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.	韦蓉, 陆海英, 王恬, 等. 《膝骨关节炎的非手术治疗: 最佳实践专家共识》要点解读. 护理研究, 2022, 36(7): 1129-1133.
3.	王斌, 邢丹, 董圣杰, 等. 中国膝骨关节炎流行病学和疾病负担的系统评价. 中国循证医学杂志, 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, 赵晨, 钟泓颖, 等. 全膝关节置换术后恐动症及其影响因素研究. 中国康复医学杂志, 2023, 38(1): 41-45, 51.
12.	朱政, 胡雁, 邢唯杰, 等. 不同类型循证问题的构成. 护士进修杂志, 2017, 32(21): 1991-1994.
13.	Hoffmann-Eßer 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, 周英凤, 等. 推动证据向临床转化(五)证据临床转化研究中的文献质量评价. 护士进修杂志, 2020, 35(11): 996-1000.
15.	胡雁, 郝玉芳. 循证护理学. 2 版. 北京: 人民卫生出版社, 2018: 56-93.
16.	周英凤, 顾莺, 胡雁, 等. JBI 循证卫生保健中心关于不同类型研究的质量评价工具—干预性研究的质量评价. 护士进修杂志, 2018, 33(1): 24-26.
17.	胡蓉, 陈佳丽, 宁宁, 等. 脊髓损伤病人压力性损伤预防的最佳证据总结. 护理研究, 2022, 36(2): 211-216.
18.	王春青, 胡雁. JBI 证据预分级及证据推荐级别系统(2014 版). 护士进修杂志, 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, 翁习生, 廖刃, 等. 中国髋、膝关节置换术加速康复—围术期疼痛与睡眠管理专家共识. 中华骨与关节外科杂志, 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.	Çetinkaya 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 运动对老年全膝关节置换术后患者恐动程度及跌倒风险的影响. 护士进修杂志, 2020, 35(11): 965-969.
28.	蔡立柏, 刘延锦, 李英, 等. 多学科协作干预方案在全膝关节置换术后恐动症患者中的应用研究. 中华护理杂志, 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.	雷梦迪, 张倬萁, 潘兰霞, 等. 全膝关节置换术后病人恐动症列线图预测模型的构建. 护理研究, 2023, 37(1): 40-46.
34.	胡文. 简体中文版 TSK 和 FABQ 量表的文化调适及其在退行性腰腿痛中的应用研究. 上海: 第二军医大学, 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. 单侧全膝关节置换恐动症患者功能锻炼决策辅助方案的构建与应用. 郑州: 郑州大学, 2020.
41.	张卫红, 王培霞, 马红娜, 等. 术前预康复在老年膝关节置换合并肌少症患者中的应用. 中华现代护理杂志, 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. 韦蓉, 陆海英, 王恬, 等. 《膝骨关节炎的非手术治疗: 最佳实践专家共识》要点解读. 护理研究, 2022, 36(7): 1129-1133.
3. 王斌, 邢丹, 董圣杰, 等. 中国膝骨关节炎流行病学和疾病负担的系统评价. 中国循证医学杂志, 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, 赵晨, 钟泓颖, 等. 全膝关节置换术后恐动症及其影响因素研究. 中国康复医学杂志, 2023, 38(1): 41-45, 51.
12. 朱政, 胡雁, 邢唯杰, 等. 不同类型循证问题的构成. 护士进修杂志, 2017, 32(21): 1991-1994.
13. Hoffmann-Eßer 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, 周英凤, 等. 推动证据向临床转化(五)证据临床转化研究中的文献质量评价. 护士进修杂志, 2020, 35(11): 996-1000.
15. 胡雁, 郝玉芳. 循证护理学. 2 版. 北京: 人民卫生出版社, 2018: 56-93.
16. 周英凤, 顾莺, 胡雁, 等. JBI 循证卫生保健中心关于不同类型研究的质量评价工具—干预性研究的质量评价. 护士进修杂志, 2018, 33(1): 24-26.
17. 胡蓉, 陈佳丽, 宁宁, 等. 脊髓损伤病人压力性损伤预防的最佳证据总结. 护理研究, 2022, 36(2): 211-216.
18. 王春青, 胡雁. JBI 证据预分级及证据推荐级别系统(2014 版). 护士进修杂志, 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, 翁习生, 廖刃, 等. 中国髋、膝关节置换术加速康复—围术期疼痛与睡眠管理专家共识. 中华骨与关节外科杂志, 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. Çetinkaya 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 运动对老年全膝关节置换术后患者恐动程度及跌倒风险的影响. 护士进修杂志, 2020, 35(11): 965-969.
28. 蔡立柏, 刘延锦, 李英, 等. 多学科协作干预方案在全膝关节置换术后恐动症患者中的应用研究. 中华护理杂志, 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. 雷梦迪, 张倬萁, 潘兰霞, 等. 全膝关节置换术后病人恐动症列线图预测模型的构建. 护理研究, 2023, 37(1): 40-46.
34. 胡文. 简体中文版 TSK 和 FABQ 量表的文化调适及其在退行性腰腿痛中的应用研究. 上海: 第二军医大学, 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. 单侧全膝关节置换恐动症患者功能锻炼决策辅助方案的构建与应用. 郑州: 郑州大学, 2020.
41. 张卫红, 王培霞, 马红娜, 等. 术前预康复在老年膝关节置换合并肌少症患者中的应用. 中华现代护理杂志, 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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