Role of kinesiophobia on pain, disability and quality of life in people suffering from chronic musculoskeletal pain: A systematic review

Luque-Suarez, Alejandro; Martinez-Calderon, Javier; Falla, Deborah

doi:10.1136/bjsports-2017-098673

Cited by 547Musculoskeletal pain and rehabilitationFibromyalgia and Chronic Fatigue Syndrome ResearchPain Management and Treatment

Role of kinesiophobia on pain, disability and quality of life in people suffering from chronic musculoskeletal pain: A systematic review

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Luque-Suarez, Alejandro, Martinez-Calderon, Javier, Falla, Deborah·2019·British Journal of Sports Medicine

DOI 10.1136/bjsports-2017-098673

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Abstract

OBJECTIVE: (1) To explore the level of association between kinesiophobia and pain, disability and quality of life in people with chronic musculoskeletal pain (CMP) detected via cross-sectional analysis and (2) to analyse the prognostic value of kinesiophobia on pain, disability and quality of life in this population detected via longitudinal analyses. DESIGN: A systematic review of the literature including an appraisal of the risk of bias using the adapted Newcastle Ottawa Scale. A synthesis of the evidence was carried out. DATA SOURCES: An electronic search of PubMed, AMED, CINAHL, PsycINFO, PubPsych and grey literature was undertaken from inception to July 2017. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Observational studies exploring the role of kinesiophobia (measured with the Tampa Scale for Kinesiophobia) on pain, disability and quality of life in people with CMP. RESULTS: Sixty-three articles (mostly cross-sectional) (total sample=10 726) were included. We found strong evidence for an association between a greater degree of kinesiophobia and greater levels of pain intensity and disability and moderate evidence between a greater degree of kinesiophobia and higher levels of pain severity and low quality of life. A greater degree of kinesiophobia predicts the progression of disability overtime, with moderate evidence. A greater degree of kinesiophobia also predicts greater levels of pain severity and low levels of quality of life at 6 months, but with limited evidence. Kinesiophobia does not predict changes in pain intensity. SUMMARY/CONCLUSIONS: The results of this review encourage clinicians to consider kinesiophobia in their preliminary assessment. More longitudinal studies are needed, as most of the included studies were cross-sectional in nature. TRIAL REGISTRATION NUMBER: CRD42016042641.

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Fear-avoidance beliefs are consistently associated with a poor prognosis.
“which is consistently associated with a poor prognosis [60,94,95,96].”
From Digital Rehabilitation for Elbow Pain Musculoskeletal Conditions: A Prospective Longitudinal Cohort Study (2022) · cites this paper as [95]
Evidence points to an association between kinesiophobia and the development of disability over time, at least in adulthood.
“evidence does point to an association between kinesiophobia and the development of disability over time; at least in adulthood [44].”
From The Effect of a Brief Physician-Delivered Neurobiologically Oriented, Cognitive Behavioural Therapy (Brief-CBT) Intervention on Chronic Pain Acceptance in Youth with Chronic Pain—A Randomized Controlled Trial. (2022) · cites this paper as [44]
Acute MSK pain can lead to chronic MSK pain.
“Importantly, the onset of MSK pain can result in a downward spiral of negative physical, social, and psychological consequences, which can lead to chronic MSK pain [4–9].”
From Telerehabilitation of acute musculoskeletal multi-disorders: prospective, single-arm, interventional study (2022) · cites this paper as [5]

