PMID- 33160343
OWN - NLM
STAT- MEDLINE
DCOM- 20210514
LR  - 20210514
IS  - 1471-2474 (Electronic)
IS  - 1471-2474 (Linking)
VI  - 21
IP  - 1
DP  - 2020 Nov 7
TI  - Is kinesiophobia a predictor of early functional performance after total hip 
      replacement? A prospective prognostic cohort study.
PG  - 724
LID - 10.1186/s12891-020-03748-7 [doi]
LID - 724
AB  - BACKGROUND: Considerable attention has been paid to the role of kinesiophobia 
      with respect to knee prosthesis but it has not yet been studied as a prognostic 
      factor of short-term functional performance following total hip replacement. The 
      main purpose of the present study is to examine the possible predictors of early 
      functional performance of patients undergoing total primary hip arthroplasty, 
      including demographics as age, sex and body mass index, preoperative functional 
      ability, type of anaesthesia, level of haemoglobin, pain and level of 
      kinesiophobia before surgery. Secondly, we want to describe the main 
      characteristics of the population with the highest levels of kinesiophobia. 
      METHODS: A prospective, prognostic cohort study was carried out. Patients 
      undergoing primary hip replacement were recruited consecutively. The main outcome 
      is the early functional performance achieved by patients after surgery and 
      measured using the Iowa Level of Assistance (ILOA) scale on the fifth 
      postoperative day. Preoperative kinesiophobia was measured by the Tampa Scale and 
      the preoperative functional ability by the Western Ontario and McMaster 
      Osteoarthritis Index (WOMAC). The multivariate analysis was performed by the 
      General Linear Model. The analysis of the population with high levels of 
      kinesiophobia was conducted by identifying a cut-off of 40 compared to the Tampa 
      Scale. RESULTS: Statistical analysis was performed on 269 patients. The average 
      ILOA score recorded was 19.5 (DS 8.3). The levels of kinesiophobia, showed an 
      average score of 35.1 (7.8) and it was not associated with early functional 
      performance. The independent predictive factors include age, sex and body mass 
      index. Kinesiophobia high levels were recorded in 30% of the population and this 
      population had a higher level of pre-operative WOMAC score. CONCLUSIONS: Early 
      functional performance after hip replacement surgery was not correlated with the 
      level of kinesiophobia. Three significant factors that describe a population most 
      at risk of not achieving optimal functional performance are increased age, being 
      female and increase in body mass index. In the preoperative phase, high levels of 
      kinesiophobia were associated with more impaired preoperative functional ability. 
      TRIAL REGISTRATION: Current Controlled Trials NCT02786121 , May 2016. 
      Retrospectively registered.
FAU - Morri, M
AU  - Morri M
AUID- ORCID: 0000-0002-4429-9927
AD  - IRCCS Istituto Ortopedico Rizzoli, Servizio di Assistenza Infermieristico Tecnico 
      e Riabilitativo, Via Pupilli 1, 40136, Bologna, IT, Italy. mattia.morri@ior.it.
FAU - Venturini, E
AU  - Venturini E
AD  - IRCCS Istituto Ortopedico Rizzoli, Servizio di Assistenza Infermieristico Tecnico 
      e Riabilitativo, Via Pupilli 1, 40136, Bologna, IT, Italy.
FAU - Franchini, N
AU  - Franchini N
AD  - IRCCS Istituto Ortopedico Rizzoli, Servizio di Assistenza Infermieristico Tecnico 
      e Riabilitativo, Via Pupilli 1, 40136, Bologna, IT, Italy.
FAU - Ruisi, R
AU  - Ruisi R
AD  - IRCCS Istituto Ortopedico Rizzoli, Servizio di Assistenza Infermieristico Tecnico 
      e Riabilitativo, Via Pupilli 1, 40136, Bologna, IT, Italy.
FAU - Culcasi, A
AU  - Culcasi A
AD  - IRCCS Istituto Ortopedico Rizzoli, Servizio di Assistenza Infermieristico Tecnico 
      e Riabilitativo, Via Pupilli 1, 40136, Bologna, IT, Italy.
FAU - Ruggiero, A
AU  - Ruggiero A
AD  - IRCCS Istituto Ortopedico Rizzoli, Servizio di Assistenza Infermieristico Tecnico 
      e Riabilitativo, Via Pupilli 1, 40136, Bologna, IT, Italy.
FAU - Govoni, C
AU  - Govoni C
AD  - IRCCS Istituto Ortopedico Rizzoli, Servizio di Assistenza Infermieristico Tecnico 
      e Riabilitativo, Via Pupilli 1, 40136, Bologna, IT, Italy.
FAU - Benedetti, M G
AU  - Benedetti MG
AD  - IRCCS Istituto Ortopedico Rizzoli, Servizio di Medicina Fisica e Riabilitativa, 
      Bologna, Italy.
LA  - eng
SI  - ClinicalTrials.gov/NCT02786121
PT  - Journal Article
DEP - 20201107
PL  - England
TA  - BMC Musculoskelet Disord
JT  - BMC musculoskeletal disorders
JID - 100968565
SB  - IM
MH  - *Arthroplasty, Replacement, Hip/adverse effects
MH  - Cohort Studies
MH  - Female
MH  - Humans
MH  - Ontario
MH  - *Osteoarthritis, Hip/surgery
MH  - *Osteoarthritis, Knee/surgery
MH  - Physical Functional Performance
MH  - Prognosis
MH  - Prospective Studies
MH  - Treatment Outcome
PMC - PMC7648978
OTO - NOTNLM
OT  - Arthroplasty
OT  - Osteoarthritis
OT  - Psychology
OT  - Recovery of function
COIS- The Authors declare that they have no competing interest.
EDAT- 2020/11/09 06:00
MHDA- 2021/05/15 06:00
PMCR- 2020/11/07
CRDT- 2020/11/08 20:20
PHST- 2020/03/20 00:00 [received]
PHST- 2020/10/28 00:00 [accepted]
PHST- 2020/11/08 20:20 [entrez]
PHST- 2020/11/09 06:00 [pubmed]
PHST- 2021/05/15 06:00 [medline]
PHST- 2020/11/07 00:00 [pmc-release]
AID - 10.1186/s12891-020-03748-7 [pii]
AID - 3748 [pii]
AID - 10.1186/s12891-020-03748-7 [doi]
PST - epublish
SO  - BMC Musculoskelet Disord. 2020 Nov 7;21(1):724. doi: 10.1186/s12891-020-03748-7.