O impacto da cinesiofobia na reabilitação de lesões osteomioarticulares

Abstract

OBJECTIVES:The objective of this study was to analyze the impact of kinesiophobia on the functional and psychosocial outcomes of musculoskeletal injury rehabilitation.METHODOLOGY: An integrative literature review was conducted with searches in the PubMed, Scielo, and LILACS databases for English-language articles from the last 5 years. The selection was carried out in three steps:1- Identification in databases; 2- Analysis of titles and abstracts based on eligibility criteria; 3- Full-text evaluation of the remaining articles to confirm inclusion.RESULTS: The initial search returned 180 results, reducing to 148 articles after the removal of 32 duplicates. Of the 148 articles, 44 materials were selected as their Title/Abstract met the eligibility criteria. Finally, 23 articles were excluded after reading the full text, resulting in 21 articles included in this study. CONCLUSIONS: Kinesiophobia influences the effectiveness of musculoskeletal rehabilitation, with high levels of fear associated with slower recovery and greater recurrence of injuries. Interventions combining pain education and exercise are more effective in reducing fear and improving functional outcomes. Personalizing programs with cognitive approaches, such as the fear-avoidance model and self-efficacy theory, optimizes therapeutic gains. Multidisciplinary, flexible, and individualized protocols are essential to improving clinical outcomes and adherence.