Kinesiophobia Is Associated With Poor Function and Modifiable Through Interventions in People With Patellofemoral Pain: A Systematic Review With Individual Participant Data Correlation Meta-Analysis

Author:

Rethman Katherine K12ORCID,Mansfield Cody J123,Moeller Josh4,De Oliveira Silva Danilo5ORCID,Stephens Julie A6,Di Stasi Stephanie17,Briggs Matthew S128ORCID

Affiliation:

1. Jameson Crane Sports Medicine Institute Sports Medicine Research Institute, The Ohio State University Wexner Medical Center, , Columbus, Ohio , USA

2. The Ohio State University Wexner Medical Center Ohio State University Sports Medicine, , Columbus, Ohio , USA

3. The Ohio State University School of Health and Rehabilitation Sciences, College of Medicine, , Columbus, Ohio , USA

4. The Ohio State University Department of Biology, , Columbus, Ohio , USA

5. La Trobe University La Trobe Sport and Exercise Medicine Research Centre, , Melbourne, Victoria , Australia

6. Ohio State University Center for Biostatistics, Department of Biomedical Informatics, College of Medicine, , Columbus, Ohio , USA

7. Ohio State University Division of Physical Therapy, School of Health & Rehabilitation Sciences, College of Medicine, , Columbus, Ohio , USA

8. The Ohio State University Wexner Medical Center Department of Orthopaedics, , Columbus, Ohio , USA

Abstract

Abstract Objective The aim of this systematic review and correlation meta-analysis was to identify factors associated with kinesiophobia in individuals with patellofemoral pain (PFP) and to identify interventions that may reduce kinesiophobia in individuals with PFP. Methods Seven databases were searched for articles including clinical factors associated with kinesiophobia or interventions that may reduce kinesiophobia in individuals with PFP. Two reviewers screened articles for inclusion, assessed risk of bias and quality, and extracted data from each study. A mixed-effects model was used to calculate correlations of function and pain with kinesiophobia using individual participant data. Meta-analyses were performed on interventional articles; Grading of Recommendations, Assessment, Development, and Evaluation was used to evaluate certainty of evidence. Results were reported narratively when pooling was not possible. Results Forty-one articles involving 2712 individuals were included. Correlation meta-analyses using individual participant data indicated a moderate association between self-reported function and kinesiophobia (n = 499; r = −0.440) and a weak association between pain and kinesiophobia (n = 644; r = 0.162). Low-certainty evidence from 2 articles indicated that passive treatment techniques were more effective than minimal intervention in reducing kinesiophobia (standardized mean difference = 1.11; 95% CI = 0.72 to 1.49). Very low-certainty evidence from 5 articles indicated that interventions to target kinesiophobia (psychobehavioral interventions, education, and self-managed exercise) were better in reducing kinesiophobia than physical therapist treatment approaches not specifically targeting kinesiophobia (standardized mean difference = 1.64; 95% CI = 0.14 to 3.15). Conclusion Higher levels of kinesiophobia were moderately associated with poorer function and weakly associated with higher pain in individuals with PFP. Taping and bracing may reduce kinesiophobia immediately after use, and specific kinesiophobia-targeted interventions may reduce kinesiophobia following the full intervention; however, the certainty of evidence is very low. Impact Assessment of kinesiophobia in clinical practice is recommended, on the basis of the relationships identified between kinesiophobia and other important factors that predict outcomes in individuals with PFP.

Funder

National Center for Advancing Translational Sciences

Publisher

Oxford University Press (OUP)

Subject

Physical Therapy, Sports Therapy and Rehabilitation

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3