Association of kinesiophobia with pain, disability and functional limitation in adults with knee osteoarthritis: A systematic review and meta-analysis

  1. Lozano-Meca, José 1
  2. Gacto-Sánchez, Mariano
  3. Montilla-Herrador, Joaquina
  1. 1 Universidad de Murcia
    info

    Universidad de Murcia

    Murcia, España

    ROR https://ror.org/03p3aeb86

Journal:
Geriatric Nursing

ISSN: 0197-4572

Year of publication: 2024

Volume: 60

Pages: 481-490

Type: Article

DOI: 10.1016/J.GERINURSE.2024.10.013 GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Geriatric Nursing

Abstract

Knee osteoarthritis (KOA) is a prevalent degenerative joint disease associated with pain, disability, and func-tional limitations. Kinesiophobia, the fear of movement, has been linked to disability and pain in KOApatients. This study aimed to analyze the relationship between kinesiophobia and symptoms of KOA. A com-prehensive literature search was conducted in four electronic databases (PubMed/Medline, Web of Science,Scopus and Science Direct) with the following inclusion criteria: 1) recruited participants with diagnostic ofknee osteoarthritis; 2) measures of pain, disability and/or functional limitation through questionnaires orphysical tests; 3) articles exploring the correlation between kinesiophobia, and pain, disability, and/or func-tional limitation as principal or secondary outcome; 4) primary data studies (observational and experimen-tal). A total of 17 studies involving 1,574 participants (mean age 61.04 § 5.79 years) were included in thecorresponding meta-analyses. Results showed a moderate correlation between kinesiophobia and disability(r = 0.519; p-value=0.004), and fair correlations of kinesiophobia with pain (r = 0.362; p-value<0.001), andfunctional limitation (r = 0.270; p-value<0.001). Despite high heterogeneity (I 2: 89.4% for pain, 94.6% for dis-ability, and 90.4% for functional limitation), 52% of studies displayed low risk of bias. In conclusion, kinesio-phobia positively correlates with pain, disability, and functional limitation in KOA patients.

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