The best structure of the Tampa Scale for Kinesiophobia for patients with chronic low back pain has two domains and nine items.
| Autor: | Pontes-Silva A; Study Group on Chronic Pain (NEDoC), Laboratory of Research on Electrophysical Agents (LAREF), Department of Physical Therapy, 67828Universidade Federal de São Carlos, São Carlos, SP, Brazil., Dibai-Filho AV; Postgraduate Program in Physical Education, 37892Universidade Federal do Maranhão, São Luís, MA, Brazil., Costa de Jesus SF; Postgraduate Program in Physical Education, 37892Universidade Federal do Maranhão, São Luís, MA, Brazil., Santos de Oliveira LA; Postgraduate Programa in Rehabilitation Sciences, 125291Universidade Nove de Julho, São Paulo, SP, Brazil., Bassi-Dibai D; Postgraduate Program in Programs Management and Health Services, 125287Universidade Ceuma, São Luís, MA, Brazil., Fidelis de Paula Gomes CA; Postgraduate Programa in Rehabilitation Sciences, 125291Universidade Nove de Julho, São Paulo, SP, Brazil., Avila MA; Study Group on Chronic Pain (NEDoC), Laboratory of Research on Electrophysical Agents (LAREF), Department of Physical Therapy, 67828Universidade Federal de São Carlos, São Carlos, SP, Brazil. |
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| Jazyk: | angličtina |
| Zdroj: | Clinical rehabilitation [Clin Rehabil] 2023 Mar; Vol. 37 (3), pp. 407-414. Date of Electronic Publication: 2022 Sep 21. |
| DOI: | 10.1177/02692155221128829 |
| Abstrakt: | Purpose: To identify the best internal structure of the Tampa Scale for Kinesiophobia in chronic low back pain patients. Design: Questionnaire validation study was designed for this study. Setting: This study was conducted in physical therapy facility. Subjects: Respondents reporting chronic low back pain (≥3 points on the 11-point Numerical Pain Rating Scale). Main Measures: We included participants of both sexes, with a self-report of low back pain ≥3 months and with pain intensity ≥3 on the 11-point Numerical Pain Rating Scale; participants also answered the Roland-Morris Disability Questionnaire and the Pain-Related Catastrophizing Thoughts Scale for low back pain disability and catastrophizing, respectively. The dimensionality and number of items of the Tampa Scale for Kinesiophobia were evaluated using the confirmatory factor analysis. Criterion validity was assessed using Spearman's correlation coefficient using the original version of the 17-item Tampa Scale for Kinesiophobia as the gold standard. Results: A total of 122 participants were included, with mean values of low back pain duration ≥48 months, pain intensity >5 and disability >8. Tampa Scale for Kinesiophobia structure with two domains and nine items was the most suitable, with adequate values in all fit indices (Chi-square/degree of freedom <3, Comparative Fit Index and Tucker-Lewis Index >0.90, and root mean square error of approximation <0.08) and lower Akaike information criterion and Bayesian information criterion values. We observed a high correlation between the 17-item Tampa Scale for Kinesiophobia and the activity avoidance domain (rho = 0.850, P < 0.001) and somatic focus domain (rho = 0.792, P < 0.001) of the nine-item Tampa Scale for Kinesiophobia. Conclusion: Tampa Scale for Kinesiophobia structure with two domains (activity avoidance and somatic focus) and nine items is the most suitable for patients with chronic low back pain. |
| Databáze: | MEDLINE |
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