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Anxiety and depression are independent predictors of quality of life of patients with chronic musculoskeletal pain
Orenius, T., Koskela, T., Koho, P., Pohjolainen, T., Kautiainen, H., Haanpää, M. L., & Hurri, H. (2012) · Journal of Health Psychology · doi:10.1177/1359105311434605 · Cited by 59 · see citing works
Relationship between kinesiophobia and pain, quality of life, functional status, disease activity, mobility, and depression in patients with ankylosing spondylitis
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The disabling role of fluctuations in physical activity in patients with chronic low back pain
Huijnen, I. P. J., Verbunt, J., Roelofs, J., Goossens, M. E. J. B., & Peters, M. L. (2009) · European Journal of Pain · doi:10.1016/j.ejpain.2008.12.008 · Cited by 54 · see citing works
Modeling quality of life in patients with rheumatic diseases: the role of pain catastrophizing, fear-avoidance beliefs, physical disability, and depression
Shim, E.-J., Hahm, B.-J., Go, D. J., Lee, K.-M., Noh, H. L., Park, S.-H., & Song, Y. W. (2018) · Disability and Rehabilitation · doi:10.1080/09638288.2017.1300691 · Cited by 54 · see citing works
The Contribution of Previous Episodes of Pain, Pain Intensity, Physical Impairment, and Pain-Related Fear to Disability in Patients with Chronic Mechanical Neck Pain
Saavedra-Hernández, M., Castro‐Sánchez, A. M., Cuesta‐Vargas, A., Cleland, J. A., Fernández‐de‐las‐Peñas, C., & Arroyo‐Morales, M. (2012) · American Journal of Physical Medicine & Rehabilitation · doi:10.1097/phm.0b013e31827449a5 · Cited by 53 · see citing works
Perceived pain extent is associated with disability, depression and self‐efficacy in individuals with whiplash‐associated disorders
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The Impact of Fear-Avoidance Model Variables on Disability in Patients With Specific or Nonspecific Chronic Low Back Pain
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Pain Self‐Efficacy and Fear of Movement are Similarly Associated with Pain Intensity and Disability in Italian Patients with Chronic Low Back Pain
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The relationships between measures of stature recovery, muscle activity and psychological factors in patients with chronic low back pain
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Chronic Fatigue Syndrome: Lack of Association Between Pain-Related Fear of Movement and Exercise Capacity and Disability
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Association of fear of movement and leisure-time physical activity among patients with chronic pain
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Repetition-induced activity-related summation of pain in patients with fibromyalgia
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The Role of the Fear-avoidance Model in Female Workers With Neck-shoulder Pain related to Computer Work
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Kinesiophobia and symptomatology in chronic fatigue syndrome: A psychometric study of two questionnaires
Nijs, J., & Thielemans, A. (2008) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1348/147608308x306888 · Cited by 41 · see citing works
Kinesiophobia in relation to physical activity in chronic neck pain
Demırbüken, İ., Özgül, B., Çolak, T. K., Aydoğdu, O., Sarı, Z., & Yurdalan, S. U. (2016) · Journal of Back and Musculoskeletal Rehabilitation · doi:10.3233/bmr-150594 · Cited by 40 · see citing works
Factors contributing to physical activity in a chronic low back pain clinical sample: A comprehensive analysis using continuous ambulatory monitoring
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Psychological Factors in the Use of the Neck Disability Index in Chronic Whiplash Patients
Vernon, H. T., Guerriero, R. C., Kavanaugh, S., Soave, D. M., & Moreton, J. (2009) · Spine · doi:10.1097/brs.0b013e3181b135aa · Cited by 39 · see citing works
A cross-sectional survey assessing sources of movement-related fear among people with fibromyalgia syndrome
Russek, L. N., Gardner, S., Maguire, K., Stevens, C., Brown, E. Z., Jayawardana, V., & Mondal, S. (2014) · Clinical Rheumatology · doi:10.1007/s10067-014-2494-5 · Cited by 38 · see citing works
Fear avoidance beliefs in back pain-free subjects are reflected by amygdala-cingulate responses
Meier, M. L., Stämpfli, P., Vrana, A., Humphreys, B. K., Seifritz, E., & Boendermaker, S. H. (2015) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2015.00424 · Cited by 35 · see citing works
Incorporating Family Function into Chronic Pain Disability: The Role of Catastrophizing
Akbari, F., Dehghani, M., Khatibi, A., & Vervoort, T. (2016) · Pain Research and Management · doi:10.1155/2016/6838596 · Cited by 35 · see citing works
Role of psychological aspects in both chronic pain and in daily functioning in chronic fatigue syndrome: a prospective longitudinal study
Meeus, M., Nijs, J., Mol, E. V., Truijen, S., & Meirleir, K. D. (2012) · Clinical Rheumatology · doi:10.1007/s10067-012-1946-z · Cited by 33 · see citing works
Reliability and Validity of the Cross-Culturally Adapted Thai Version of the Tampa Scale for Kinesiophobia in Knee Osteoarthritis Patients
Areeudomwong, P., & Buttagat, V. (2017) · Malaysian Journal of Medical Sciences · doi:10.21315/mjms2017.24.2.8 · Cited by 31 · see citing works
Differences in Neural Mechanosensitivity Between Patients with Chronic Nonspecific Neck Pain With and Without Neuropathic Features. A Descriptive Cross-Sectional Study
López‐de‐Uralde‐Villanueva, I., Beltrán-Alacreu, H., Fernández‐Carnero, J., Gil‐Martínez, A., & Touche, R. L. (2015) · Pain Medicine · doi:10.1111/pme.12856 · Cited by 30 · see citing works
Buffer or amplifier? Longitudinal effects of social support for functional autonomy/dependence on older adults’ chronic pain experiences.
de Matos, M. O., Bernardes, S. F., Goubert, L., & Beyers, W. (2017) · Health Psychology · doi:10.1037/hea0000512 · Cited by 30 · see citing works
A longitudinal analysis on pain treatment satisfaction among Chinese patients with chronic pain: predictors and association with medical adherence, disability, and quality of life
Wong, W. S., Chow, Y. F., Chen, P. P., Wong, S., & Fielding, R. (2015) · Quality of Life Research · doi:10.1007/s11136-015-0955-1 · Cited by 28 · see citing works
Relationships Between Cervical Range of Motion, Self-Rated Disability and Fear of Movement Beliefs in Chronic Neck Pain Patients
Howell, E. R., Hudes, K., Vernon, H. T., & Soave, D. M. (2011) · Journal of Musculoskeletal Pain · doi:10.3109/10582452.2011.635849 · Cited by 27 · see citing works
Prevalence of obesity and overweight in African learners: a protocol for systematic review and meta-analysis
Adom, T., Puoane, T. R., de Villiers, A., & Kengne, A. P. (2017) · BMJ Open · doi:10.1136/bmjopen-2016-013538 · Cited by 24 · see citing works
The Relationship Between Self-Rated Disability, Fear-Avoidance Beliefs, and Nonorganic Signs in Patients with Chronic Whiplash-Associated Disorder
Vernon, H. T., Guerriero, R. C., Soave, D. M., Kavanaugh, S., Puhl, A. A., & Reinhart, C. J. (2011) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2011.08.011 · Cited by 23 · see citing works
Kinesiophobia among physiological overusers with musculoskeletal pain
Lundberg, M., & STYF, J. R. (2008) · European Journal of Pain · doi:10.1016/j.ejpain.2008.08.004 · Cited by 22 · see citing works
Are fear of movement, self‐efficacy beliefs and fear of falling associated with levels of disability in people with osteoarthritis of the knee? A cross sectional study
Thompson, D. P., Moula, K., & Woby, S. R. (2016) · Musculoskeletal Care · doi:10.1002/msc.1167 · Cited by 21 · see citing works
Differentiating progress in a clinical group of fibromyalgia patients during and following a multicomponent treatment program
Houte, M. V. D., Luyckx, K., Oudenhove, L. V., Bogaerts, K., Diest, I. V., Bie, J. D., & den Bergh, O. V. (2017) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2017.05.004 · Cited by 21 · see citing works
Determining the relationship of kinesiophobia with respiratory functions and functional capacity in ankylosing spondylitis
Er, G., & Angın, E. (2017) · Medicine · doi:10.1097/md.0000000000007486 · Cited by 21 · see citing works
Self-rated disability, fear-avoidance beliefs, nonorganic pain behaviors are important mediators of ranges of active motion in chronic whiplash patients
Vernon, H. T., Guerriero, R. C., Kavanaugh, S., Soave, D. M., & Puhl, A. A. (2013) · Disability and Rehabilitation · doi:10.3109/09638288.2013.768302 · Cited by 19 · see citing works
The Determinants of Function and Disability in Neck Patients Referred to a Specialized Outpatient Clinic
Johansen, J. B., Røe, C., Bakke, E. S., Mengshoel, A. M., Storheim, K., & Anđelić, N. (2013) · Clinical Journal of Pain · doi:10.1097/ajp.0b013e31828027a2 · Cited by 18 · see citing works
What is the reliability of clinical measurement tests for humeral head position? A systematic review
Konieczka, C., Gibson, C., Russett, L., Dlot, L., MacDermid, J. C., Watson, L., & Sadi, J. (2017) · Journal of Hand Therapy · doi:10.1016/j.jht.2017.06.010 · Cited by 9 · see citing works
Kinesiophobia and maladaptive coping strategies prevent improvements in pain catastrophizing following pain neuroscience education in fibromyalgia/chronic fatigue syndrome: Pooled results from 2 randomized controlled trials
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Influence of Defensiveness on Disability in a Chronic Musculoskeletal Pain Population
Franklin, Z. C., Smith, N. C., & Fowler, N. E. (2015) · Pain Practice · doi:10.1111/papr.12337 · Cited by 6 · see citing works
Physiotherapy research: Lip service or commitment?
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Pain-Related Fear
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Sorted by citations

