Effects of Music and Comedy Application on Pain and Kinesyophobia in Patients With TKA

Study Overview
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Brief Summary
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Total knee arthroplasty (TKA) is a surgical procedure used to restore painless joint function and increase patients' activities of daily living in patients with progressive knee osteoarthrosis. Kinesiophobia can be seen in patients suffering from pain. It is stated that the incidence of kinesiophobia in TKA patients is 24.4%. Based on this information, this study was planned.

Detailed Description
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Total knee arthroplasty (TKA) is a surgical procedure used to restore painless joint function and increase patients' activities of daily living in patients with progressive knee osteoarthrosis. Kinesiophobia can be seen in patients suffering from pain. It is stated that the incidence of kinesiophobia in TKA patients is 24.4%. Pain etc. While conditions can be relieved by pharmacological treatment methods, non-pharmacological treatments can be effective in relieving patients' pain. With the relief of pain, it will be possible to eliminate the kinesiophobia experienced by the patients. It is known that humor, which is among the non-pharmacological treatment methods, increases the pain resistance of the patients, reduces the stress hormone, and strengthens the immune system. It is reported in the literature that listening to music, another non-pharmacological treatment, is also effective in relieving pain after TKA. For this reason, the study was planned to determine the effect of postoperative music and comedy films on kinesiophobia and pain in patients undergoing TKA.

Official Title
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The Effect of Postoperative Music and Comedy Movie Application on Surgical Pain and Kinesiophobia After Total Knee Artroplasty

Conditions
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Arthroplasty Complications, Kinesiophobia

Intervention / Treatment
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* Behavioral: Watching comedy movie
* Behavioral: listening to music


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients over the age of 18 who agreed to participate in the study, Patients undergoing TKA Patients without a disabling psychiatric disorder Exclusion Criteria: Patients under the age of 18 who do not agree to participate in the study. Those who have a psychiatric diagnosis that prevents communication.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: This study was conducted as a randomized controlled trial.
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: comedy movie group<br>Sociodemographic information form, kinesiophobia scale and numerical pain scale were administered to the patients in the comedy group on the first evening after surgery. 25-minute comedy film was watched. Afterwards, the kinesiophobia scale and the numerical pain scale were applied again. | Behavioral: Watching comedy movie<br>* A 25-minute comedy film created by the researchers was watched.<br>|
| Experimental: Music group<br>Sociodemographic information form, kinesiophobia scale and numerical pain scale were administered to the patients in the music group on the first evening after surgery. 25 minutes of music (nature sound) was played. Afterwards, the kinesiophobia scale and the numerical pain scale were applied again. | Behavioral: listening to music<br>* 25 minutes of music created by the researchers was played.<br>|
| No Intervention: Control group<br>In the follow-up of the patient, no application was made other than clinical protocols. Sociodemographic information form, kinesiophobia scale and numerical pain scale were administered to the patients in the control group on the first evening after surgery. No intervention was made. Afterwards, the kinesiophobia scale and the numerical pain scale were applied again. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Tampa Kinesiophobia Scale (TKS) | The kinesiophobia levels of the patients were evaluated postoperatively and 24 hours after surgery. | up to 24 hours post-surgery (0-1 day) | 
| Pain Level | The pain levels of the patients were measured by means of the visual pain scale. | up to 24 hours post-surgery (0-1 day) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Music, Comedy movie, Kinesiophobia, Pain, Total knee arthroplasty