Abstract

Research Article

Assessment and treatment of patients with kinesiophobia: A Delphi consensus

Mattias Santi*, Ina Diener and Rob Oostendorp

Published: 26 October, 2022 | Volume 6 - Issue 2 | Pages: 023-028

Kinesiophobia is described as pain-related fear of movement and plays a role in the development of chronic musculoskeletal pain. Several approaches have been described in the literature, but there does not seem to be a consensus on the most appropriate way to evaluate and treat patients with kinesiophobia. The aim of this study was to identify clinically relevant assessments and treatments recommended by a consensus of experts. Fourteen experts were identified to participate in a three-round internet-based Delphi study. Participants were asked to propose assessments and treatments (round 1), to grade each proposal on a Likert scale of 9 (round 2), and to reassess their level of agreement (round 3). The consensus was defined with 75% agreement. Five methods of assessment and six treatment approaches reached a consensus. The TAMPA scale reached the top position as an assessment of kinesiophobia. Graded exposure to movement, cognitive and behavioral therapy, and pain neuroscience education were the highest-rated interventions. These results provide the first expert consensus on preferred assessments and treatments for patients with kinesiophobia and correspond with the evidence base in the literature.

Read Full Article HTML DOI: 10.29328/journal.jnpr.1001047 Cite this Article Read Full Article PDF

Keywords:

Assessment; Treatment; Kinesiophobia; Delphi

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