Objective To investigate the kinesiophobia level in patients after spinal fracture sur-gery and their correlations with rehabilitation self-efficacy and adherence.Methods A total of 150 patients who underwent spinal fracture surgery were enrolled in this study.General information was collected from all patients.The Tampa Scale for Kinesiophobia,Self-Efficacy for Rehabilitation Out-comes Scale,department-developed Rehabilitation Adherence Scale and postoperative activity pain[assessed using the Visual Analogue Scale(VAS)]were analyzed.Pearson correlation analysis was used to examine the relationships of kinesiophobia level with rehabilitation self-efficacy and adher-ence.Multiple linear regression analysis was conducted to identify factors influencing kinesiophobia level.Results The total score of postoperative kinesiophobia level in patients with spinal fracture was(57.14±3.12),which was at a high level.The total score of rehabilitation self-efficacy was(35.19±3.45),which was at a low level.The total score of rehabilitation compliance was(16.46±2.32),which was at a low level.Pearson correlation analysis showed that the total score of kinesio-phobia level was negatively correlated with the total score of rehabilitation self-efficacy and rehabilita-tion compliance(P＜0.05).Univariate analysis revealed statistically significant differences in scores of kinesiophobia level among patients with different educational levels,postoperative activity pain and the presence or absence of postoperative complications(P＜0.05).Multiple linear regression analy-sis identified self-efficacy(B=-0.271,95％CI,-0.439 to-0.103),adherence(B=-0.168,95％CI,-0.331 to-0.004),educational level(B=0.190,95％CI,0.020 to 0.361),postoperative complications(B=0.403,95％CI,0.233 to 0.573)and postoperative ac-tivity pain(B=0.162,95％CI,0.003 to 0.320)were the influencing factors of postoperative ki-nesiophobia level in patients with spinal fracture.Conclusion The patients with spinal fracture have a higher level of kinesiophobia.The influencing factors of level of kinesiophobia are rehabilita-tion self-efficacy,rehabilitation compliance,education level,postoperative complications and post-operative activity pain.

Objective To investigate the kinesiophobia level in patients after spinal fracture sur-gery and their correlations with rehabilitation self-efficacy and adherence.Methods A total of 150 patients who underwent spinal fracture surgery were enrolled in this study.General information was collected from all patients.The Tampa Scale for Kinesiophobia,Self-Efficacy for Rehabilitation Out-comes Scale,department-developed Rehabilitation Adherence Scale and postoperative activity pain[assessed using the Visual Analogue Scale(VAS)]were analyzed.Pearson correlation analysis was used to examine the relationships of kinesiophobia level with rehabilitation self-efficacy and adher-ence.Multiple linear regression analysis was conducted to identify factors influencing kinesiophobia level.Results The total score of postoperative kinesiophobia level in patients with spinal fracture was(57.14±3.12),which was at a high level.The total score of rehabilitation self-efficacy was(35.19±3.45),which was at a low level.The total score of rehabilitation compliance was(16.46±2.32),which was at a low level.Pearson correlation analysis showed that the total score of kinesio-phobia level was negatively correlated with the total score of rehabilitation self-efficacy and rehabilita-tion compliance(P＜0.05).Univariate analysis revealed statistically significant differences in scores of kinesiophobia level among patients with different educational levels,postoperative activity pain and the presence or absence of postoperative complications(P＜0.05).Multiple linear regression analy-sis identified self-efficacy(B=-0.271,95％CI,-0.439 to-0.103),adherence(B=-0.168,95％CI,-0.331 to-0.004),educational level(B=0.190,95％CI,0.020 to 0.361),postoperative complications(B=0.403,95％CI,0.233 to 0.573)and postoperative ac-tivity pain(B=0.162,95％CI,0.003 to 0.320)were the influencing factors of postoperative ki-nesiophobia level in patients with spinal fracture.Conclusion The patients with spinal fracture have a higher level of kinesiophobia.The influencing factors of level of kinesiophobia are rehabilita-tion self-efficacy,rehabilitation compliance,education level,postoperative complications and post-operative activity pain.