Risk factors for kinesiophobia after total hip arthroplasty:a prospective observational study

Xiao-Lin Zuo; Jing-Wei Zhang; Jing Li; Yan Wen; Shi-Xin Zhao

doi:10.2478/FON-2026-0004

摘要：Objective:To investigate the related factors of motility after total hip arthroplasty(THA). Methods:The convenience sampling method was used to include 213 patients receiving THA in our hospital from June 2020 to June 2023.They were divided into 2 groups according to the occurrence of kinesiophobia after THA.The demographic data of the 2 groups were analyzed by single-factor analysis.The factors with statistically significant differences were analyzed by binary logistic regression as independent variables.Finally,Spearman analysis was used to analyze the relationship between risk factors and the degree of kinesiophobia. Results:Among 213 THA patients,38 patients were diagnosed with kinetophobia,and the incidence of kinetophobia was 17.84％.visual analogue scale(VAS)and pain duration before operation were higher in patients with kinetophobia than in patients without kinetophobia.The scores of education level,self-efficacy,and social support were significantly lower than those of the non-phobia group,with statistical significance(P＜0.05).Logistic regression analysis showed that VAS was a risk factor for kinetophobia after THA.Education level and self-efficacy were protective factors to reduce the occurrence of kinetophobia after THA(P＜0.05).Spearman correlation analysis showed that the degree of pain(r=0.697,P＜0.001)was positively correlated with the degree of kinetophobia,while the degree of education(r=-0.647,P＜0.001)and self-efficacy(r=-0.756,P＜0.001)were negatively correlated with the degree of kinetophobia. Conclusions:The degree of pain is a risk factor of kinesiophobia after THA,and it is positively correlated with the degree.Educational level and self-efficacy were protective factors to reduce the incidence of kinesiophobia and were negatively correlated with the degree of kinesiophobia.