Short-term impact of combining pain neuroscience education with exercise for chronic musculoskeletal pain: a systematic review and meta-analysis
Siddall, B., Ram, A., Jones, M. D., Booth, J., Perriman, D., & Summers, S. J. (2022) · Pain · doi:10.1097/j.pain.0000000000002308 · Cited by 174 · see citing works
The Tampa Scale of Kinesiophobia
Dupuis, F., Chérif, A., Batcho, C. S., Massé‐Alarie, H., & Roy, J. (2023) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000001104 · Cited by 157 · see citing works
“18 This checklist consists of 10 boxes, each representing a psychometric property: (1) patientreported outcome measures development; (2) content validity; (3) structural validity; (4) internal consistency; (5) cross-cultural validity; (6) reliability; (7) measurement error; (8) criterion validity; (9) construct validi…”
Background
Determinants of quality of life in individuals with chronic low back pain: a systematic review
Tom, A. A., Rajkumar, E., Romate, J., & George, A. J. (2022) · Health Psychology and Behavioral Medicine · doi:10.1080/21642850.2021.2022487 · Cited by 157 · see citing works
“activities in the context of chronic musculoskeletal pain causes a negative vicious cycle where the individuals experience greater pain, disability and emotional distress and thereby leading to poor quality of life (Luque-Suarez et al., 2019).”
Background
Pain-Related Fear, Pain Intensity and Function in Individuals With Chronic Musculoskeletal Pain: A Systematic Review and Meta-Analysis
Martinez-Calderon, J., Flores-Cortes, M., Morales-Asencio, J. M., & Luque-Suarez, A. (2019) · The Journal of Pain · doi:10.1016/j.jpain.2019.04.009 · Cited by 141 · see citing works
Pain Symptoms in Patients with Coronavirus Disease (COVID-19): A Literature Review
Weng, L., Su, X., & Wang, X. (2021) · Journal of Pain Research · doi:10.2147/jpr.s269206 · Cited by 141 · see citing works
Kinesiophobia and its correlations with pain, proprioception, and functional performance among individuals with chronic neck pain
Asiri, F., Reddy, R. S., Tedla, J. S., ALMohiza, M. A., Alshahrani, M. S., Govindappa, S. C., & Sangadala, D. R. (2021) · PLoS ONE · doi:10.1371/journal.pone.0254262 · Cited by 120 · see citing works
“Chronic pain has been shown to induce escape and avoidance behaviors and is strongly associated with kinesiophobia [6, 7].”
Background
Pain Neuroscience Education and Physical Therapeutic Exercise for Patients with Chronic Spinal Pain in Spanish Physiotherapy Primary Care: A Pragmatic Randomized Controlled Trial
Galán-Martín, M. Á., Montero-Cuadrado, F., Lluch‐Girbés, E., Coca-López, M. C., Mayo-Íscar, A., & Vargas, A. I. C. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9041201 · Cited by 101 · see citing works
“Finally, patients with CS have been found to have high levels of kinesiophobia [34,35] catastrophism [34,36–38], fear-avoidance behaviours [38–42], and disability [2,3].”
Background
Hypnosis to manage musculoskeletal and neuropathic chronic pain: A systematic review and meta-analysis
Langlois, P., Perrochon, A., David, R., Rainville, P., Wood, C., Vanhaudenhuyse, A., Pageaux, B., Ounajim, A., Lavallière, M., Debarnot, U., et al. (2022) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2022.104591 · Cited by 94 · see citing works
Which Psychological Factors Are Involved in the Onset and/or Persistence of Musculoskeletal Pain? An Umbrella Review of Systematic Reviews and Meta-Analyses of Prospective Cohort Studies
Martinez-Calderon, J., Flores-Cortes, M., Morales-Asencio, J., & Luque-Suarez, A. (2020) · The Clinical Journal of Pain · doi:10.1097/ajp.0000000000000838 · Cited by 75 · see citing works
Best Practices for Chiropractic Management of Patients with Chronic Musculoskeletal Pain: A Clinical Practice Guideline
Hawk, C., Whalen, W. M., Farabaugh, R. J., Daniels, C. J., Minkalis, A. L., Taylor, D. N., Anderson, D. R., Anderson, K. R., Crivelli, L. S., Cark, M., et al. (2020) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2020.0181 · Cited by 89 · see citing works
“After applying eligibility criteria, three systematic reviews remained.(6,10,27) (Excluded articles are available in Supplementary Data S2.”
Background
Consensus Guidelines on Interventional Therapies for Knee Pain (STEP Guidelines) from the American Society of Pain and Neuroscience
Hunter, C., Deer, T. R., Jones, M. R., Chien, G. C. C., D'Souza, R. S., Davis, T. T., Eldon, E. R., Esposito, M. F., Goree, J. H., Hewan-Lowe, L., et al. (2022) · Journal of Pain Research · doi:10.2147/jpr.s370469 · Cited by 85 · see citing works
“One literary review found strong evidence that the higher the level of kinesiophobia, the higher the pain intensity and disability levels (Level 1 Grade B).(153)”
BackgroundInfluential
Association between Kinesiophobia and Knee Pain Intensity, Joint Position Sense, and Functional Performance in Individuals with Bilateral Knee Osteoarthritis
Alshahrani, M. S., Reddy, R. S., Tedla, J. S., Asiri, F., & Alshahrani, A. (2022) · Healthcare · doi:10.3390/healthcare10010120 · Cited by 78 · see citing works
“These findings in our study are in accordance with studies that showed a significant association between kinesiophobia and pain intensity level in different conditions with musculoskeletal pain [20,29,30].”
Result
How to manage travel fatigue and jet lag in athletes? A systematic review of interventions
van Rensburg, D. C. J., van Rensburg, A. J., Fowler, P., Fullagar, H. H. K., Stevens, D. J., Halson, S. L., Bender, A. M., Vincent, G. E., Claassen-Smithers, A., Dunican, I. C., et al. (2020) · British Journal of Sports Medicine · doi:10.1136/bjsports-2019-101635 · Cited by 79 · see citing works
Strength and physical activity in osteoarthritis: The mediating role of kinesiophobia
Aydemir, B., Huang, C., & Foucher, K. C. (2021) · Journal of Orthopaedic Research® · doi:10.1002/jor.25151 · Cited by 69 · see citing works
“Pain‐related fear of movement/(re)injury which is termed kinesiophobia, is related to pain intensity and disability in people with chronic musculoskeletal conditions.(17) In people with knee OA it has been linked to physical activity level(18) and knee muscle strength.”
Background
Fear of Movement/(Re)Injury: An Update to Descriptive Review of the Related Measures
Liu, H., Huang, L. C., Yang, Z., Li, H., Wang, Z., & Peng, L. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.696762 · Cited by 67 · see citing works
“” The prevalence of kinesiophobia in persistent pain ranges from 50 to 70% (Luque-Suarez et al., 2019).”
Background
Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs of musculoskeletal MRI in UK primary care
Sajid, I. M., Parkunan, A., & Frost, K. (2021) · BMJ Open Quality · doi:10.1136/bmjoq-2020-001287 · Cited by 64 · see citing works
Effect of virtual reality technology as intervention for people with kinesiophobia: A meta‐analysis of randomised controlled trials
Wang, S., Sun, J., Yin, X. H., & Li, H. (2022) · Journal of Clinical Nursing · doi:10.1111/jocn.16397 · Cited by 64 · see citing works
Does Kinesiophobia Mediate the Relationship between Pain Intensity and Disability in Individuals with Chronic Low-Back Pain and Obesity?
Varallo, G., Scarpina, F., Giusti, E. M., Cattivelli, R., Usubini, A. G., Capodaglio, P., & Castelnuovo, G. (2021) · Brain Sciences · doi:10.3390/brainsci11060684 · Cited by 63 · see citing works
“However, it appears that kinesiophobia is not only associated with pain intensity [26,29] and disability [27,29] but is also an intervening variable that explains their relationship.”
Background
Effect of fully immersive virtual reality treatment combined with exercise in fibromyalgia patients: a randomized controlled trial
Gülşen, Ç., Söke, F., Eldemir, K., Apaydın, Y., Özkul, Ç., Guclu‐Gunduz, A., & Akçalı, D. T. (2020) · Assistive Technology · doi:10.1080/10400435.2020.1772900 · Cited by 59 · see citing works
Relationship between Kinesiophobia and Ankle Joint Position Sense and Postural Control in Individuals with Chronic Ankle Instability—A Cross-Sectional Study
Alshahrani, M. S., & Reddy, R. S. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19052792 · Cited by 59 · see citing works
“Kinesiophobia, also called “fear of movement or activity,” is defined as an excessive fear of physical movement, expecting or feeling of vulnerability to painful injury [17].”
BackgroundMethodInfluential
Factors related to fear of movement after acute cardiac hospitalization
Keessen, P., Latour, C. H. M., van Duijvenbode, I. C., Visser, B., Proosdij, A., Reen, D., & Reimer, W. J. M. S. O. (2020) · BMC Cardiovascular Disorders · doi:10.1186/s12872-020-01783-9 · Cited by 56 · see citing works
Conservative Interventions Reduce Fear in Individuals With Chronic Low Back Pain: A Systematic Review
Martínez-Calderón, J., Flores-Cortés, M., Morales‐Asencio, J. M., & Luque-Suárez, A. (2019) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2019.08.470 · Cited by 55 · see citing works
‘My hip is damaged’: a qualitative investigation of people seeking care for persistent hip pain
de Oliveira, B. I. R., Smith, A., O'Sullivan, P., Haebich, S., Fick, D., Khan, R., & Bunzli, S. (2020) · British Journal of Sports Medicine · doi:10.1136/bjsports-2019-101281 · Cited by 38 · see citing works
Effects of virtual reality-based neck-specific sensorimotor training in patients with chronic neck pain: A randomized controlled pilot trial
Nusser, M., Knapp, S., Kramer, M., & Krischak, G. D. (2020) · Journal of Rehabilitation Medicine · doi:10.2340/16501977-2786 · Cited by 55 · see citing works
