The relationship between kinesiophobia and functional performance with the ability to forgetting the artificial joint in patients with total hip arthroplasty

Özçadırcı A., The relationship between kinesiophobia and functional performance with the ability to forgetting the artificial joint in patients with total hip arthroplasty, Hacettepe University, Graduate School of Health Sciences Institute, Master of Science Thesis in Orthopedic Physiotherapy and Rehabilitation Program, Ankara, 2019. The aim of this study was to investigate the relationship between kinesophobia and functional performance with the ability to forgetting the artificial joint in patients with total hip arthroplasty (THA). Fifty-seven volunteer patients aged between 40-65 years who underwent THA surgery in the last 1-3 years were included in this study. The pain of individuals was evaluated with Visual Analogue Scale . While the range of motion (ROM) the hip joint is evaluated with goniometer; muscle strength was assessed by hand dynamometer. The tape measure was used for lower extremity length measurement. The Forgotten Joint Score (FJS-12) for evaluating the ability to forgetting the artificial joint, the 6-Minute Walk Test (6 MWT) for the evaluation of functional performance, and the Tampa Kinesiophobia Scale (TSK) for evaluating kinesiophobia was used. Finally, the Oxford Hip Score (OHS) was used to evaluate the functional status from the patient perspective. As a result of the study, there was a moderate negative correlation between UES-12 and TSK (r = -0.571; p <0.001); and moderate positive correlation between UES-12 and 6 MWT distances (r = 0.408; p <0.001). There was a moderate negative correlation between UES-12 and OHS (r = -0.613; p <0.001). There was also difference between the healthy and prosthesis side hip abduction muscle strength and knee extension muscle strength in favor of the healthy side (p<0.05). There was difference between the prosthesis and the healthy side hip ROM in favor of the healthy side in all ROM except adduction (p<0.05). As a result, the ability to forgetting the artificial joint in patients with THA was found to be related to kinesiophobia and functional performance. As a result of this study; It has been shown that awareness of artificial joint should be taken into consideration when performing physiotherapy and rehabilitation practices aiming at decreasing fear of movement, increasing functional performance and normal joint mobility. It was concluded that practices aimed at reducing the awareness of artificial joint should be added to the rehabilitation program. Keywords: Arthroplasty, Hip, Kinesiophobia, Awareness, Functional Capacity.