Summary of best evidence for the prevention and management of kinesiophobia in patients with total hip replacement surgery
HUANG Ruina
CAI Xiaolin
LAI Jinyun
LI Yi
CHEN Yunbin
HUANG Yuehong
HUANG Xiujun
HUANG Yuejiao
Abstract：Objective To extract,assess,and synthesize relevant evidences from domestic and international databases regarding the prevention and management of kinesiophobia in patients undergoing total hip arthroplasty(THA),providing evidence-based medical support for reducing patients'kinesiophobia levels and promoting their joint function recovery.Methods A comprehensive search was conducted for literature related to the prevention and management of kinesophobia in patients who performed THA,retrieved from major domestic and international biomedical literature databases.Types of the retrieved documents included guidelines,expert consensus,systematic reviews and meta-analyses,and clinical decision-making resources,and the time frame for the search was from January 1,2014,to March 30,2024.Two writers separately filtered,estimated the quality,and extracted and intergrated evidences from the final included literature.Results A total of 15 documents were included,comprising 2 guidelines,3 evidence summaries,4 Meta-analysis and 6 expert consensus statements.These sources provided 31 pieces of evidence centered around 6 aspects involving risk assessment,health education,pain intervention,psychological support,rehabilitation exercises,and discharge guidance.Among them,there were 15 A-level and 16 B-level recommendations.Conclusion The best evidence for the prevention and management of kineshobia in THA patients summarized in this study provides a reference for orthopedic practice,which can be applied and transferred by clinical healthcare professionals on the basis of comprehensive evaluation of the actual situation of patients.
Keywords：ArthroplastyreplacementhipPostoperative complicationsKinesiophobiaRehabilitation exerciseEvidence-based medicine
Publication Date：2025-04-15
Online Publishing Date：2025-09-22(First online date of this platform, not the publication date of the document)
Pages：9( 123-131 )