Effect of Multi-Modal Therapies for Kinesiophobia Caused by Musculoskeletal Disorders: A Systematic Review and Meta-Analysis

Yining Xu, Yang Song, Dong Sun, Gusztáv Fekete and Yaodong Gu
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Yining Xu: Faculty of Sports Science, Ningbo University, Ningbo 315211, China
Yang Song: Doctoral School of Safety and Security Sciences, Obuda University, 1034 Budapest, Hungary
Dong Sun: Faculty of Sports Science, Ningbo University, Ningbo 315211, China
Gusztáv Fekete: Savaria Institute of Technology, Eötvös Loránd University, 9700 Szombathely, Hungary
Yaodong Gu: Faculty of Sports Science, Ningbo University, Ningbo 315211, China

IJERPH, 2020, vol. 17, issue 24, 1-22

Abstract: This systematic review and meta-analysis aimed to identify the effect of multi-modal therapies that combined physical and psychological therapies for kinesiophobia caused by musculoskeletal disorders compared with uni-modal therapy of only phycological therapy or psychological therapy. The search terms and their logical connector were as following: (1) “kinesiophobia” at the title or abstract; and (2) “randomized” OR “randomized” at title or abstract; not (3) ”design” OR “protocol” at the title. They were typed into the databases of Medline (EBSCO), PubMed, and Ovid, following the different input rules of these databases. The eligibility criteria were: (1) Adults with musculoskeletal disorders or illness as patients; (2) Multi-modal therapies combined physical and psychological therapy as interventions; (3) Uni-modal therapy of only physical or psychological therapy as a comparison; (4) The scores of the 17-items version of the Tampa Scale of Kinesiophobia as the outcome; (5) Randomized controlled trials as study design. As a result, 12 studies were included with a statistically significant polled effect of 6.99 (95% CI 4.59 to 9.38). Despite a large heterogeneity within studies, multi-modal therapies might be more effective in reducing kinesiophobia than the unimodal of only physical or psychological therapy both in the total and subdivision analysis. The effect might decrease with age. What’s more, this review’s mathematical methods were feasible by taking test-retest reliability of the Tampa Scale of Kinesiophobia into consideration.

Keywords: kinesiophobia; pain; multi-modal; psychological measure; Tampa scale (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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