Kinesiophobia Is Associated With Pain Intensity and Disability in Chronic Shoulder Pain: A Cross-Sectional Study
Luque-Suárez, A., Martínez-Calderón, J., Ledesma, S. N., Morales‐Asencio, J. M., Meeus, M., & Struyf, F. (2020) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2019.12.009 · Cited by 55 · see citing works
Short-Term Effects of PENS versus Dry Needling in Subjects with Unilateral Mechanical Neck Pain and Active Myofascial Trigger Points in Levator Scapulae Muscle: A Randomized Controlled Trial
García-de-Miguel, S., Pecos‐Martín, D., Larroca-Sanz, T., Sanz-de-Vicente, B., Garcia-Montes, L., Fernández-Matías, R., & Gallego‐Izquierdo, T. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9061665 · Cited by 48 · see citing works
“the adequate execution of a movement or exercise and leads to more sedentary behavior [54].”
Background
Psychological and Social Components of Recovery Following Anterior Cruciate Ligament Reconstruction in Young Athletes: A Narrative Review
Vutescu, E. S., Orman, S., Garcia-Lopez, E., Lau, J., Gage, A., & Cruz, A. I. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18179267 · Cited by 49 · see citing works
“Fear of reinjury takes on the form of kinesiophobia [24].”
Background
Effects of Exercise Training on Fear-Avoidance in Pain and Pain-Free Populations: Systematic Review and Meta-analysis
Hanel, J., Owen, P. J., Held, S., Tagliaferri, S. D., Miller, C. T., Donath, L., & Belavý, D. L. (2020) · Sports Medicine · doi:10.1007/s40279-020-01345-1 · Cited by 47 · see citing works
<p>Big Five Personality Traits and Disabling Chronic Low Back Pain: Association with Fear-Avoidance, Anxious and Depressive Moods</p>
Ibrahim, M. E., Weber, K., Courvoisier, D. S., & Genevay, S. (2020) · Journal of Pain Research · doi:10.2147/jpr.s237522 · Cited by 48 · see citing works
Effects of manual therapy on fear avoidance, kinesiophobia and pain catastrophizing in individuals with chronic musculoskeletal pain: Systematic review and meta-analysis
Kamonseki, D. H., Christenson, P., Rezvanifar, S. C., & Calixtre, L. B. (2020) · Musculoskeletal Science and Practice · doi:10.1016/j.msksp.2020.102311 · Cited by 48 · see citing works
Multifidus dysfunction and restorative neurostimulation: a scoping review
Francio, V. T., Westerhaus, B. D., Carayannopoulos, A. G., & Sayed, D. (2023) · Pain Medicine · doi:10.1093/pm/pnad098 · Cited by 45 · see citing works
Immersive and Nonimmersive Virtual Reality–Assisted Active Training in Chronic Musculoskeletal Pain: Systematic Review and Meta-Analysis
Lo, H. H. M., Zhu, M., Zou, Z., Wong, C. L., Lo, S. H. S., Chung, V. C., Wong, S. Y. S., & Sit, R. W. S. (2024) · Journal of Medical Internet Research · doi:10.2196/48787 · Cited by 43 · see citing works
“Psychological status was measured through kinesiophobia, an emotional and cognitive factor that leads to maladaptive behaviors [30,31]; studies have shown that kinesiophobia is associated with more pain and disability and a lower quality of life [30].”
Kinesiophobia and its associated factors in patients with coronary heart disease: a cross-sectional study based on latent feature analysis
Wang, Z., Zhang, Y., Wang, Y., Liu, L., & Zhang, J. (2023) · BMJ Open · doi:10.1136/bmjopen-2023-072170 · Cited by 41 · see citing works
Influence of Baseline Kinesiophobia Levels on Treatment Outcome in People With Chronic Spinal Pain
Bogaert, W. V., Coppieters, I., Kregel, J., Nijs, J., Pauw, R. D., Meeus, M., Cagnie, B. J., Danneels, L. A., & Malfliet, A. (2021) · Physical Therapy · doi:10.1093/ptj/pzab076 · Cited by 41 · see citing works
The effect of virtual reality on pain, kinesiophobia and function in total knee arthroplasty patients: A randomized controlled trial
Gür, O., & Başar, S. (2023) · The Knee · doi:10.1016/j.knee.2023.09.012 · Cited by 41 · see citing works
Association of kinesiophobia with pain, disability and functional limitation in adults with knee osteoarthritis: A systematic review and meta-analysis
Lozano-Meca, J. A., Gacto‐Sánchez, M., & Montilla‐Herrador, J. (2024) · Geriatric Nursing · doi:10.1016/j.gerinurse.2024.10.013 · Cited by 40 · see citing works
Injury-Related Fear in Individuals With and Without Chronic Ankle Instability: A Systematic Review
Suttmiller, A. M. B., & McCann, R. S. (2021) · Journal of Sport Rehabilitation · doi:10.1123/jsr.2021-0015 · Cited by 40 · see citing works
The strength of association between psychological factors and clinical outcome in tendinopathy: A systematic review
Stubbs, C., Auliffe, S. M., Mallows, A. J., O’Sullivan, K., Haines, T. P., & Malliaras, P. (2020) · PLoS ONE · doi:10.1371/journal.pone.0242568 · Cited by 40 · see citing works
Quality of life and its predictors among adult patients with haemophilic arthropathy. An observational study
Ucero‐Lozano, R., Pina, J. A. L., Ortiz‐Pérez, A., & Cuesta‐Barriuso, R. (2021) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-021-04319-0 · Cited by 38 · see citing works
“A recent systematic review [37] found a negative correlation between kinesiophobia and perceived quality of life on the items most strongly related to the physical component in patients with musculoskeletal pain.”
Background
Resistance Exercise for the Prevention and Treatment of Pediatric Dynapenia
Faigenbaum, A. D., Rebullido, T. R., Peña, J., & Chulvi‐Medrano, I. (2019) · Journal of Science in Sport and Exercise · doi:10.1007/s42978-019-00038-0 · Cited by 38 · see citing works
Kinesiophobia contributes to pain-related disability in breast cancer survivors: a cross-sectional study
der Gucht, E. V., Dams, L., Meeus, M., Devoogdt, N., Beintema, A., Penen, F., Hoelen, W., Vrieze, T. D., & Groef, A. D. (2020) · Supportive Care in Cancer · doi:10.1007/s00520-020-05304-4 · Cited by 38 · see citing works
“Indeed, greater levels of kinesiophobia at baseline predicted the progression of disability over time in patients with chronic musculoskeletal pain [16] and the tendency to catastrophize contributed more to the prediction of pain disability than pain intensity [17].”
Background
Perceived Instability, Pain, and Psychological Factors for Prediction of Function and Disability in Individuals With Chronic Ankle Instability
Suttmiller, A. M. B., Cavallario, J. M., Baez, S., Martinez, J. C., & McCann, R. S. (2022) · Journal of Athletic Training · doi:10.4085/1062-6050-0605.21 · Cited by 37 · see citing works
Telerehabilitation of acute musculoskeletal multi-disorders: prospective, single-arm, interventional study
Costa, F., Janela, D., Molinos, M., Lains, J., Francisco, G. E., Bento, V., & Dias Correia, F. (2022) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-021-04891-5 · Cited by 35 · see citing works
Presenteeism and Associated Factors Among Nursing Personnel with Low Back Pain: A Cross-Sectional Study
Yoshimoto, T., Oka, H., Ochiai, H., Ishikawa, S., Kokaze, A., Muranaga, S., & Matsudaira, K. (2020) · Journal of Pain Research · doi:10.2147/jpr.s269529 · Cited by 36 · see citing works
Does the psychological profile of a patient with frozen shoulder predict future outcome? A systematic review
Brindisino, F., Minnucci, S., Sergi, G., Lorusso, M., Struyf, F., & Innocenti, T. (2023) · Physiotherapy Research International · doi:10.1002/pri.2056 · Cited by 37 · see citing works
Negative Affect, Type D Personality, Quality of Life, and Dysfunctional Outcomes of Total Knee Arthroplasty
Vogel, M., Riediger, C., Krippl, M., Frommer, J., Lohmann, C. H., & Illiger, S. (2019) · Pain Research and Management · doi:10.1155/2019/6393101 · Cited by 38 · see citing works
“, fibromyalgia coinciding with TDP in 57% [38], myocardial infarction coinciding with TDP in 14–25% [23], coronary artery disease coinciding with TDP in 18% [39, 40], heart disease coinciding with TDP in 20–25% [22], and joblessness coinciding with TDP in 53% [41].”
Effectiveness of two video-based multicomponent treatments for fibromyalgia: The added value of cognitive restructuring and mindfulness in a three-arm randomised controlled trial
Serrat, M., Albajes, K., Navarrete, J., Almirall, M., Girbés, E. L., Neblett, R., Luciano, J. V., Queraltó, J. M., & Feliu‐Soler, A. (2022) · Behaviour Research and Therapy · doi:10.1016/j.brat.2022.104188 · Cited by 39 · see citing works
The Effect of Strength and Balance Training on Kinesiophobia, Ankle Instability, Function, and Performance in Elite Adolescent Soccer Players with Functional Ankle Instability: A Prospective Cluster Randomized Controlled Trial
Park, H. S., Oh, J. K., Kim, J. Y., & Yoon, J. H. (2024) · Journal of Sports Science and Medicine · doi:10.52082/jssm.2024.593 · Cited by 34 · see citing works
Kinesiophobia could affect shoulder function after repair of rotator cuff tears
Wang, H. H., Hu, F., Lyu, X., Jia, H., Wang, B., Liu, F., & Yang, Y. (2022) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-022-05679-x · Cited by 36 · see citing works
“Education can eliminate patients’ excessive fear of the perception of physical vulnerability, pain neurophysiology, movement disorders, also it can improve exercise benefits and increase the population’s physical activity [1].”
BackgroundInfluential
Effects of exercise/physical activity on fear of movement in people with spine-related pain: a systematic review
Jadhakhan, F., Sobeih, R., & Falla, D. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1213199 · Cited by 32 · see citing works
Self-citation
Pain catastrophizing, kinesiophobia and fear-avoidance in non-specific work-related low-back pain as predictors of sickness absence
Macías-Toronjo, I., Ocaña, M. J. R., Sánchez‐Ramos, J. L., & Garcia-Navarro, E. B. (2020) · PLoS ONE · doi:10.1371/journal.pone.0242994 · Cited by 31 · see citing works
