[Kinesiophobia in shoulder disorders : Validation of the German version of the Tampa scale for kinesiophobia (TSK-GV)].

IF 1.1 4区医学 Q3 ANESTHESIOLOGY

Schmerz Pub Date : 2024-06-01 Epub Date: 2022-12-02 DOI:10.1007/s00482-022-00678-2

Larissa Pagels, Kerstin Lüdtke, Axel Schäfer

{"title":"[Kinesiophobia in shoulder disorders : Validation of the German version of the Tampa scale for kinesiophobia (TSK-GV)].","authors":"Larissa Pagels, Kerstin Lüdtke, Axel Schäfer","doi":"10.1007/s00482-022-00678-2","DOIUrl":null,"url":null,"abstract":"Background: With a prevalence of 7-30%, shoulder disorders form the third largest group of musculoskeletal complaints. Their formation and development is influenced by, e.g. psychological factors. The Tampa scale for kinesiophobia (TSK) is the most common measure for quantifying fear of movement.Objectives: To investigate the reliability and validity of the German version of the TSK (TSK-GV) in a shoulder pain population.Materials and methods: Subjects with shoulder pain were included in a multicenter cross-sectional study. In addition to kinesiophobia, pain intensity, subjective impairment in daily life and fear-avoidance beliefs were recorded.Results: A total of 49 subjects (24 women and 25 men) with a mean age of 41.8 (SD = 12.8) were included. The descriptive evaluation at item level showed good internal consistency (Cronbach's α = 0.81). The homogeneity of the scale is poor (Loevinger's H = 0.35). The correlations did not show any clear convergence of the TSK-GV with the fear-avoidance beliefs questionnaire (FABQ) (r = 0.3501; p = 0.0137). The divergent validity was confirmed for both the numerical rating scale (NRS) (r = 0.1216; p = 0.4052) and the shoulder pain and disability index (SPADI) (r = 0.2571; p = 0.0745). The hypothesis testing resulted in 28.57% accepted hypotheses. There was a significant influence of the TSK-GV and the FABQ on the duration of complaints (R2 = 0.3652; p ≤ 0.0001), as well as an explained variance of the duration of complaints on the TSK-GV of R2 = 0.1834 (p = 0.0021). The subgroup analysis showed a significantly higher degree of kinesiophobia in male subjects (t = 3.8084/df = 47; p = 0.0002).Conclusion: The TSK-GV is a reliable measurement tool. The construct validity should be further investigated in future studies. This study shows comparable values to previous studies in other populations. The TSK-GV is to date the only validated German language measure for recording fear of movement in shoulder disorders and shows an acceptable fit for this population.","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":"198-204"},"PeriodicalIF":1.1000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11116245/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Schmerz","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00482-022-00678-2","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/12/2 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Background: With a prevalence of 7-30%, shoulder disorders form the third largest group of musculoskeletal complaints. Their formation and development is influenced by, e.g. psychological factors. The Tampa scale for kinesiophobia (TSK) is the most common measure for quantifying fear of movement.

Objectives: To investigate the reliability and validity of the German version of the TSK (TSK-GV) in a shoulder pain population.

Materials and methods: Subjects with shoulder pain were included in a multicenter cross-sectional study. In addition to kinesiophobia, pain intensity, subjective impairment in daily life and fear-avoidance beliefs were recorded.

Results: A total of 49 subjects (24 women and 25 men) with a mean age of 41.8 (SD = 12.8) were included. The descriptive evaluation at item level showed good internal consistency (Cronbach's α = 0.81). The homogeneity of the scale is poor (Loevinger's H = 0.35). The correlations did not show any clear convergence of the TSK-GV with the fear-avoidance beliefs questionnaire (FABQ) (r = 0.3501; p = 0.0137). The divergent validity was confirmed for both the numerical rating scale (NRS) (r = 0.1216; p = 0.4052) and the shoulder pain and disability index (SPADI) (r = 0.2571; p = 0.0745). The hypothesis testing resulted in 28.57% accepted hypotheses. There was a significant influence of the TSK-GV and the FABQ on the duration of complaints (R² = 0.3652; p ≤ 0.0001), as well as an explained variance of the duration of complaints on the TSK-GV of R² = 0.1834 (p = 0.0021). The subgroup analysis showed a significantly higher degree of kinesiophobia in male subjects (t = 3.8084/df = 47; p = 0.0002).

Conclusion: The TSK-GV is a reliable measurement tool. The construct validity should be further investigated in future studies. This study shows comparable values to previous studies in other populations. The TSK-GV is to date the only validated German language measure for recording fear of movement in shoulder disorders and shows an acceptable fit for this population.

查看原文本刊更多论文

[肩部疾病中的运动恐惧症：坦帕运动恐惧症量表（TSK-GV）德文版的验证]。

背景：肩关节疾病的发病率为 7-30%，是肌肉骨骼疾病中的第三大类。其形成和发展受到心理因素等的影响。坦帕运动恐惧量表（TSK）是量化运动恐惧的最常用方法：目的：研究德国版 TSK（TSK-GV）在肩痛人群中的可靠性和有效性：一项多中心横断面研究纳入了肩痛受试者。除运动恐惧外，还记录了疼痛强度、日常生活中的主观障碍和恐惧逃避信念：共纳入 49 名受试者（24 名女性和 25 名男性），平均年龄为 41.8 岁（SD = 12.8）。量表项目的描述性评估结果显示其内部一致性良好（Cronbach's α = 0.81）。量表的同质性较差（Loevinger's H = 0.35）。相关性研究表明，TSK-GV 与恐惧逃避信念问卷 (FABQ) 没有明显的趋同性 (r = 0.3501; p = 0.0137)。数字评分量表（NRS）（r = 0.1216; p = 0.4052）和肩痛与残疾指数（SPADI）（r = 0.2571; p = 0.0745）的发散有效性得到了证实。假设检验的结果是28.57%的假设被接受。TSK-GV 和 FABQ 对主诉持续时间有明显影响（R2 = 0.3652；p ≤ 0.0001），TSK-GV 对主诉持续时间的解释方差为 R2 = 0.1834（p = 0.0021）。亚组分析显示，男性受试者的运动恐惧程度明显更高（t = 3.8084/df = 47; p = 0.0002）：结论：TSK-GV 是一种可靠的测量工具。结论：TSK-GV 是一种可靠的测量工具，在今后的研究中应进一步探讨其构造效度。本研究显示的数值与之前在其他人群中进行的研究具有可比性。TSK-GV是迄今为止唯一经过验证的记录肩关节疾病患者运动恐惧的德语测量工具，其与该人群的契合度可以接受。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Schmerz 医学-临床神经学

CiteScore

2.00

自引率

20.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Der Schmerz is an internationally recognized journal and addresses all scientists, practitioners and psychologists, dealing with the treatment of pain patients or working in pain research. The aim of the journal is to enhance the treatment of pain patients in the long run. Review articles provide an overview on selected topics and offer the reader a summary of current findings from all fields of pain research, pain management and pain symptom management. Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange. Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.