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

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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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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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See all 547

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 › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › 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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