Faculty Advisor(s)

Maureen Pascal



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Chronic low back pain (CLBP) is the most common musculoskeletal condition and can impact individuals’ quality of life and work productivity. Along with CLBP, individuals with this chronic condition have an altered perception of their pain and may experience a fear of movement, or kinesiophobia. Thus, this systematic review seeks to address the effectiveness of various physical therapy interventions for individuals with CLBP who demonstrate kinesiophobia. Eleven randomized controlled trials (n = 1004) were assessed, which all utilized interventions consisting of cognitive-based interventions (including education), exercise-based interventions, manual therapy, or a combination of these. The following areas were assessed in the articles using a variety of outcome measures: disability, kinesiophobia, pain intensity, quality of life, and self-efficacy. Due to the improvements seen among both control and experimental groups with varying interventions, there is inconclusive evidence regarding the most effective interventions to use in physical therapy when working with patients who have CLBP and kinesiophobia. Thus, a variety of cognitive-based interventions, exercise-based interventions, manual therapy, or a combination of any of the three, can be beneficial to patients with CLBP who present with kinesiophobia.

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Document Type



Physical Therapy


fear of movement, pain neuroscience education, physical therapy, chronic pain, lower back


Medicine and Health Sciences

Effectiveness of Interventions to Address Kinesiophobia in Individuals with Chronic Low Back Pain: A Systematic Review