Abstract Background Fear of pain and movement is an important factor in the development of hypervigilance and avoidance behaviours. Objective We examined the effectiveness of exercise training on improving fear-avoidance beliefs. Methods A systematic review (data sources: MEDLINE, CINAHL, SPORTDiscus, EMBASE, CENTRAL) and metaanalysis of randomised controlled/clinical trials of exercise training in adults versus relevant nonexercise comparators that quantified fear-avoidance was conducted.
