Correlation study of kinesiophobia and functional rehabilitation after total knee arthroplasty
Bibliographic record
Abstract
Total knee arthroplasty (TKA) is an effective surgical intervention for end-stage osteoarthritis, but patients often experience kinesiophobia after surgery, which may significantly impact their functional rehabilitation process. Kinesiophobia refers to an irrational fear of movement or re-injury, potentially leading to reduced activity, delayed recovery, and ultimately affecting the surgical treatment outcomes. Currently, systematic studies on the impact of kinesiophobia on functional rehabilitation after knee replacement remain limited. This retrospective cohort study reviewed the clinical data of 180 patients who underwent unicompartmental or total knee arthroplasty at a tertiary hospital between January 2022 and December 2024 through the electronic medical record system. Patient kinesiophobia levels were assessed using the Tampa Kinesiophobia Scale (TKS), and follow-up data from the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and Short Physical Performance Battery (SPPB) were collected. The study analyzed patients' functional rehabilitation at 3, 6, and 12 months post-surgery, exploring the correlation between kinesiophobia and functional rehabilitation indicators. The study findings revealed a significant negative correlation between patients' kinesiophobia levels and functional rehabilitation status. Analysis of clinical data from 180 patients showed that those with higher TKS scores performed worse on WOMAC functional scores and SPPB tests. Specifically, patients with severe kinesiophobia (TKS score >40) demonstrated significantly lower joint range of motion, walking ability, and daily living activity capabilities at 6 months post-surgery compared to patients with lower kinesiophobia levels. Multivariate regression analysis indicated that kinesiophobia is an independent risk factor affecting functional rehabilitation after knee arthroplasty (p<0.01). The retrospective study results demonstrate that kinesiophobia significantly impacts the functional rehabilitation process of patients after knee replacement.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.004 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".