High Levels of Kinesiophobia at Discharge from the Hospital May Negatively Affect the Short-Term Functional Outcome of Patients Who Have Undergone Knee Replacement Surgery.

BACKGROUND: Kinesiophobia is a psycho-cognitive factor that hampers recovery after orthopedic surgery. No evidence exists on the influence of kinesiophobia on the short-term recovery of function in patients with knee replacement (KR). Therefore, the aim of the present study is to investigate the impact of kinesiophobia on short-term patient-reported outcomes (PROMs) and performance-based measures (PBMs). METHODS: Forty-three KR patients filled in the Tampa scale for kinesiophobia (TSK) at time of discharge. Patients with TSK ≥ 37 were allocated to the kinesiophobia group (n = 24), others to the no-kinesiophobia group (n = 19). Patients were asked to complete PROMs and to execute PBMs at discharge and at 6-weeks follow-up. An independent samples t-test was used to compare group differences for PROMs and PBMs at both measurement sessions. Multiple linear regression analysis models were used to model PBM outcomes from age, pain and TSK scores. RESULTS: Significant differences were observed between groups for PROMs and PBMs. Kinesiophobia significantly contributed to the reduced functional outcomes. CONCLUSION: At discharge from the hospital, 55.8% of KR patients demonstrated high levels of kinesiophobia (TSK ≥ 37). This may negatively influence short-term recovery of these patients, by putting them at higher risk for falling and reduced functionality.

Design and Calibration of an Instrumented Seat Post to Measure Sitting Loads while Cycling.

Traditional instrumented seat posts determine context-induced seat loads to analyze damping properties. This paper presents an enhanced instrumented seat post able to measure all six load components to resolve user-induced seat loads. User-induced cycling loads consist of all loads the user applies to the bicycle during cycling and is measured at the steer stem, the seat post, and the pedals. Seat loads are essentially uncharted territory, as most studies only address pedal loading to study cycling technique. In this paper, a conventional seat post is redesigned by equipping it with a u-shaped component and strain gauges. The instrumented seat post is straightforward thanks to (i) the simple design, (ii) the gravitational calibration method, and (iii) the permitted clearance on the strain gauge alignment. Analyzing mean seat loading in function of the pedal cycle can provide extra insights into cycling technique and the related injuries. It is an interesting addition to the universally adopted method of utilizing singular pedal loads.