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Tampa Scale of Kinesiophobia may identify risk for decreased range of motion after TKA
Use of the Tampa Scale of Kinesiophobia may help identify patients at risk for decreased range of motion after total knee arthroplasty, according to results.
Researchers took clinical photographs of 79 knees in maximum passive flexion after total knee arthroplasty (TKA) immediately after closure of the surgical incision. Patients were randomly assigned to either a photograph group, in which researchers showed patients their clinical photograph on postoperative day 2 and again at 2-week follow-up, or to a control group that did not see their photographs. Researchers obtained psychological assessments and knee range of motion measurements for each patient, and all patients completed the Tampa Scale of Kinesiophobia, the short-form McGill Pain Score, the short-form Geriatric Depression Scale and the SF-12.
According to results of a linear mixed model adjusted for age, gender and Charlson comorbidity index, the Tampa Scale of Kinesiophobia had a statistically significant negative association with knee flexion. In a subset of 60 patients, of which 29 were randomly assigned to the control group and 31 to the photograph group, results showed a trend toward decreased knee flexion among patients in the photograph group. Although researchers found a mean active knee flexion of approximately 99° and a mean passive knee flexion of approximately 94.1° in the photograph group compared with approximately 106.1° and 100.9° in the control group, respectively, they noted these differences were not statistically significant. – by Casey Tingle
Disclosures: Brown reports no relevant financial disclosures. Please see the full study for a list of all other authors’ relevant financial disclosures.