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Psychological status was measured through kinesiophobia, an emotional and cognitive factor that leads to maladaptive behaviors [30,31]; studies have shown that kinesiophobia is associated with more pain and disability and a lower quality of life [30]. Kinesiophobia was assessed using the Fear-Avoidance Beliefs Questionnaire [32] and the TAMPA Scale of Kinesiophobia [33,34].
Studies retrieved from the databases were uploaded to Covidence online systematic review software (Veritas Health Innovation).
J Med Internet Res 2024;26:e48787
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The Tampa Scale for Kinesiophobia, 11- item version, was used to measure fear of movement, and the sum scores (4 response options: 11 to 44) were analyzed [62,63]. The English and German versions were found to generate reliable and valid data [62,63].
JMIR Serious Games 2022;10(2):e31685
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Cognitive biases in pain processing (eg, behaviors that aggravate pain should be avoided to prevent reinjury) can result in kinesiophobia, or fear of movement, and subsequent pain avoidance as a means of self-protection [16,17]. Avoidance promotes a self-perpetuating cycle of physical deconditioning, negative affect, disability, and worse pain [17-19].
JMIR Form Res 2019;3(4):e11266
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