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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Effects of manual therapy on fear avoidance, kinesiophobia and pain catastrophizing in individuals with chronic musculoskeletal pain: Systematic review and meta-analysis

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Kamonseki, Danilo Harudy [1] ; Christenson, Peter [2] ; Rezvanifar, S. Cyrus [2] ; Calixtre, Leticia Bojikian [3]
Total Authors: 4
[1] Univ Fed Sao Carlos UFSCar, Lab Anal & Intervent Shoulder Complex, Sao Carlos, SP - Brazil
[2] Univ Minnesota, Dept Rehabil Med, Minneapolis, MN - USA
[3] Univ Estadual Paulista UNESP, Araraquara Dent Sch, Dept Dent Mat & Prosthodont, Araraquara, SP - Brazil
Total Affiliations: 3
Document type: Review article
Web of Science Citations: 1

Objective: To systematically review the effectiveness of manual therapy on fear-avoidance, kinesiophobia, and pain catastrophizing in patients with chronic musculoskeletal pain. Literature search: Databases (Medline, EMBASE, CINAHL, PEDro, CENTRAL, Web of Science, and SCOPUS) were searched from inception up to March 2020. Study selection criteria: Two reviewers independently selected randomized controlled trials that investigated the effects of manual therapy associated or not with other interventions on fear-avoidance, kinesiophobia and pain catastrophizing in patients with chronic musculoskeletal pain. Data synthesis: Standardized Mean Differences (SMD) and 95% confidence interval (CI) were calculated using a random-effects inverse variance model for meta-analysis according to the outcome of interest, comparison group and follow-up period. The level of evidence was synthesized using GRADE. Results: Eleven studies were included with a total sample of 717 individuals. Manual therapy was not superior to no treatment on reducing fear-avoidance at short-term (low quality of evidence; SMD = -0.45, 95% CI -0.99 to 0.09), and intermediate-term (low quality of evidence; SMD = -0.48, 95% CI -1.0 to 0.04). Based on very-low quality of evidence, manual therapy was not better than other treatments (SMD = 0.10, 95% CI -0.56 to 0.77) on reducing fear-avoidance, kinesiophobia (SMD = -0.12, 95% CI -0.87 to 0.63) and pain catastrophizing (SMD = -0.16, 95% CI -0.48 to 0.17) at short-term. Conclusion: Manual therapy may not be superior to no treatment or other treatments on improving fear-avoidance, kinesiophobia and pain catastrophizing, based on very low or low quality of evidence. More studies are necessary to strengthen the evidence of effects of manual therapy on pain-related fear outcomes. (AU)

FAPESP's process: 19/07689-0 - Improving Shoulder Health for Persons with Spinal Cord Injury through an Ergonomic Wheelchair
Grantee:Danilo Harudy Kamonseki
Support Opportunities: Scholarships abroad - Research Internship - Doctorate