Purpose: The aim of this study was to investigate the relationship between fear of falling, quality of life, physical function and adapting the artificial joint following Total Hip Arthroplasty (THA).
Material and methods: This cross-sectional correlational design included 52 patients aged between 46-74 who underwent THA. Fear of falling was assessed with 0-10 cm Visual Analogue Scale (VAS). Health-related quality of life and joint-specific physical function were assessed with EQ-5D-3L VAS and HOOS-PS, respectively. The Forgotten Joint Score (FJS-12) was used to assess the awareness of the patients’ to their artificial joint in daily activities.
Results: The FJS-12 scores were moderately related with fear of falling in patients with THA (r=-0.418; p=0.002). FJS-12 scores were strongly correlated with EQ-5D-3L VAS (r=0.536); and HOOS-PS scores (r=-0.519) (p<0.001). In linear regression analysis, strongest significant indicators of the dependent variable (FJS-12) were fear of falling, EQ-5D-3L VAS and HOOS-PS (R2=0.48; p<0.05).
Conclusion: Our results demonstrated that fear of falling, physical function and quality of life can explain the half of the adaptability to artificial joint in patients with THA. Therefore, rehabilitation programmes that are individualised according to patients’ fear of falling, physical function and health-related quality of life should also be considered to decrease fear leading to activity limitation and participation in daily life following THA.