Effectiveness of video-based intervention on kinesiophobia and short-term functional outcome among patients with total knee arthroplasty: A quasi experimental study

视频干预对全膝关节置换术患者运动恐惧症及短期功能预后的有效性:一项准实验研究

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Abstract

BACKGROUND: Total knee arthroplasty (TKA) is a joint surgery to relieve pain and improve function in severe knee osteoarthritis. Despite its benefits, many patients experience kinesiophobia, which makes people less likely to exercise, thereby hindering rehabilitation and functional recovery. Video-based interventions enhance postoperative rehabilitation engagement. The study aims to assess kinesiophobia and short-term functional outcomes among patients with TKA. MATERIALS AND METHODS: A quasi-experimental study (post-test-only control group design) was conducted among TKA patients at a tertiary care hospital with 60 sample sizes (30 in each group). Data were collected using socio-demographic variables, the TAMPA scale of kinesiophobia (TSK 11), and the WOMAC scale for measuring short-term functional outcomes. The control group received standard treatment, while the experimental group received video-based intervention besides standard treatment. Assessments occurred at the discharge date, second week, and fourth week after the surgery. Data was analyzed using SPSS version 20. RESULTS: The experimental group exhibited lower levels of kinesiophobia in successive post-tests compared to the control group, with a statistically significant difference in post-tests 1 and 2. Both groups showed improvements in functional outcomes in the successive post-tests, with lower mean scores in the experimental group, indicating better functional outcomes, with a statistically significant difference in post-tests 2 and 3. CONCLUSION: The current study illustrates that a video-based intervention program was effective in lowering the levels of kinesiophobia and improving short-term functional outcomes among TKA patients.

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