Table 2

Modified Cochrane Back and Neck Pain Group criteria for overall level of evidence based on longitudinal studies

OutcomeNo. of
studies
No. of participantsLevel of evidence
Kinesiophobia (association with)
Quality of life2289Limited (negative association)
Disability71123Moderate (positive association)
Pain intensity2204Conflicting (positive association)
Pain severity2331Limited (positive association)
  • Strong evidence: consistent findings in two or more low risk of bias studies (score from 14 to 21 on NOS); moderate evidence: consistent findings in one low risk of bias study or two or more moderate risk of bias studies (score from 8 to 13 on NOS); limited evidence: consistent findings in one or more high risk of bias studies (score from 0 to 7 on NOS) or one moderate risk of bias study; lacking evidence: no published studies found; conflicting evidence: inconsistent or contradictory findings within a quality level.