Goubran M, Farajzadeh A, Lahart IM, Bilodeau M, Boisgontier MPPlease use the format "First name initials family name" as in "Marie S. Curie, Niels H. D. Bohr, Albert Einstein, John R. R. Tolkien, Donna T. Strickland"
<p><strong>Objective. </strong>Physical activity contributes to the primary, secondary, and tertiary prevention of multiple diseases. However, in some patients, an excessive, irrational, and debilitating fear of movement (i.e., kinesiophobia) is thought to induce avoidance behaviors, contributing to decreased engagement in physical activity. The aim of this study was to examine whether kinesiophobia is negatively associated with physical activity in several health conditions and what factors may influence this relationship.</p>
<p><br><strong>Methods. </strong>Five databases were searched for studies including both a measure of kinesiophobia and physical activity. Two reviewers screened articles for inclusion, assessed risk of bias, and extracted data from each study. Pearson product-moment correlations were pooled from eligible studies using the generic inverse pooling and random effects method to examine the relationship between kinesiophobia and physical activity.</p>
<p><br><strong>Results. </strong>Seventy-four studies were included in the systematic review and 63 studies (83 estimates, 12,278 participants) in the main meta-analysis. Results showed a small-to-moderate negative correlation between kinesiophobia and physical activity (r = -0.19; 95% confidence interval: -0.26 to -0.13; I2 = 85.5%; p < 0.0001). Funnel plot analysis showed evidence of publication bias, but p-curve analysis suggested that our results could not be caused by selective reporting. A subgroup meta-analysis showed that the correlation was statistically significant in patients with cardiac, rheumatologic, neurologic, or pulmonary conditions, but not in patients with chronic or acute pain.</p>
<p><br><strong>Conclusion.</strong> Our results suggest that higher levels of kinesiophobia are associated with lower levels of physical activity in several health conditions that are not necessarily painful.</p>
<p><br><strong>Impact.</strong> Kinesiophobia should be dissociated from pain and considered in relation to specific health conditions when implementing interventions to promote physical activity. Kinesiophobia may have prognostic implications in patients for whom physical activity contributes to prevent recurrence or worsening of their condition.</p>
Exercise & Sports Psychology, Health & Disease, Physical Activity, Rehabilitation
Brad McKay [bradmckay8@gmail.com], Michael Carter (cartem11@mcmaster.ca], Keith Lohse [lohse@wustl.edu], Paquito Bernard [bernard.paquito@uqam.ca], Jenny Murphy [jennymurphy1@hotmail.com], Franco Impellizzeri [Franco.Impellizzeri@uts.edu.au], Matthew Stults-Kolehmainen [mas2454@tc.columbia.edu], Denis Mongin [denis.mongin@unige.ch], Sylvain Laborde [S.Laborde@dshs-koeln.de], Michael J. Carter suggested: Unfortunately, I currently have too many other reviews on the go at the moment., Brad McKay suggested: Mariane Bacelar marianebacelar@boisestate.edu, Brad McKay suggested: Keith Lohse lohse@wustl.edu, Brad McKay suggested: Sorry, about to move across North America and start a new job with my 7 months pregnant wife! If not for this I’d be happy to review anything for PCI that is in my area of expertise. Good luck!
No need for them to be recommenders of PCI Health & Mov Sci. Please do not suggest reviewers for whom there might be a conflict of interest. Reviewers are not allowed to review preprints written by close colleagues (with whom they have published in the last four years, with whom they have received joint funding in the last four years, or with whom they are currently writing a manuscript, or submitting a grant proposal), or by family members, friends, or anyone for whom bias might affect the nature of the review - see the code of conduct
