Bordeleau Martine, Vincenot Matthieu, Lefevre Salomé, Duport Arnaud, Seggio Lucas, Breton Tomy, Lelard Thierry, Serra Eric, Roussel Nathalie, Neves Jeremy Fonseca Das, Léonard Guillaume
Research Centre on Aging, CIUSSS de l'Estrie - CHUS, Sherbrooke, QC, Canada.
Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada.
Front Behav Neurosci. 2022 Sep 20;16:933483. doi: 10.3389/fnbeh.2022.933483. eCollection 2022.
Kinesiophobia is associated with pain intensity in people suffering from chronic pain. The number of publications highlighting this relationship has increased significantly in recent years, emphasizing the importance of investigating and synthesizing research evidence on this topic. The purpose of this scoping review was to answer the following questions: (1) What types of interventions have been or are currently being studied in randomized controlled trials (RCTs) for the management of kinesiophobia in patients with chronic pain? (2) What chronic pain conditions are targeted by these interventions? (3) What assessment tools for kinesiophobia are used in these interventions? According to the studies reviewed, (1) physical exercise is the most commonly used approach for managing irrational fear of movement, (2) interventions for kinesiophobia have primarily focused on musculoskeletal pain conditions, particularly low back pain and neck pain, and (3) the Tampa Scale of Kinesiophobia is the most commonly used tool for measuring kinesiophobia. Future RCTs should consider multidisciplinary interventions that can help patients confront their irrational fear of movement while taking into account the patient's personal biological, psychological, and social experiences with pain and kinesiophobia.
运动恐惧与慢性疼痛患者的疼痛强度相关。近年来，强调这种关系的出版物数量显著增加，这凸显了对该主题研究证据进行调查和综合的重要性。本综述的目的是回答以下问题：（1）在随机对照试验（RCT）中，针对慢性疼痛患者运动恐惧的管理，已经或正在研究哪些类型的干预措施？（2）这些干预措施针对哪些慢性疼痛状况？（3）这些干预措施中使用了哪些运动恐惧评估工具？根据所审查的研究，（1）体育锻炼是管理对运动的非理性恐惧最常用的方法，（2）针对运动恐惧的干预措施主要集中在肌肉骨骼疼痛状况，特别是腰痛和颈痛，（3）坦帕运动恐惧量表是测量运动恐惧最常用的工具。未来的随机对照试验应考虑多学科干预措施，这些措施可以帮助患者面对他们对运动的非理性恐惧，同时考虑患者在疼痛和运动恐惧方面的个人生物学、心理学和社会经历。
