Effect of sedation anesthesia on kinesiophobia and early outcomes after total knee arthroplasty

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dc.authoridAKKAYA, Akcan/0000-0002-1630-2033
dc.authoridDEGIRMENCI, ERDEM/0000-0002-7988-4261
dc.authorwosidDEGIRMENCI, Erdem/AAT-2564-2020
dc.authorwosidAKKAYA, Akcan/E-8710-2013
dc.contributor.authorDegirmenci, Erdem
dc.contributor.authorOzturan, Kutay Engin
dc.contributor.authorKaya, Yasin Emre
dc.contributor.authorAkkaya, Akcan
dc.contributor.authorYucel, Istemi
dc.date.accessioned2021-12-01T18:49:01Z
dc.date.available2021-12-01T18:49:01Z
dc.date.issued2020
dc.department[Belirlenecek]en_US
dc.description.abstractBackground: Total knee arthroplasty (TKA) operation is an effective treatment method in severe osteoarthritis worldwide. However, the number of patients with chronic pain and functional limitations in the postoperative period will continue to increase. Kinesiphobia is an important factor that affects the functional outcomes postoperatively. The aim of this study is to investigate the effects of intraoperative consciousness of the patients during surgery on kinesiophobia development and early functional outcomes of TKA. Methods: Sixty patients with the diagnosis of primary knee osteoarthritis were enrolled in the study. Tampa Scale of Kinesiophabia (TSK) was obtained for each patient at multiple time periods. Regional anaesthesia and deep sedation were performed on group 1 (n = 30), while regional anaesthesia and light sedation were performed on group 2 (n = 30). The same surgical procedures were applied to all participants. Functional tests were performed on the patients at the postoperative 2nd and 5th days. Visual Analogue Scale (VAS) scores and knee flexion angles were also measured postoperatively. Results: The mean age of the participants (19 men (31.7%) and 41women (68.3%)) was 67.7 +/- 6.7 (54-82) years. TSK >= 40 was detected in 18 (30%) patients preoperatively and 33 patients (55%) postoperatively. The number of kinesiophobic patients showed statistically significant increase after operation (20/30 (66.7%)) according to preoperative period (9/30 (30%)) in group 2 (p = 0.003). Postoperative functional scores, knee flexion angles and VAS scores were better in non-kinesiophobic patients. Conclusion: Patient's consciousness during TKA operations is an important factor that interferes with the postoperative kinesiophobia development, which may play a pivotal role affecting the early mobility and functional outcomes.en_US
dc.identifier.doi10.1177/2309499019895650
dc.identifier.issn1022-5536
dc.identifier.issn2309-4990
dc.identifier.issue1en_US
dc.identifier.pmid31908181en_US
dc.identifier.scopus2-s2.0-85077606445en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1177/2309499019895650
dc.identifier.urihttps://hdl.handle.net/20.500.12684/10648
dc.identifier.volume28en_US
dc.identifier.wosWOS:000506360000001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSage Publications Ltden_US
dc.relation.ispartofJournal Of Orthopaedic Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectkinesiophobiaen_US
dc.subjectsedation anaesthesiaen_US
dc.subjectTampa Scaleen_US
dc.subjecttotal knee arthroplastyen_US
dc.subjectQuality-Of-Lifeen_US
dc.subjectPostoperative Painen_US
dc.subjectFear-Avoidanceen_US
dc.subjectRecoveryen_US
dc.subjectHipen_US
dc.subjectMovementen_US
dc.subjectScaleen_US
dc.subjectRangeen_US
dc.titleEffect of sedation anesthesia on kinesiophobia and early outcomes after total knee arthroplastyen_US
dc.typeArticleen_US

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