Comparison of preoperative and postoperative kinesiophobia in patients following knee prosthesis surgery

The aim of this study is to investigate and compare pre-surgical kinesiophobia and post-surgical kinesiophobia in individuals who have had total knee replacement surgery. The study included 44 volunteer individuals who had total knee replacement surgery. The Tampa Kinesiophobia Scale (TSK) for the fair of movement assessment, the "universal goniometer" for measuring joint range of motion (ROM), the Visual Analog Scale (VAS) for pain assessment, the Barthel Daily Life Activities (DLA) Index for determining the patients' independence level, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) for measuring knee function, The Short Form- 36 Quality of Life Scale (SF- 36) for quality of life assessment were applied to the individuals participating in this study. The data of the study were collected by face-to-face interview method before surgery, on the 3rd day after surgery and at the first month after surgery. No significant difference was found in preoperative, postoperative third day and first month TSK score avarages (p>0,05). Positive correlation was found between preoperative kinesiophobia and postoperative third day and first month kinesiophobia (p=0,002, p=0,001). Negative intermediate level correlation was found between preoperative kinesiophobia and preoperative pain level, preoperative SF-36 pain and energy subparameters, postoperative third day SF-36 energy subparameter and postoperative ROM (p=0,002, p=0,022, p=0,013, p=0,022, p=0,020). Positive intermediate level correlation was found between postoperative third day kinesiophobia level and preoperative pain level, postoperative first month pain level and preoperative WOMAC score (p=0,018, p=0,046, p=0,014). Negative intermediate level correlation was found between postoperative first month kinesiophobia level and first month SF-36 general health subparameter, preoperative SF-36 mental health, postoperative third day Barthel DLA Index, SF-36 social function subparameter and energy subparameter (p=0,004, p=0,015, p=0,017, p=0,038, p=0,022). Positive correlation was found between first month kinesiophobia and preoperative pain level and WOMAC score (p=0,001, p=0,017). According to the results of the study, early and long-term kinesiophobia after surgery is associated with kinesiophobia before surgery, pain severity, functional level and quality of life. Evaluation of patients related to kinesiophobia in the preoperative period may provide benefits for kinesiophobia that may be observed in the postoperative period.