“At a psychosocial level, kinesiophobia and fear-avoidance beliefs are factors that play an important role in the evolution of the LBP and its transition towards chronicity [14, 15].”
Background
The Impact of Kinesiophobia on Physical Activity and Quality of Life in Patients with Chronic Diseases: A Systematic Literature Review
Wlazło, M., Szlacheta, P., Grajek, M. K., Staśkiewicz‐Bartecka, W., Rozmiarek, M., Malchrowicz-Mośko, E., & Korzonek-Szlacheta, I. (2025) · Applied Sciences · doi:10.3390/app15042086 · Cited by 30 · see citing works
Psychological factors are associated with local and generalized pressure pain hypersensitivity, pain intensity, and function in people with chronic shoulder pain: A cross-sectional study
Martínez-Calderón, J., Meeus, M., Struyf, F., Díaz-Cerrillo, J. L., Clavero-Cano, S., Morales‐Asencio, J. M., & Luque-Suárez, A. (2019) · Musculoskeletal Science and Practice · doi:10.1016/j.msksp.2019.102064 · Cited by 30 · see citing works
Association between work-related musculoskeletal symptoms and quality of life among dental students: a cross-sectional study
Sezer, B., Kartal, S., Sıddıkoğlu, D., & Kargül, B. (2022) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-022-04998-3 · Cited by 30 · see citing works
“In addition, WMSs may cause physical, social, psychological, and/or environmental consequences that negatively affect the lives of individuals [11].”
Background
Relationship between Kinesiophobia and Mobility, Impact of the Disease, and Fear of Falling in Women with and without Fibromyalgia: A Cross-Sectional Study
Llamas, J. L. L., Murillo-García, Á., Villafaina, S., Domínguez‐Muñoz, F. J., Martín, J. M., & Gusi, N. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19148257 · Cited by 29 · see citing works
“In this sense, kinesiophobia is relevant as it dramatically affects the levels of physical activity [42], the activities of daily living [20], and the quality of life [18].”
Background
Prevalence and influencing factors of kinesiophobia after total knee arthroplasty: a systematic review and meta-analysis
Du, X., Shao, Y., Xue, J., & Kong, J. (2025) · Journal of Orthopaedic Surgery and Research · doi:10.1186/s13018-025-05752-w · Cited by 28 · see citing works
“(8 ) Negative Coping: There is a close correlation between negative coping style and the occurrence of kinesiophobia [29].”
Fear of movement and (re)injury is associated with condition specific outcomes and health-related quality of life in women with patellofemoral pain
Pazzinatto, M. F., Silva, D. D. O., Willy, R. W., de Azevedo, F. M., & Barton, C. J. (2020) · Physiotherapy Theory and Practice · doi:10.1080/09593985.2020.1830323 · Cited by 28 · see citing works
Effects of Global Postural Reeducation versus Specific Therapeutic Neck Exercises on Pain, Disability, Postural Control, and Neuromuscular Efficiency in Women with Chronic Nonspecific Neck Pain: Study Protocol for a Randomized, Parallel, Clinical Trial
Fernandes, T. M., Puente-González, A. S., Vera, M. A. M., Vila-Chã, C. J. F., & Sánchez, R. M. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182010704 · Cited by 27 · see citing works
Psychological mediators of avoidance and endurance behavior after concussion.
Terpstra, A. R., Cairncross, M., Yeates, K. O., Vranceanu, A., Greenberg, J., Hunt, C., & Silverberg, N. D. (2021) · Rehabilitation Psychology · doi:10.1037/rep0000390 · Cited by 27 · see citing works
The relationship between chronic pain and psychosocial aspects in patients with haemophilic arthropathy. A cross‐sectional study
Ucero‐Lozano, R., Pina, J. A. L., Ortiz‐Pérez, A., & Cuesta‐Barriuso, R. (2021) · Haemophilia · doi:10.1111/hae.14469 · Cited by 27 · see citing works
Through the Lens of Movement-Evoked Pain: A Theoretical Framework of the “Pain-Movement Interface” to Guide Research and Clinical Care for Musculoskeletal Pain Conditions
Butera, K. A., Chimenti, R. L., Alsouhibani, A., Berardi, G., Booker, S. Q., Knox, P. J., Post, A. A., Merriwether, E. N., Wilson, A. T., & Simon, C. B. (2024) · Journal of Pain · doi:10.1016/j.jpain.2024.01.351 · Cited by 28 · see citing works
Understanding discrepancies in a person's fear of movement and avoidance behaviour: a guide for musculoskeletal rehabilitation clinicians who support people with chronic musculoskeletal pain.
de Baets, L., Meulders, A., Damme, S. V., Caneiro, J., & Matheve, T. (2023) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2023.11420 · Cited by 26 · see citing works
Barriers and facilitators for physical activity in people living with chronic pain: a systematic review and combined analysis
Leese, C. J., Gupte, D., Christogianni, A., Higgins, C., Adair, P., Dall, P., Cameron, P. A., Smith, B. H., & Colvin, L. (2024) · Pain · doi:10.1097/j.pain.0000000000003314 · Cited by 25 · see citing works
The relationship between kinesiophobia and self-reported outcomes and physical function differs between women and men with femoroacetabular impingement syndrome
Pazzinatto, M. F., Rio, E., Crossley, K. M., Coburn, S., Johnston, R. T. R., Jones, D., & Kemp, J. L. (2022) · Brazilian Journal of Physical Therapy · doi:10.1016/j.bjpt.2022.100396 · Cited by 25 · see citing works
Which Psychological and Psychosocial Constructs Are Important to Measure in Future Tendinopathy Clinical Trials? A Modified International Delphi Study With Expert Clinician/Researchers and People With Tendinopathy
Stubbs, C., Auliffe, S. M., Chimenti, R. L., Coombes, B. K., Haines, T. P., Heales, L., de Vos, R., Lehman, G., Mallows, A. J., Michener, L. A., et al. (2023) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2023.11903 · Cited by 24 · see citing works
Differences of Spinal Curvature, Thoracic Mobility, and Respiratory Strength Between Chronic Neck Pain Patients and People Without Cervical Pain
Cheon, J. H., Lim, N. N., Lee, G. S., Won, K. H., Lee, S. H., Kang, E. Y., Lee, H. K., & Cho, Y. (2020) · Annals of Rehabilitation Medicine · doi:10.5535/arm.2020.44.1.58 · Cited by 26 · see citing works
“Further, thoracic mobility can be impaired owing to avoidance behavior such as kinesiophobia, which is correlated with neck pain [31,32].”
Background
Kinesiophobia Levels in Patients with Parkinson’s Disease: A Case-Control Investigation
Jiménez‐Cebrián, A. M., Vallejo, R., Losa‐Iglesias, M. E., de Labra, C., Calvo‐Lobo, C., Palomo‐López, P., Martínez‐Jiménez, E. M., & Navarro‐Flores, E. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18094791 · Cited by 24 · see citing works
“, in a systematic review of kinesiophobia in patients with chronic musculoskeletal pain, showed that a higher degree of this problem was associated with higher levels of pain intensity and lower quality of life [22].”
Background
What are the prevalence of and factors independently associated with depression and anxiety among patients with posttraumatic elbow stiffness? A cross-sectional, multicenter study
Liu, W., Sun, Z., Xiong, H., Liu, J., Lu, J., Cai, B., Wang, W., & Fan, C. (2021) · Journal of Shoulder and Elbow Surgery · doi:10.1016/j.jse.2021.11.014 · Cited by 24 · see citing works
Peoples' beliefs about their chronic hip pain and its care: a systematic review of qualitative studies. “I'm just getting old and breaking down”
Haber, T. S. W., Hinman, R. S., Dobson, F., Bunzli, S., Hilton, A., & Hall, M. (2022) · Pain · doi:10.1097/j.pain.0000000000002792 · Cited by 23 · see citing works
The effectiveness of cognitive behavioural therapy in chronic neck pain: A systematic review with meta-analysis
Ploutarchou, G., Savva, C., Karagiannis, C., Pavlou, K., O’Sullivan, K., & Korakakis, V. (2023) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2023.2236296 · Cited by 24 · see citing works
“Considering the evidence that parameters such as kinesiophobia are consistently associated with pain, disability, and quality of life in patients with chronic musculoskeletal pain (Luque-Suarez et al., 2019), this is potentially clinically relevant.”
Background
Correlations of The Central Sensitization Inventory, conditioned pain modulation, cognitions and psychological factors in individuals with chronic neck pain: A cross-sectional study
He, Y.-W., Wang, J.-L., Zhao, P., Wang, R.-R., & Li, M. (2024) · Pain and Therapy · doi:10.1007/s40122-024-00601-w · Cited by 23 · see citing works
“Wertli et al. [71] explored the prognostic value of motor fear in low back pain, and a systematic review also assessed the role of motor fear on pain, disability, and quality of life in patients with CMP [38].”
Background
The Impact of the Degree of Kinesiophobia on Recovery in Patients With Achilles Tendinopathy
Alghamdi, N. H., Pohlig, R. T., Lundberg, M., & Silbernagel, K. G. (2021) · Physical Therapy · doi:10.1093/ptj/pzab178 · Cited by 22 · see citing works
The relationship between kinesiophobia and health-related quality of life in patients with rheumatoid arthritis: A controlled cross-sectional study
Baday-Keskin, D., & Ekinci, B. (2021) · Joint Bone Spine · doi:10.1016/j.jbspin.2021.105275 · Cited by 24 · see citing works
A Mixed Comparison of Interventions for Kinesiophobia in Individuals With Musculoskeletal Pain: Systematic Review and Network Meta-Analysis
Huang, J., Xu, Y., Xuan, R., Baker, J. S., & Gu, Y. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.886015 · Cited by 21 · see citing works
Fear network and pain extent: Interplays among psychological constructs related to the fear-avoidance model
