Kinesiophobia and Pain Catastrophizing in Total Hip Arthroplasty Patients, an integrative review

Abstract

The present study tried to provide a narrative on significance of pain catastrophizing and kinesiophobia and related intervention and management approaches. To do so, an integrative review of accessible literature for JAMK students was done to provide a narrative on significance of pain catastrophizing and kinesiophobia for Total Hip Arthroplasty patients, using a Framework Method thematic analysis. Pain catastrophizing and kinesioiphobia both seem to be associated with important Total Hip Arthroplasty patient outcomes, including pain-related and functionality and activity-related out-comes such as post-operative chronic pain and low self-efficacy, even though research has been controversial. There are indications that kinesiophobia emerges in some people as a temporary response to surgery, possibly due to pain-related beliefs and lack of proper information related to physical activity. Perioperative risk stratification, comprehensive patient education about pain and recovery, patient-centered approaches and individualization of care plans according to each patient’s situation are the most important management strategies addressing kinesiophobia in THA perioperative care. There is need for further research and conceptualization. Keywords/tags