{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T20:36:25Z","timestamp":1793392585392,"version":"4.5.0"},"reference-count":24,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2015,12,19]],"date-time":"2015-12-19T00:00:00Z","timestamp":1450483200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2015,12,19]],"date-time":"2015-12-19T00:00:00Z","timestamp":1450483200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the effects of kinesiophobia on both phases immediately after surgery and the final results after total knee arthroplasty (TKA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study evaluated prospectively 101 patients (mean age 66 \u00b1 8.0 years, 70 women and 31\u00a0men), 5\u00a0days after surgery, at 1, 6, 12\u00a0months, and at a mean final follow\u2010up of 3.2 \u00b1 0.7 years (2.0\u20134.2 years). Kinesiophobia was assessed with the Tampa Scale for Kinesiophobia (TSK: Activity Avoidance\u2014TSK1 and Harm\u2014TSK2 subscales), and results were evaluated with range of motion, pain and function on 0\u201310\u00a0numeric rating scales, WOMAC and SF\u201012 (Physical and Mental subscales) scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      TSK1 was correlated with the acute postoperative pain measured at 5\u00a0days (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.031), pain measured at 12\u00a0months (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.018), patient perceived function at 12\u00a0months (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.025), SF\u201012P at 6\u00a0months (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001), SF\u201012P and SF\u201012M at 12\u00a0months (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.001 and\n                      <jats:italic>p<\/jats:italic>\n                      = 0.005, respectively), and WOMAC at both 6 and 12\u00a0months of follow\u2010up (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.005 and\n                      <jats:italic>p<\/jats:italic>\n                      = 0.001). The effect of TSK 1 on the final WOMAC score was significant when corrected by age and sex (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.049,\n                      <jats:italic>\u03b7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      = 0.041): the youngest female patients were affected even by moderate kinesiophobia levels.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Fear of pain and even more avoidance of movement are strongly correlated both with the acute postoperative pain perception and recovery after surgery up to 1 year, thus presenting a relevant clinical impact on the outcome after TKA. Moreover, this study showed that even though at longer follow\u2010up its impact decreases, patients with higher levels of kinesiophobia may present a poorer final outcome, especially women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>IV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00167-015-3898-8","type":"journal-article","created":{"date-parts":[[2015,12,19]],"date-time":"2015-12-19T09:46:16Z","timestamp":1450518376000},"page":"3322-3328","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":78,"title":["Patient kinesiophobia affects both recovery time and final outcome after total knee arthroplasty"],"prefix":"10.1002","volume":"24","author":[{"given":"G.","family":"Filardo","sequence":"first","affiliation":[{"name":"Laboratory of Biomechanics and Technology Innovation\/2nd Orthopaedic and Traumatologic Clinic Rizzoli Orthopaedic Institute Via di Barbiano 1\/10 Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Roffi","sequence":"additional","affiliation":[{"name":"Laboratory of NanoBiotechnology (NABI) Rizzoli Orthopaedic Institute Via di Barbiano 1\/10 Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Merli","sequence":"additional","affiliation":[{"name":"Laboratory of NanoBiotechnology (NABI) Rizzoli Orthopaedic Institute Via di Barbiano 1\/10 Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Marcacci","sequence":"additional","affiliation":[{"name":"Mood Centro per lo studio e la cura dei disturbi emotivi Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F. Berti","family":"Ceroni","sequence":"additional","affiliation":[{"name":"Mood Centro per lo studio e la cura dei disturbi emotivi Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Raboni","sequence":"additional","affiliation":[{"name":"Mood Centro per lo studio e la cura dei disturbi emotivi Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Bortolotti","sequence":"additional","affiliation":[{"name":"Mental Health Department AUSL Bologna Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"De Pasqual","sequence":"additional","affiliation":[{"name":"Mood Centro per lo studio e la cura dei disturbi emotivi Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Marcacci","sequence":"additional","affiliation":[{"name":"Laboratory of Biomechanics and Technology Innovation\/2nd Orthopaedic and Traumatologic Clinic Rizzoli Orthopaedic Institute Via di Barbiano 1\/10 Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,12,19]]},"reference":[{"issue":"12","key":"e_1_2_8_2_1","first-page":"1833","article-title":"Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee","volume":"15","author":"Bellamy N","year":"1988","journal-title":"J Rheumatol"},{"issue":"8","key":"e_1_2_8_3_1","first-page":"21","article-title":"Pain catastrophizing as a risk factor for chronic pain after total knee arthroplasty: a systematic review","volume":"5","author":"Burns LC","year":"2015","journal-title":"J Pain Res"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010014\u20102968\u20107"},{"issue":"2","key":"e_1_2_8_5_1","first-page":"155","article-title":"Kinesiophobia negatively influences 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