Zhao, X., Boersma, K., Gerdle, B. U. C., Molander, P., & Hesser, H. (2023) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2023.111176 · Cited by 24 · see citing works
“Higher scores on fear of movement indicate an excessive and debilitating fear of carrying out activities that are believed to cause injury or reinjury, and have been associated with increased pain disability, both cross-sectionally and longitudinally [16,17].”
Background
“Restoring That Faith in My Shoulder”: A Qualitative Investigation of How and Why Exercise Therapy Influenced the Clinical Outcomes of Individuals With Rotator Cuff–Related Shoulder Pain
Powell, J. K., Costa, N., Schram, B. L., Hing, W. A., & Lewis, J. S. (2023) · Physical Therapy · doi:10.1093/ptj/pzad088 · Cited by 21 · see citing works
Multiple diagnoses, increased kinesiophobia? - Patients with high kinesiophobia levels showed a greater number of temporomandibular disorder diagnoses
de Lira, M. R., da Silva, R. R. L., Bataglion, C., Aguiar, A. D. S., Greghi, S. M., & Chaves, T. C. (2019) · Musculoskeletal Science and Practice · doi:10.1016/j.msksp.2019.102054 · Cited by 20 · see citing works
Intervention Therapies to Reduce Pain-Related Fear in Fibromyalgia Syndrome: A Systematic Review of Randomized Clinical Trials
Martinez-Calderon, J., Flores-Cortes, M., Morales-Asencio, J. M., & Luque-Suarez, A. (2021) · Pain Medicine · doi:10.1093/pm/pnaa331 · Cited by 21 · see citing works
The influence of kinesiophobia and pain catastrophizing on pain-induced corticomotor modulation in healthy participants: A cross sectional study
Duport, A., Pelletier, R., Martel, M., & Léonard, G. (2022) · Neurophysiologie Clinique · doi:10.1016/j.neucli.2022.08.001 · Cited by 20 · see citing works
Impact of workplace yoga on pain measures, mental health, sleep quality, and quality of life in female teachers with chronic musculoskeletal pain: A randomized controlled study
Metri, K., Raghuram, N., Narayan, M., Sravan, K., Sekar, S., Bhargav, H., Babu, N., Mohanty, S., & Revankar, R. R. (2023) · Work · doi:10.3233/wor-210269 · Cited by 20 · see citing works
Examining the relationship between elderly patients’ fear of falling after spinal surgery and pain, kinesiophobia, anxiety, depression and the associated factors
Damar, H. T., Bilik, Ö., Baksi, A., & Akyıl, Ş. (2021) · Geriatric Nursing · doi:10.1016/j.gerinurse.2021.06.010 · Cited by 19 · see citing works
Association Between Coping Strategies and Pain-Related Outcomes Among Individuals with Chronic Orofacial Pain
Greenberg, J., Bakhshaie, J., Lovette, B. C., & Vranceanu, A.-M. (2022) · Journal of Pain Research · doi:10.2147/jpr.s350024 · Cited by 19 · see citing works
Kinesiophobia in Elderly Polish Patients After Ischemic Stroke, Including Frailty Syndrome
Bąk, E., Młynarska, A., Marcisz, C., Kadłubowska, M., Marcisz-Dyla, E., Sternal, D., Młynarski, R., & Krzemińska, S. A. (2022) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s352151 · Cited by 19 · see citing works
“The prevalence of kinesiophobia in persistent pain ranges from 50 to 70%.(9) In elderly Polish patients with coronary artery disease over 76% of the examined patients had a high level of kinesiophobia.”
Background
A Cross-Sectional Study of the Impact of Pain Severity on Absenteeism and Presenteeism Among Japanese Full-Time Workers
Tanaka, C., Wakaizumi, K., Takaoka, S., Matsudaira, K., Mimura, M., Fujisawa, D., & Kosugi, S. (2022) · Pain and Therapy · doi:10.1007/s40122-022-00408-7 · Cited by 19 · see citing works
“Pain-related Fear Fear of movement is frequently observed in individuals with pain and significantly increases with pain intensity [18].”
Background
Kinesiophobia in patients with angina pectoris of coronary artery disease: A cross-sectional survey
Shen, Y., Yan, T., Peng, Q., Zhang, B., Zhao, K., & Yang, Z. (2022) · Heart & Lung · doi:10.1016/j.hrtlng.2022.07.012 · Cited by 19 · see citing works
Kinesiophobia and associated variables in patients with heart failure
Sentandreu‐Mañó, T., Deka, P., Bonet, L. A., Tomás, J. M., Ferrer‐Sargues, F. J., López‐Vilella, R., Klompstra, L. V., & Marqués‐Sulé, E. (2023) · European Journal of Cardiovascular Nursing · doi:10.1093/eurjcn/zvad072 · Cited by 20 · see citing works
Digging deeper into pain: an ethological behavior assay correlating well-being in mice with human pain experience
Pattison, L. A., Cloake, A., Chakrabarti, S., Hilton, H., Rickman, R. H., Higham, J. P., Meng, M. Y., Paine, L. W., Dannawi, M., Qiu, L., et al. (2024) · Pain · doi:10.1097/j.pain.0000000000003190 · Cited by 19 · see citing works
“7,28,38 The issue is exacerbated by the lack of safe and effective medications to provide pain relief.”
Background
“My Pain Is Unbearable…I Cannot Recognize Myself!” Emotions, Cognitions, and Behaviors of People Living With Musculoskeletal Disorders: An Umbrella Review
Martínez-Calderón, J., Matias-Soto, J., & Luque-Suárez, A. (2022) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2022.10707 · Cited by 20 · see citing works
Mediation Effect of Pain on the Relationship between Kinesiophobia and Postural Control: Comparison and Correlations in Individuals with Fibromyalgia Syndrome and Asymptomatic Individuals—A Cross-Sectional Study
Asiri, F., Reddy, R. S., Alshahrani, M. S., Tedla, J. S., Dixit, S., Alshahrani, A., Gular, K., & Raizah, A. (2023) · Life · doi:10.3390/life13010175 · Cited by 18 · see citing works
“The original questionnaire was developed to “discriminate between non-excessive fear and phobia among patients with chronic musculoskeletal pain” [34].”
Background
Factors associated with disabling low back pain among nursing personnel at a medical centre in Japan: a comparative cross-sectional survey
Yoshimoto, T., Oka, H., Ishikawa, S., Kokaze, A., Muranaga, S., & Matsudaira, K. (2019) · BMJ Open · doi:10.1136/bmjopen-2019-032297 · Cited by 19 · see citing works
“Moreover, a recent systematic review has indicated that a greater degree of kinesiophobia at baseline predicted the progression of disability and the subsequent decline of quality of life among subjects with chronic musculoskeletal pain.(40) Therefore, our results suggest that assessment of negative beliefs such as ki…”
Background
Adolescents’ experience with sports-related pain and injury: A systematic review of qualitative research
Sheehan, N., Summersby, R., Bleakley, C., Caulfield, B. M., Matthews, M., Klempel, N., & Holden, S. (2024) · Physical Therapy in Sport · doi:10.1016/j.ptsp.2024.05.003 · Cited by 23 · see citing works
Gait speed and kinesiophobia explain physical activity level in adults with osteoarthritis: A cross‐sectional study
Aydemir, B., Huang, C., & Foucher, K. C. (2023) · Journal of Orthopaedic Research® · doi:10.1002/jor.25624 · Cited by 17 · see citing works
Kinesiophobia and Associated Factors in Patients With Myocardial Infarction
Yakut, H., Özalevli, S., Felekoğlu, E., Başkurt, A. A., & Dursun, H. (2023) · Perceptual and Motor Skills · doi:10.1177/00315125231204059 · Cited by 17 · see citing works
A scientometric analysis and visualization of kinesiophobia research from 2002 to 2022: A review
Li, L., Sun, Y. M., Qin, H., Zhou, J., Yang, X., Li, A., Zhang, J., & Zhang, Y. (2023) · Medicine · doi:10.1097/md.0000000000035872 · Cited by 18 · see citing works
Cognitive Assessment of Musculoskeletal Pain: Validity and Reliability of the Greek Version of the Tampa Scale of Kinesiophobia in Patients Suffering from Chronic Low Back Pain
Georgoudis, G., Raptis, K., & Koutserimpas, C. (2022) · MAEDICA – a Journal of Clinical Medicine · doi:10.26574/maedica.2022.17.4.826 · Cited by 17 · see citing works
eDOL mHealth App and Web Platform for Self-monitoring and Medical Follow-up of Patients With Chronic Pain: Observational Feasibility Study
Kerckhove, N., Delage, N., Cambier, S., Cantagrel, N., Serra, E., Marcaillou, F., Maindet, C., Picard, P., Martiné, G., Deleens, R., et al. (2021) · JMIR Formative Research · doi:10.2196/30052 · Cited by 15 · see citing works
“We made this choice because all of these factors are related to chronic pain [38,40,50,77,82-90] and we wanted to evaluate the ability of eDOL to characterize our patients precisely.”
Fear of movement and emotional distress as prognostic factors for disability in patients with shoulder pain: a prospective cohort study
Major, D. H., Røe, Y., Småstuen, M. C., van der Windt, D., Sandbakk, T. B., Jæger, M., & Grotle, M. (2022) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-022-05139-6 · Cited by 16 · see citing works
“Another recent systematic review of prognostic factors for chronic musculoskeletal pain found supporting reports of an association between a greater degree of fear of movement at baseline and higher levels of pain intensity and disability at follow-up [22].”
Background
Physiotherapists nearly always prescribe exercise for rotator cuff‐related shoulder pain; but why? A cross‐sectional international survey of physiotherapists
Powell, J. K., Schram, B. L., Lewis, J. S., & Hing, W. A. (2022) · Musculoskeletal Care · doi:10.1002/msc.1699 · Cited by 16 · see citing works
Specific versus general exercise programme in adults with subacromial impingement syndrome: a randomised controlled trial
Gutiérrez‐Espinoza, H., Araya‐Quintanilla, F., Pinto-Concha, S., Valenzuela‐Fuenzalida, J. J., López‐Gil, J. F., & Ramírez‐Vélez, R. (2023) · BMJ Open Sport & Exercise Medicine · doi:10.1136/bmjsem-2023-001646 · Cited by 16 · see citing works
The effects of kinesiophobia on postural control with chronic ankle instability
Han, S., Oh, M., Lee, H., & Hopkins, J. T. (2023) · Gait & Posture · doi:10.1016/j.gaitpost.2023.10.014 · Cited by 16 · see citing works

