运动恐惧症的坦帕量表:对肌肉骨骼疼痛患者心理测量特性的系统评价。

IF 2.6 3区 医学 Q2 ANESTHESIOLOGY
Dupuis Frederique, Cherif Amira, Batcho Charles, Massé-Alarie Hugo, Roy Jean-Sébastien
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引用次数: 8

摘要

目的:本系统综述的目的是确定坦帕运动恐惧症量表(TSK)的不同版本,并报告与经历肌肉骨骼疼痛的人有关的这些不同版本的心理测量证据。方法:检索Medline [Ovid] CINAHL和Embase数据库,检索有关肌肉骨骼疼痛人群TSK心理测量特性的出版物。使用偏倚评估工具的COSMIN风险评估偏倚风险。结果:纳入了41项研究,主要为低偏倚风险。确定了TSK的五个版本:TSK-17、TSK-13、TSK-11、TSK-4和TSK- tmd(用于颞下颌疾病)。除了TSK-4的信度尚未确定外,大多数TSK版本的重测信度为良好至优异(类内相关系数为0.77 ~ 0.99),内部一致性为0.68 ~ 0.91。与TSK-11(占总分的16%)相比,TSK-17(占总分的11%至13%)和TSK-13(占总分的8%)的最小可检测变化较低。大多数版本的TSK具有良好的构念效度,尽管TSK-11的效度在不同的研究之间不一致。最后,TSK-17、-13和-11对变化的反应性较高,而TSK-4和TSK-TMD的反应性尚未确定。讨论:临床指南现在建议临床医生在患者中识别运动恐惧症的存在,因为它可能导致持续的疼痛和残疾。TSK是一种广泛使用的自我报告问卷,但存在5种不同的版本。基于这些结果,鼓励使用TSK-13和TSK-17,因为它们有效,可靠,反应灵敏。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Tampa Scale of Kinesiophobia: A Systematic Review of Its Psychometric Properties in People With Musculoskeletal Pain.

Objective: The aims of this systematic review were to identify the different versions of the Tampa Scale of kinesiophobia (TSK) and to report on the psychometric evidence relating to these different versions for people experiencing musculoskeletal pain.

Methods: Medline [Ovid] CINAHL and Embase databases were searched for publications reporting on the psychometric properties of the TSK in populations with musculoskeletal pain. Risks of bias were evaluated using the COSMIN risk of the bias assessment tool.

Results: Forty-one studies were included, mainly with a low risk of bias. Five versions of the TSK were identified: TSK-17, TSK-13, TSK-11, TSK-4, and TSK-TMD (for temporomandibular disorders). Most TSK versions showed good to excellent test-retest reliability (intraclass coefficient correlation 0.77 to 0.99) and good internal consistency (ɑ=0.68 to 0.91), except for the TSK-4 as its reliability has yet to be defined. The minimal detectable change was lower for the TSK-17 (11% to 13% of total score) and the TSK-13 (8% of total score) compared with the TSK-11 (16% of total score). Most TSK versions showed good construct validity, although TSK-11 validity was inconsistent between studies. Finally, the TSK-17, -13, and -11 were highly responsive to change, while responsiveness has yet to be defined for the TSK-4 and TSK-TMD.

Discussion: Clinical guidelines now recommend that clinicians identify the presence of kinesiophobia among patients as it may contribute to persistent pain and disability. The TSK is a self-report questionnaire widely used, but 5 different versions exist. Based on these results, the use of TSK-13 and TSK-17 is encouraged as they are valid, reliable, and responsive.

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来源期刊
Clinical Journal of Pain
Clinical Journal of Pain 医学-临床神经学
CiteScore
5.40
自引率
3.40%
发文量
118
审稿时长
4-8 weeks
期刊介绍: ​​​The Clinical Journal of Pain explores all aspects of pain and its effective treatment, bringing readers the insights of leading anesthesiologists, surgeons, internists, neurologists, orthopedists, psychiatrists and psychologists, clinical pharmacologists, and rehabilitation medicine specialists. This peer-reviewed journal presents timely and thought-provoking articles on clinical dilemmas in pain management; valuable diagnostic procedures; promising new pharmacological, surgical, and other therapeutic modalities; psychosocial dimensions of pain; and ethical issues of concern to all medical professionals. The journal also publishes Special Topic issues on subjects of particular relevance to the practice of pain medicine.
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