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Do psychological factors relate to movement-evoked pain in people with musculoskeletal pain? A systematic review and meta-analysis.


ABSTRACT:

Background

A growing body of evidence has demonstrated the importance of implementing movement-evoked pain in conventional pain assessments, with a significant role for psychological factors being suggested. Whether or not to include these factors in the assessment of movement-evoked pain has not yet been determined.

Objectives

The aim of this systematic review is to explore the association between psychological factors and movement-evoked pain scores in people with musculoskeletal pain.

Methods

For this systematic review with meta-analysis, four electronic databases (PubMed, Medline, WOS, and Scopus) were searched. Cross-sectional studies, longitudinal cohort studies, and randomized controlled trials investigating the association between movement-evoked pain and psychological factors in adults with musculoskeletal pain were considered. Meta-analysis was conducted for outcomes with homogeneous data from at least 2 studies. Fischer-Z transformations were used as the measure of effect. Quality of evidence was assessed using the National Institutes of Health's Quality assessment tool for observational cohort and cross-sectional studies and Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework.

Results

Meta-analyses and grading the quality of evidence revealed moderate evidence for a relation between movement-evoked pain and depressive symptoms (Fisher-z=0.27; 95%CI: 0.17, 0.36; 5 studies (n=440)), pain-related fear (Fisher-z=0.35; 95%CI: 0.26, 0.44; 6 studies (n=492)), and pain catastrophizing (Fisher-z=0.47; 95%CI: 0.36, 0.58; 4 studies (n=312)) in people with musculoskeletal pain.

Conclusions

Movement-evoked pain is weakly to moderately associated to depressive symptoms, pain-related fear, and pain catastrophizing in people with musculoskeletal pain.

SUBMITTER: Leemans L 

PROVIDER: S-EPMC9597124 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature

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Publications

Do psychological factors relate to movement-evoked pain in people with musculoskeletal pain? A systematic review and meta-analysis.

Leemans Lynn L   Nijs Jo J   Antonis Luna L   Wideman Timothy H TH   Bandt Hester den HD   Franklin Zoe Z   Mullie Patrick P   Moens Maarten M   Joos Erika E   Beckwée David D  

Brazilian journal of physical therapy 20221017 6


<h4>Background</h4>A growing body of evidence has demonstrated the importance of implementing movement-evoked pain in conventional pain assessments, with a significant role for psychological factors being suggested. Whether or not to include these factors in the assessment of movement-evoked pain has not yet been determined.<h4>Objectives</h4>The aim of this systematic review is to explore the association between psychological factors and movement-evoked pain scores in people with musculoskeleta  ...[more]

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