Home-Based Functional Exercises Aimed at Managing Kinesiophobia Contribute to Improving Disability and Quality of Life of Patients Undergoing Total Knee Arthroplasty: A Randomized Controlled Trial

被引：69
作者：
Monticone, Marco [1 ]
Ferrante, Simona [1 ,2 ]
Rocca, Barbara [1 ]
Salvaderi, Stefano [1 ]
Fiorentini, Roberta [1 ]
Restelli, Maddalena [1 ]
Foti, Calogero [3 ]
机构：
[1] Salvatore Maugeri Fdn, Phys Med & Rehabil Unit, Inst Care & Res, Sci Inst Lissone, Milan, Italy
[2] Politecn Milan, Neuroengn & Med Robot Lab, Dept Bioengn, I-20133 Milan, Italy
[3] Univ Roma Tor Vergata, Chair Phys & Rehabil Med, Rome, Italy
来源：
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 2013年 / 94卷 / 02期
关键词：
Arthroplasty; replacement; knee; Rehabilitation; PAIN; REHABILITATION; OSTEOARTHRITIS; FEAR; REPLACEMENT; ASSOCIATION; INJURY; SF-36; HIP;
D O I：
10.1016/j.apmr.2012.10.003
中图分类号：
R49 [康复医学];
学科分类号：
100215 ;
摘要：
Objective: To compare the improvement in disability, kinesiophobia, pain, and quality of life obtained by means of home-based functional exercises aimed at managing kinesiophobia with that obtained by giving subjects undergoing total knee arthroplasty (TKA) advice to stay active after discharge from a rehabilitation unit. Design: Randomized controlled trial with 6-months' follow-up. Setting: Patients' homes. Participants: Patients (N= 110; 40 men; mean age, 67y) at the end of a 15-day period of in-hospital rehabilitation after undergoing primary TKA. Interventions: In the experimental group, before returning home, the patients were asked to continue the functional exercises learned during hospitalization in twice-weekly 60-minute sessions for 6 months, and were given a book containing theoretical information about the management of kinesiophobia. In the control group, the patients were advised to stay active and gradually recover their usual activities. Main Outcome Measures: Repeated-measures analysis of covariance with baseline values as the covariates (P<.05) was used to assess the effect of treatment on disability, fear-avoidance beliefs, pain intensity, and quality of life. Results: The analysis revealed a significant time by group interaction in all the variables in favor of the experimental group. Post hoc analysis showed that the effect of the group was statistically significant at the end of home training and follow-up. The treatment effect was clinically tangible in terms of disability and quality of life, and persisted for 6 months after the intervention ended. Conclusions: A home-based program based on functional exercises and the management of kinesiophobia was useful in changing the course of disability, fear-avoidance beliefs, pain, and the quality of life in patients with TKA. Archives of Physical Medicine and Rehabilitation 2013;94:231-9 (C) 2013 by the American Congress of Rehabilitation Medicine
引用
收藏
页码：231 / 239
页数：9
相关论文
共 37 条
  • [1] Cycling Induced by Electrical Stimulation Improves Muscle Activation and Symmetry During Pedaling in Hemiparetic Patients
    Ambrosini, Emilia
    Ferrante, Simona
    Ferrigno, Giancarlo
    Molteni, Franco
    Pedrocchi, Alessandra
    [J]. IEEE TRANSACTIONS ON NEURAL SYSTEMS AND REHABILITATION ENGINEERING, 2012, 20 (03) : 320 - 330
  • [2] Cycling Induced by Electrical Stimulation Improves Motor Recovery in Postacute Hemiparetic Patients A Randomized Controlled Trial
    Ambrosini, Emilia
    Ferrante, Simona
    Pedrocchi, Alessandra
    Ferrigno, Giancarlo
    Molteni, Franco
    [J]. STROKE, 2011, 42 (04) : 1068 - 1073
  • [3] [Anonymous], 2000, SF 36 QUALITY LIFE Q
  • [4] The Italian SF-36 Health Survey: Translation, validation and norming
    Apolone, G
    Mosconi, P
    [J]. JOURNAL OF CLINICAL EPIDEMIOLOGY, 1998, 51 (11) : 1025 - 1036
  • [5] Risk factors for onset of osteoarthritis of the knee in older adults: a systematic review and meta-analysis
    Blagojevic, M.
    Jinks, C.
    Jeffery, A.
    Jordan, K. P.
    [J]. OSTEOARTHRITIS AND CARTILAGE, 2010, 18 (01) : 24 - 33
  • [6] Brady OH, 2000, CAN MED ASSOC J, V163, P1285
  • [7] Cerbo M, 2009, PROCEDURES PRIMARY T
  • [8] Longitudinal Changes in Psychosocial Factors and Their Association With Knee Pain and Function After Anterior Cruciate Ligament Reconstruction
    Chmielewski, Terese L.
    Zeppieri, Giorgio, Jr.
    Lentz, Trevor A.
    Tillman, Susan M.
    Moser, Michael W.
    Indelicato, Peter A.
    George, Steven Z.
    [J]. PHYSICAL THERAPY, 2011, 91 (09): : 1355 - 1366
  • [9] The Association of Pain and Fear of Movement/Reinjury With Function During Anterior Cruciate Ligament Reconstruction Rehabilitation
    Chmielewski, Terese L.
    Jones, Debi
    Day, Tim
    Tillman, Susan M.
    Lentz, Trevor A.
    George, Steven Z.
    [J]. JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY, 2008, 38 (12) : 746 - 753
  • [10] Is physical therapy more beneficial than unsupervised home exercise in treatment of post surgical knee disorders? A systematic review
    Coppola, Steven M.
    Collins, Sean M.
    [J]. KNEE, 2009, 16 (03) : 171 - 175
1234