Incidence of Fear of Fall and Stairs Climbing Status in Older Adults After Total Knee Arthroplasty

Abstract

Background: This research aimed to assess factors influencing the frequency and fear of falls, and the anxiety related to climbing stairs in patients undergoing total knee arthroplasty (TKA). Fall-related injuries are common complications after TKA, affecting daily activities and overall quality of life. Objective: To evaluate the incidence of falls, fear of falling, and stair climbing abilities in patients post-TKA. Methods: The study included 183 patients who had undergone unilateral or bilateral TKA between 6 months to 1 year prior, encompassing both genders. Data were collected using the Fall Efficacy Scale (FES) and the Timed Up and Go (TUG) scale through structured questionnaires. Results: The mean age of participants was 68.78 years (SD=6.828, range 60-89). The mean total FES score was 64.11 (SD=10.712, range 37-91). Approximately 65% of patients had a high fear of falling and poor stair climbing status. Conclusion: The study found that 65% of patients experienced fear of falling and difficulties in stair climbing post-TKA. Continued risk of falls necessitates providing physical therapy and comprehensive discharge training to mitigate fall risk and improve functional outcomes.