Publicação
Kinesiophobia, fear-avoidance and aging : a systematic integrative review on the state of the art
| Resumo: | Objective: To review scientific knowledge based on the guiding question: “Kinesiophobia, Fear-avoidance and Aging: How is the state of the art in integrating these concepts?” Methods: Following the PRISMA-2020 statement, MEDLINE, B-On, PEDro and Cochrane Library were searched from January 2005 through March 2020. Results: A total of 15 papers were selected for inclusion. 60% were observational studies of which 33% presented a cross-sectional design. Most of the research done was associated with chronic pain. In the presence of chronic pain, higher levels of kinesiophobia were found among frailer and elderly people, predominantly living in care homes. Kinesiophobia and fear-avoidance have been related with other constructs of the Fear Avoidance Model and the conclusions bring some support to the assumptions derived from it in the elderly population. None of the studies aimed to test the effectiveness of interventions targeting kinesiophobia or fear-avoidance. Conclusions: Kinesiophobia and fear-avoidance are understudied in the elderly population. Kinesiophobia may not be directly related to old age, but instead, this relationship may be established through mediating factors that tend to be more present with advancing age, such as frailty, institutionalization, and comorbidities. Implications for practice: The identification of elders at higher risk for developing kinesiophobia and fear-avoidance behaviours should be considered when aiming to increase physical activity and reduce disability. |
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| Autores principais: | Alpalhão, Vanessa Luísa Botas |
| Assunto: | Phobia Fear Movement Ageing Older Elderly Disability Physical Activity Psychological Pain Fobia Medo Movimento Envelhecimento Idosos Incapacidade Atividade física Psicológico Dor |
| Ano: | 2021 |
| País: | Portugal |
| Tipo de documento: | dissertação de mestrado |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Universidade de Lisboa |
| Idioma: | inglês |
| Origem: | Repositório da Universidade de Lisboa |
| Resumo: | Objective: To review scientific knowledge based on the guiding question: “Kinesiophobia, Fear-avoidance and Aging: How is the state of the art in integrating these concepts?” Methods: Following the PRISMA-2020 statement, MEDLINE, B-On, PEDro and Cochrane Library were searched from January 2005 through March 2020. Results: A total of 15 papers were selected for inclusion. 60% were observational studies of which 33% presented a cross-sectional design. Most of the research done was associated with chronic pain. In the presence of chronic pain, higher levels of kinesiophobia were found among frailer and elderly people, predominantly living in care homes. Kinesiophobia and fear-avoidance have been related with other constructs of the Fear Avoidance Model and the conclusions bring some support to the assumptions derived from it in the elderly population. None of the studies aimed to test the effectiveness of interventions targeting kinesiophobia or fear-avoidance. Conclusions: Kinesiophobia and fear-avoidance are understudied in the elderly population. Kinesiophobia may not be directly related to old age, but instead, this relationship may be established through mediating factors that tend to be more present with advancing age, such as frailty, institutionalization, and comorbidities. Implications for practice: The identification of elders at higher risk for developing kinesiophobia and fear-avoidance behaviours should be considered when aiming to increase physical activity and reduce disability. |
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