Umut Eraslan, Ali Kitis, Hande Usta Ozdemir, Hande Senol, Ahmet Fahir Demirkan, Ramazan Hakan Ozcan, Emral Ozgur
{"title":"Reliability and validity of the Tampa Scale for Kinesiophobia in patients with traumatic hand-forearm injuries.","authors":"Umut Eraslan, Ali Kitis, Hande Usta Ozdemir, Hande Senol, Ahmet Fahir Demirkan, Ramazan Hakan Ozcan, Emral Ozgur","doi":"10.1177/02692155241303041","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Fear of movement in patients with traumatic hand-arm injuries can negatively affect functional outcomes. Therefore, it is important to evaluate fear of movement in this patient population. The aim of this study was to investigate the validity and reliability of the Tampa Scale for Kinesiophobia in patients with traumatic hand-forearm injuries.</p><p><strong>Design: </strong>Cross-sectional.</p><p><strong>Setting: </strong>Hand rehabilitation unit in a university hospital.</p><p><strong>Participants: </strong>The study included 170 patients with traumatic hand-arm injuries and a mean age of 37.57 (11.85) years.</p><p><strong>Main measures: </strong>Tampa Scale for Kinesiophobia<b>,</b> Pain Catastrophizing Scale, Beck Anxiety Inventory and pain severity rating (via Visual Analog Scale) were completed by interview in the first session. In addition, Modified Hand Injury Scoring System was used to determine severity of the injury. Tampa Scale for Kinesiophobia was re-administered 15 days after the first session. Test-retest reliability, internal consistency, and construct validity of the Tampa Scale for Kinesiophobia were evaluated. In addition, exploratory factor analysis was completed using baseline data.</p><p><strong>Results: </strong>Cronbach's alpha for the scale was 0.604, and test-retest reliability was acceptable (ICC = 0.646). Tampa Scale for Kinesiophobia had a significant relationship with Beck Anxiety Inventory (<i>r</i> = 0.269, <i>p</i> < 0.001), Pain Catastrophizing Scale (<i>r</i> = 0.457, <i>p</i> < 0.001) and pain severity at rest (<i>r</i> = 0.168, <i>p</i> = 0.029). Factor analysis estimated the scale represented five subsections in this population.</p><p><strong>Conclusions: </strong>Psychometric properties of the Tampa Scale for Kinesiophobia were acceptable in patients with hand-forearm injuries. However, since our results were weaker than those in the literature, this should be considered when interpreting the results.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155241303041"},"PeriodicalIF":2.6000,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/02692155241303041","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: Fear of movement in patients with traumatic hand-arm injuries can negatively affect functional outcomes. Therefore, it is important to evaluate fear of movement in this patient population. The aim of this study was to investigate the validity and reliability of the Tampa Scale for Kinesiophobia in patients with traumatic hand-forearm injuries.
Design: Cross-sectional.
Setting: Hand rehabilitation unit in a university hospital.
Participants: The study included 170 patients with traumatic hand-arm injuries and a mean age of 37.57 (11.85) years.
Main measures: Tampa Scale for Kinesiophobia, Pain Catastrophizing Scale, Beck Anxiety Inventory and pain severity rating (via Visual Analog Scale) were completed by interview in the first session. In addition, Modified Hand Injury Scoring System was used to determine severity of the injury. Tampa Scale for Kinesiophobia was re-administered 15 days after the first session. Test-retest reliability, internal consistency, and construct validity of the Tampa Scale for Kinesiophobia were evaluated. In addition, exploratory factor analysis was completed using baseline data.
Results: Cronbach's alpha for the scale was 0.604, and test-retest reliability was acceptable (ICC = 0.646). Tampa Scale for Kinesiophobia had a significant relationship with Beck Anxiety Inventory (r = 0.269, p < 0.001), Pain Catastrophizing Scale (r = 0.457, p < 0.001) and pain severity at rest (r = 0.168, p = 0.029). Factor analysis estimated the scale represented five subsections in this population.
Conclusions: Psychometric properties of the Tampa Scale for Kinesiophobia were acceptable in patients with hand-forearm injuries. However, since our results were weaker than those in the literature, this should be considered when interpreting the results.
目的:外伤性手臂损伤患者的运动恐惧会对功能预后产生负面影响。因此,评估这一患者群体的运动恐惧是很重要的。本研究的目的是探讨坦帕量表对外伤性手前臂损伤患者运动恐惧症的效度和信度。设计:横断面。地点:某大学医院手部康复科。参与者:该研究包括170例外伤性手臂损伤患者,平均年龄37.57(11.85)岁。主要测量方法:坦帕运动恐惧症量表、疼痛灾难化量表、贝克焦虑量表和疼痛严重程度评定量表(通过视觉模拟量表)在第一次访谈中完成。此外,采用改进的手部损伤评分系统来确定损伤的严重程度。坦帕运动恐惧症量表在第一次治疗后15天再次使用。评估坦帕运动恐惧症量表的重测信度、内部一致性和结构效度。此外,利用基线数据进行探索性因子分析。结果:量表的Cronbach's alpha为0.604,重测信度可接受(ICC = 0.646)。坦帕运动恐惧症量表与贝克焦虑量表存在显著相关(r = 0.269, p r = 0.457, p r = 0.168, p = 0.029)。因子分析估计量表代表了该人群的五个亚组。结论:坦帕量表对手-前臂损伤患者运动恐惧症的心理测量特性是可接受的。然而,由于我们的结果比文献中的结果弱,因此在解释结果时应考虑到这一点。
期刊介绍:
Clinical Rehabilitation covering the whole field of disability and rehabilitation, this peer-reviewed journal publishes research and discussion articles and acts as a forum for the international dissemination and exchange of information amongst the large number of professionals involved in rehabilitation. This journal is a member of the Committee on Publication Ethics (COPE)