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Open Access 26-02-2024 | Anxiety | Original Article

Individuals with a ventral hernia who report moderate to high fear have worse functional performance than those with low fear

Authors: Elanna K. Arhos, Benjamin K. Poulose, Stephanie Di Stasi, Ajit M. W. Chaudhari

Published in: Hernia | Issue 2/2024

Abstract

Purpose

Ventral hernia repairs (VHR) are performed to restore the integrity of the abdominal wall. Fear of movement, or kinesiophobia, may develop in patients with ventral hernia due to pain and functional impairments, however it has not yet been objectively measured in this patient population. The purpose of this study was to test the hypothesis that in patients with ventral hernia awaiting surgical repair, higher levels of kinesiophobia would be associated with poorer mobility, abdominal core function, and quality of life.

Methods

Seventy-seven participants scheduled for ventral hernia repair were enrolled as part of an ongoing randomized controlled trial (NCT05142618). The Tampa Scale of Kinesiophobia (TSK-11) is an 11-item questionnaire that asks about fear of movement and physical activity restriction. Participants were split into groups based on their TSK-11 score (minimal, low, moderate to high). Primary outcome measures included the five-time sit-to-stand (5xSTS), Quiet Unstable Sitting Test (QUeST), and the Hernia-Related Quality-of-Life (HerQLeS) survey. A one-way ANOVA with a Bonferroni correction compared QUeST, 5xSTS, and HerQLes results between groups.

Results

Groups were significantly different on 5xSTS (minimal: 11.4 ± 2.6 s, low: 13.8 ± 3.1 s, moderate to high: 17.8 ± 9.8 s; p = 0.001) and HerQLes (minimal: 58.0 ± 27.8, low: 49.4 ± 22.0, moderate to high: 30.6 ± 25.3; p = 0.003) but not QUeST (minimal: − 2.8 ± 2.5, low: − 6.8 ± 10.0, moderate to high: − 5.5 ± 5.0; p = 0.16).

Conclusion

Individuals with moderate to high kinesiophobia have worse pre-operative performance-based (5xSTS) and self-reported (HerQLes) function and quality of life than those with minimal and low kinesiophobia. Future research should examine the influence of kinesiophobia on post-operative outcomes as it may be a potent target for rehabilitation.

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Title: Individuals with a ventral hernia who report moderate to high fear have worse functional performance than those with low fear
Authors: Elanna K. Arhos
Benjamin K. Poulose
Stephanie Di Stasi
Ajit M. W. Chaudhari
Publication date: 26-02-2024
Publisher: Springer Paris
Keywords: Anxiety
Physical Therapy
Published in: Hernia / Issue 2/2024
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-024-02979-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Individuals with a ventral hernia who report moderate to high fear have worse functional performance than those with low fear

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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