Huang Jialu, Xu Yining, Xuan Rongrong, Baker Julien S, Gu Yaodong
Faculty of Sports Science, Ningbo University, Ningbo, China.
The Affiliated Hospital of Medical School of Ningbo University, Ningbo, China.
Front Psychol. 2022 Jun 29;13:886015. doi: 10.3389/fpsyg.2022.886015. eCollection 2022.
OBJECTIVE: This systematic review aims to make a mixed comparison of interventions for kinesiophobia and individuals with musculoskeletal pain. METHODS: A comprehensive search strategy was conducted in the database of PubMed, MEDLINE, and Web of Science with the inclusion criteria: (1) randomized controlled design; (2) patients with musculoskeletal pain as participants; (3) treatments protocols of kinesiophobia as interventions or comparisons; (4) the score of Tampa Scale Kinesiophobia (TSK) as outcome measures. A network meta-analysis was used to synthesize the data after checking the model consistency. The risk of bias was assessed by the Cochrane Collaboration Risk of Bias Assessment Tool. RESULTS: Thirty-one studies were included in this review after a comprehensive search strategy with a low risk of bias and good consistency. According to the results of the network meta-analysis, a multi-modal treatment protocol had the highest probability to become the best choice in dealing with kinesiophobia caused by musculoskeletal pain, whereas psychological treatment protocols also showed a potentially positive effect on musculoskeletal pain-induced kinesiophobia. CONCLUSION: Multi-modal protocols could be recommended as the preferred option when dealing with kinesiophobia caused by musculoskeletal pain. However, it is still worth mentioning that there are also potentially positive therapeutic effects of psychological interventions. Since the concept of kinesiophobia is based on the fear-avoidance model, the psychological mechanism should be paid enough attention to during treatment. REGISTRATION NUMBER: CRD42021286450.
目的:本系统评价旨在对运动恐惧的干预措施与肌肉骨骼疼痛患者进行综合比较。 方法:在PubMed、MEDLINE和Web of Science数据库中进行全面的检索策略,纳入标准为:(1)随机对照设计;(2)以肌肉骨骼疼痛患者为参与者;(3)以运动恐惧的治疗方案作为干预措施或对照;(4)以坦帕运动恐惧量表(TSK)评分作为结局指标。在检查模型一致性后,采用网络荟萃分析对数据进行综合。采用Cochrane协作偏倚风险评估工具评估偏倚风险。 结果:经过全面的检索策略,本评价纳入了31项研究,偏倚风险低且一致性良好。根据网络荟萃分析结果,多模式治疗方案最有可能成为处理肌肉骨骼疼痛引起的运动恐惧的最佳选择,而心理治疗方案对肌肉骨骼疼痛引起的运动恐惧也显示出潜在的积极效果。 结论:在处理肌肉骨骼疼痛引起的运动恐惧时,多模式方案可作为首选推荐。然而,仍值得一提的是,心理干预也有潜在的积极治疗效果。由于运动恐惧的概念基于恐惧回避模型,在治疗过程中应充分关注其心理机制。 注册号:CRD42021286450。
Cochrane Database Syst Rev. 2022-2-1
Int J Environ Res Public Health. 2020-12-16
Arch Orthop Trauma Surg. 2020-12
Knee Surg Sports Traumatol Arthrosc. 2023-6
J Athl Train. 2024-12-1
BMJ Open Sport Exerc Med. 2023-9-27
Int J Environ Res Public Health. 2021-8-22
Int J Environ Res Public Health. 2020-12-16