Educação em neurociência da dor associada ao exercício terapêutico na redução da cinesiofobia em pacientes com dor lombar crônica inespecífica: uma revisão integrativa da literatura.

Chronic nonspecific low back pain is a common condition associated with functional limitations, including kinesiophobia, characterized by fear of movement due to the expectation of pain or worsening of the condition. This integrative review aimed to analyze the available evidence on the effects of Pain Neuroscience Education combined with therapeutic exercise on reducing kinesiophobia in individuals with chronic nonspecific low back pain. An Integrative Literature Review was conducted based on the stages and structured according to the PICO strategy. The PubMed, SciELO, LILACS Plus and PEDro databases were searched for publications from 2015 to 2026 in English, Portuguese and Spanish. After the screening and eligibility stages, four studies were included in the review. The results showed that two studies identified greater reductions in kinesiophobia with the combination of Pain Neuroscience Education and exercise, whereas one study found no additional effect compared with exercise alone. One feasibility study did not allow the efficacy of the combined intervention to be assessed because the corresponding group did not initiate the protocol. It is concluded that Pain Neuroscience Education combined with therapeutic exercise has the potential to reduce kinesiophobia in individuals with chronic nonspecific low back pain; however, the available evidence is not yet sufficiently consistent to establish its superiority over exercise alone.