258-271.
33. 雷夢迪, 張倬萁, 潘蘭霞, 等. 全膝關節置換術后病人恐動癥列線圖預測模型的構建. 護理研究, 2023, 37(1): 40-46.
34. 胡文. 簡體中文版 TSK 和 FABQ 量表的文化調適及其在退行性腰腿痛中的應用研究. 上海: 第二軍醫大學, 2012.
35. Wainwright TW, Gill M, McDonald DA, et al. Consensus statement for perioperative care in total hip replacement and total knee replacement surgery: Enhanced Recovery After Surgery (ERAS^?) Society recommendations. Acta Orthop, 2020, 91(1): 3-19.
36. Mou P, Wang D, Tang XM, et al. Adductor canal block combined with ipack block for postoperative analgesia and function recovery following total knee arthroplasty: a prospective, double-blind, randomized controlled study. J Arthroplasty, 2022, 37(2): 259-266.
37. Louw A, Puentedura EJ, Reed J, et al. A controlled clinical trial of preoperative pain neuroscience education for patients about to undergo total knee arthroplasty. Clin Rehabil, 2019, 33(11): 1722-1731.
38. Fagevik Olsén M, Slobo M, Klarin L, et al. Physical function and pain after surgical or conservative management of multiple rib fractures - a follow-up study. Scand J Trauma Resusc Emerg Med, 2016, 24(1): 128.
39. Morone NE, Abebe KZ, Morrow LA, et al. Pain and decreased cognitive function negatively impact physical functioning in older adults with knee osteoarthritis. Pain Med, 2014, 15(9): 1481-1487.
40. 郭玉茹. 單側全膝關節置換恐動癥患者功能鍛煉決策輔助方案的構建與應用. 鄭州: 鄭州大學, 2020.
41. 張衛紅, 王培霞, 馬紅娜, 等. 術前預康復在老年膝關節置換合并肌少癥患者中的應用. 中華現代護理雜志, 2023, 29(7): 867-872.

West China Medical Journal

Best evidence summary for prevention and management of kinesiophobia in patients undergoing total knee arthroplasty

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