Kinesiophobia Is Associated With Pain Intensity and Disability in Chronic Shoulder Pain: A Cross-Sectional Study
Luque-Suárez, A., Martínez-Calderón, J., Ledesma, S. N., Morales‐Asencio, J. M., Meeus, M., & Struyf, F. (2020) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2019.12.009 · Cited by 55 · see citing works
A cross-sectional study of associations between kinesiophobia, pain, disability, and quality of life in patients with chronic low back pain
Comachio, J., Magalhães, M. O., Carvalho‐e‐Silva, A. P., & Marques, A. P. (2018) · Revista Brasileira de Reumatologia · doi:10.1186/s42358-018-0011-2 · Cited by 98 · see citing works
Kinesiophobia and Clinical Outcomes in People with Chronic Low Back Pain: A Cross-Sectional Study
Asiri, M. H., Almeheyawi, R. N., Alsharif, D. S., Alshehri, F. H., Zabarmawi, J., Alghamdi, W., Alwagdani, A., & Alzahrani, H. A. (2026) · Journal of Clinical Medicine · doi:10.3390/jcm15103972
Exploring Impact of Kinesiophobia on Pain, Disability, and Quality of Life in Older Adults with Chronic Conditions: A Descriptive Study
Bhuvaneswari, G., Singh, C. I., Thenmozhi, P., Tamilselvi, S., & Minolin, T. M. (2026) · Lecture notes in networks and systems · doi:10.1007/978-3-032-10940-8_15
Kinesiophobia : various aspects of moving with musculoskeletal pain
Lundberg, M. (2006) · Gothenburg University Publications Electronic Archive (Gothenburg University) · Cited by 13 · see citing works

