Influencing Factors and Their Approach of Kinesiophobia in Patients With Traumatic Fractures

Recruiting

• Conditions: Traumatic Fracture
• Interventions: Other: Questionnaires

• Registration Number: NCT05481671
• Lead Sponsor: Wei XIA, PhD

Brief Summary

This study aims to investigate the relationship between kinesiophobia and pain catastrophizing, as well as the relationship between pain catastrophizing and pain level, anxiety and depression, self-efficacy and psychological resilience in patients with traumatic fractures, and to explain the approach and effect relationship between kinesiophobia and these variables.

Detailed Description

At present, there are few studies on kinesiophobia in patients with traumatic fractures. This study adopts structural equation model to analyze the current situation of kinesiophobia in patients with traumatic fractures, and explores the effect of pain level, pain catastrophizing, anxiety and depression, self-efficacy and psychological resilience on kinesiophobia in patients with traumatic fractures, which provides a scientific basis for predicting the occurrence of kinesiophobia in patients with traumatic fractures and developing intervention plans.

Study Timeline

• Study First Submitted: 2022-07-24
• Study First Submitted QC: 2022-07-28
• Study First Posted: 2022-08-01
• Status Verified: 2022-10
• Study Start: 2022-10-02
• Last Update Submitted: 2022-10-11
• Last Update Posted: 2022-10-12
• Primary Completion: 2023-05-31
• Study Completion: 2023-06-30

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 381

Inclusion Criteria

• Patients who were diagnosed as fractures due to accidental trauma and were diagnosed by X-rays and clinicians and required surgical treatment.
• Age 18 and above.

Exclusion Criteria

• Those with a history of chronic pain (pain persisting or indirectly persisting for more than 3 months).
• Those who have serious postoperative complications (such as deep vein thrombosis, infection, etc.) and need other treatment or transfer to another department.
• People with physical disability or abnormal muscle strength before injury.
• Those who have a history of mental illness or who have taken anti-anxiety, depression drugs, or cognitive impairment within one month.
• Patients undergoing emergency surgery on the day of admission.
• Those who cannot communicate normally due to physical or psychological barriers.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Questionnaires assessed patients with traumatic fractures	Questionnaires	①Age 18 and above. ②Patients who were diagnosed as fractures due to accidental trauma and were diagnosed by X-rays and clinicians and required surgical treatment. ③Have the normal cognitive ability, expression ability and social participation ability.

Primary Outcome Measures

Name	Time	Method
kinesiophobia	3 days after surgery	The kinesiophobia level of patients with traumatic fractures will be measured by Tampa Scale for Kinesiophobia（TSK-11）. The total score ranges from 11 to 44. A score of more than 26 on the scale is defined as kinesiophobia.
functional exercise compliance	3 days after surgery	The compliance of functional exercise in patients with traumatic fractures will be measured by Functional Exercise Adherence Scale for Orthopaedic Patients. The total score ranges from 15 to 75. A total score of less than or equal to 20 indicates low compliance; a score of greater than or equal to 55 indicates high compliance; and a score of greater than 20 and less than 50 indicates partial compliance.

Secondary Outcome Measures

Name	Time	Method
psychological resilience	3 days after surgery	The psychological resilience of patients with traumatic fractures will be measured by Resilience Scale (CD-RISC-10). The total score ranges from 0 to 40, with higher scores indicating higher psychological resilience.
pain degree	3 days after surgery	The pain degree of patients with traumatic fractures will be measured by Numberical Rating Scale. Pain is scored on a scale of 0 to 10, with higher scores indicating higher pain degree.
pain catastrophization	3 days after surgery	The level of catastrophic pain in patients with traumatic fractures will be measured by Pain Catastrophizing Scale. Scores range from 0 to 52, with higher scores indicating higher levels of catastrophic pain in patients.
anxiety and depression	3 days after surgery	The anxiety and depression of patients with traumatic fractures will be measured by Hospital Anxiety and Depression Scale . The scale score ranges from 0 to 21 points, 0 to 7 points for no anxiety or depression, 8 to 10 points for suspicious symptoms of anxiety or depression, and greater than or equal to 11 points for psychological disorders.
self-efficacy	3 days after surgery	The self-efficacy of patients with traumatic fractures will be measured by Pain Self-efficacy Scale. The total score ranges from 0 to 60, with higher scores indicating higher pain self-efficacy.

Trial Locations

Locations (1)

XIAW; 🇨🇳 Guangzhou, Guangdong, China