Association between Kinesiophobia and Knee Pain Intensity, Joint Position Sense, and Functional Performance in Individuals with Bilateral Knee Osteoarthritis.

Mastour Saeed Alshahrani,Jaya Shanker Tedla,Faisal Asiri,Ravi Shankar Reddy,Adel Alshahrani

doi:10.3390/healthcare10010120

Mastour Saeed Alshahrani, Jaya Shanker Tedla + Show 3 more

Open Access

https://doi.org/10.3390/healthcare10010120

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Journal: Healthcare	Publication Date: Jan 7, 2022
Citations: 27	License type: CC BY 4.0

Affiliation: King Khalid University, Najran University

Abstract

In current clinical practice, fear of movement has been considered a significant factor affecting patient disability and needs to be evaluated and addressed to accomplish successful rehabilitation strategies. Therefore, the study aims (1) to establish the association between kinesiophobia and knee pain intensity, joint position sense (JPS), and functional performance, and (2) to determine whether kinesiophobia predicts pain intensity, JPS, and functional performance among individuals with bilateral knee osteoarthritis (KOA). This cross-sectional study included 50 participants (mean age: 67.10 ± 4.36 years) with KOA. Outcome measures: The level of kinesiophobia was assessed using the Tampa Scale of Kinesiophobia, pain intensity using a visual analog scale (VAS), knee JPS using a digital inclinometer, and functional performance using five times sit-to-stand test. Knee JPS was assessed in target angles of 15°, 30°, and 60°. Pearson’s correlation coefficients and simple linear regressions were used to analyze the data. Significant moderate positive correlations were observed between kinesiophobia and pain intensity (r = 0.55, p < 0.001), JPS (r ranged between 0.38 to 0.5, p < 0.05), and functional performance (r = 0.49, p < 0.001). Simple linear regression analysis showed kinesiophobia significantly predicted pain intensity (B = 1.05, p < 0.001), knee JPS (B ranged between 0.96 (0° of knee flexion, right side) to 1.30 (15° of knee flexion, right side)), and functional performance (B = 0.57, p < 0.001). We can conclude that kinesiophobia is significantly correlated and predicted pain intensity, JPS, and functional performance in individuals with KOA. Kinesiophobia is a significant aspect of the recovery process and may be taken into account when planning and implementing rehabilitation programs for KOA individuals.

Highlights

Knee osteoarthritis (KOA) is a widespread chronic degenerative joint disease that burdens the public health system [1,2]
The results indicate that an increase in kinesiophobia increases knee joint position errors
This study aimed to determine the association between kinesiophobia, pain intensity, knee joint position sense (JPS), and functional performance, and see if kinesiophobia predicts pain intensity, JPS, and functional performance in KOA individuals

Summary

Introduction

Knee osteoarthritis (KOA) is a widespread chronic degenerative joint disease that burdens the public health system [1,2]. Around 250 million people worldwide suffer from this degenerative joint disease [3]. Females over 65, obese people, and African Americans have the highest risk of developing OA [4]. Patients with KOA seek treatment due to pain and functional limitations. More pain frequently means lower physical function, which means less ability to perform daily tasks, including walking short and long distances, climbing stairs, and sitting-to-stand [5]. Patients with knee OA have several conservative management options, including exercise therapy, weight loss, patient education, activity modification, footwear, bracing, and physical modalities [6,7,8,9]

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