Kinesiophobia and Pain Coping on Patients with Gonarthrosis: Postoperative Pain and Mobility

Abstract

Purpose This study aims to investigate the relationship between preoperative kinesiophobia, pain-coping strategies, postoperative pain, and physical mobility levels during the initial mobilization in patients with gonarthrosis undergoing total knee arthroplasty. Methods This descriptive and correlational study was conducted between March 2023 and January 2024 with 202 hospitalized patients diagnosed with gonarthrosis. Data were collected using the Demographic Information Form, the TAMPA Scale for Kinesiophobia, the Pain Coping Inventory, the visual analog scale (VAS), the Observer Mobility Scale (OMS), and the Patient Mobility Scale (PMS). Results No significant relationship was found between OMS scores and the TAMPA Scale for Kinesiophobia, Pain Coping Inventory, or VAS ( p > .05). However, a statistically significant positive correlation was observed between PMS scores and both OMS and VAS scores ( p < .001). Kinesiophobia was positively and significantly correlated with PMS scores ( p .024). Conclusions The greater preoperative pain intensity was linked to higher levels of pain and difficulty during postoperative movement. © © 2025. Published by Elsevier Inc.