Authors: Luque-Suarez, A., Martinez-Calderon, J., & Falla, D.
Affiliations: University of Birmingham (GB)
ORCID: Falla, Deborah
Venue: British Journal of Sports Medicine
Publisher: BMJ
Published: 2018-04-17
Volume: 53
Issue: 9
Pages: 554-559
ISSN: 0306-3674 (ISSN-L)
1473-0480
DOI: 10.1136/bjsports-2017-098673
OpenAlex: W2800915060
Cited by: 546
References: 116
Citations by year: 2026: 98 · 2025: 93 · 2024: 80 · 2023: 87 · 2022: 86 · 2021: 58 · 2020: 33 · 2019: 11
FWCI: 2.98
Type: journal article
Language: en
Open access: green
hdl.handle.net
Licence: other-oa
Locations: British Journal of Sports Medicine (publishedVersion)
PubMed (publishedVersion)
RISalud Institutional Health Repository of Andalucía (submittedVersion, other-oa)
HighWire Press Open Archive (submittedVersion)
University of Birmingham Research Portal (University of Birmingham) (submittedVersion, other-oa)
Funders: Universidad de Málaga
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Keywords: kinesiophobia, chronic musculoskeletal pain, disability, quality of life, pain intensity, Tampa Scale for Kinesiophobia, prognostic value, disability progression
MeSH terms: Cross-Sectional Studies, Fear, Disabled Persons, Persons with Disabilities, Humans, Quality of Life, Musculoskeletal Pain, Observational Studies as Topic

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Role of kinesiophobia on pain, disability and quality of life in people suffering from chronic musculoskeletal pain: A systematic review

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