Naslov
A novel integrative approach to improve the quality of life by reducing pain and kinesiophobia in patients undergoing TKA: the IARA Model

Autori
Padovan, AM ; Oprandi, G ; Padulo, J ; Bruno, C ; Isoardi, M ; Gulotta, F ; Kuvačić, G ; De Giorgio, A ;

Izvornik
MLTJ-MUSCLES LIGAMENTS AND TENDONS JOURNAL (2240-4554) 8 (2018), 1; 93-103

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
knee ; empowerment ; education ; guided imagery ; fear of movement

Sažetak
Introduction: Postoperative complications in TKA are well-known, especially regarding kinesiophobia which affects both perception of pain and good post-operation recovery, preventing the normal course and sometimes leading to a new intervention even in the presence of a technically successful operation. Methods: The study had a quasi-experimental, controlled, before-and-after design and was conducted on 84 patients ; 44 were assigned to IARA and 40 to control group. According to IARA model three meetings were performed (two pre-and one postoperative). The control group received normal pre- and postoperative interaction. With the purpose of evaluating pain, kinesiophobia and health-related Quality of Life (QoL), we used respectively the NRS 0-10, TSK, and KOOS questionnaires. Results: Applying two-way mixed design ANOVA we found significant Time x Group interaction in all KOOS subscales: Pain (F-1, F-82=10.808, p<0.001) ; Symptom (F-1, F-82=15.497, p<0.001) ; ADL (F-1, F-82=20.342, p<0.001) ; Sport/Rec (F- 1, F-82=20.451, p<0.001) ; QOL (F-1, F-82=4.275, p<0.001) and also in TSK questionnaire (F-1, F- 82=4.275, p=0.042). Conclusion: IARA turned out to be a short and effective approach to reducing kinesiophobia and pain at 40th day after surgery, significantly improving QoL indexes in patient undergoing TKA.

Izvorni jezik
Engleski

POVEZANOST RADA