Faculty of Sports Science, Ningbo University, Ningbo 315211, China.
Doctoral School of Safety and Security Sciences, Obuda University, 1034 Budapest, Hungary.
Int J Environ Res Public Health. 2020 Dec 16;17(24):9439. doi: 10.3390/ijerph17249439.
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.
本系统评价和荟萃分析旨在确定联合物理和心理治疗的多模式疗法对肌肉骨骼疾病引起的运动恐惧症的影响，与仅进行心理治疗或心理治疗的单一模式疗法相比。搜索词及其逻辑连接器如下：（1）“运动恐惧症”在标题或摘要中；（2）“随机”或“随机”在标题或摘要中；（3）“设计”或“方案”不在标题中。根据这些数据库的不同输入规则，将它们键入 Medline（EBSCO）、PubMed 和 Ovid 数据库中。纳入标准为：（1）患有肌肉骨骼疾病或疾病的成年人作为患者；（2）联合物理和心理治疗的多模式疗法作为干预措施；（3）单一模式疗法仅为物理或心理疗法作为比较；（4）坦帕运动恐惧症量表 17 项版本的分数作为结果；（5）随机对照试验作为研究设计。结果，有 12 项研究符合条件，具有统计学意义的汇总效应为 6.99（95%置信区间 4.59 至 9.38）。尽管研究内部存在很大的异质性，但多模式疗法在降低运动恐惧症方面可能比单一模式的物理或心理疗法更有效，无论是在总分析还是细分分析中。这种效果可能会随年龄的增长而降低。此外，本综述的数学方法是可行的，因为考虑了坦帕运动恐惧症量表的重测信度。
