Alexis F Homs, Anaïs Ragon, Thibault Mura, Guillaume Terribile, Sandrine Alonso, Arnaud F Dupeyron
{"title":"法语版Fremantle背部意识问卷在慢性腰痛患者中的有效性验证。","authors":"Alexis F Homs, Anaïs Ragon, Thibault Mura, Guillaume Terribile, Sandrine Alonso, Arnaud F Dupeyron","doi":"10.23736/S1973-9087.24.08412-0","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Impaired body perception could contribute to the pain experience and be a possible treatment target. The Fremantle Back Awareness Questionnaire (FreBAQ) is the only self-report questionnaire to assess back-specific self-perception.</p><p><strong>Aim: </strong>The aim of this study was to develop a French version of the FreBAQ (FreBAQ-FR) and to evaluate its psychometric properties.</p><p><strong>Design: </strong>Observational study.</p><p><strong>Setting: </strong>Department of Physical Medicine and Rehabilitation at University Hospital.</p><p><strong>Population: </strong>One hundred eighteen patients with chronic low back pain (cLBP) and 30 healthy participants were included.</p><p><strong>Methods: </strong>A forward-backward method was used to translate the FreBAQ into French. Unidimensionality was assessed by exploratory factor analysis, and internal consistency was quantified by Cronbach's alpha coefficient. Known-groups validity was assessed by comparing results between cLBP patients and healthy participants. Temporal stability was assessed in participants who completed the FreBAQ-FR 7 days later using the intraclass correlation coefficient (ICC). Patients' FreBAQ-FR scores were correlated with functional questionnaires and two-point discrimination thresholds (TPD) for tactile acuity.</p><p><strong>Results: </strong>The FreBAQ-FR showed good internal consistency with a Cronbach's alpha coefficient of 0.78 and can be considered unidimensional. The cLBP group scored significantly higher than the control group (11 [6 ; 17] vs. 0.5 [0 ; 5], P<0.0001). The temporal stability of the FreBAQ-FR was acceptable, with an ICC of 0.84 (95% CI: 0.77 to 0.89) and an estimated bias of -0.71±4.2 (95% CI: -1.61 to 0.18, P=0.12). In the cLBP group, FreBAQ-FR total scores correlated moderately with the Oswestry Disability Index (r=0.53, 95% CI: 0.39 to 0.65) and the Pain Catastrophizing Scale total score (r=0.53, 95% CI: 0.38 to 0.65). TPD results did not correlate with FreBAQ-FR scores (r=0.06, 95% CI: -0.12 to 0.24).</p><p><strong>Conclusions: </strong>The FreBAQ-FR showed acceptable psychometric properties and is suitable to assess back-specific body perception in the French-speaking population with cLBP.</p><p><strong>Clinical rehabilitation impact: </strong>This questionnaire may help researchers and clinicians to assess disrupted self-perception of the back, improve our understanding of the multifaceted experience of cLBP, and potentially offer better tailored treatment to patients.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":"295-304"},"PeriodicalIF":3.4000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Validation of the French version of the Fremantle Back Awareness Questionnaire in patients with chronic low back pain.\",\"authors\":\"Alexis F Homs, Anaïs Ragon, Thibault Mura, Guillaume Terribile, Sandrine Alonso, Arnaud F Dupeyron\",\"doi\":\"10.23736/S1973-9087.24.08412-0\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Impaired body perception could contribute to the pain experience and be a possible treatment target. The Fremantle Back Awareness Questionnaire (FreBAQ) is the only self-report questionnaire to assess back-specific self-perception.</p><p><strong>Aim: </strong>The aim of this study was to develop a French version of the FreBAQ (FreBAQ-FR) and to evaluate its psychometric properties.</p><p><strong>Design: </strong>Observational study.</p><p><strong>Setting: </strong>Department of Physical Medicine and Rehabilitation at University Hospital.</p><p><strong>Population: </strong>One hundred eighteen patients with chronic low back pain (cLBP) and 30 healthy participants were included.</p><p><strong>Methods: </strong>A forward-backward method was used to translate the FreBAQ into French. Unidimensionality was assessed by exploratory factor analysis, and internal consistency was quantified by Cronbach's alpha coefficient. Known-groups validity was assessed by comparing results between cLBP patients and healthy participants. Temporal stability was assessed in participants who completed the FreBAQ-FR 7 days later using the intraclass correlation coefficient (ICC). Patients' FreBAQ-FR scores were correlated with functional questionnaires and two-point discrimination thresholds (TPD) for tactile acuity.</p><p><strong>Results: </strong>The FreBAQ-FR showed good internal consistency with a Cronbach's alpha coefficient of 0.78 and can be considered unidimensional. The cLBP group scored significantly higher than the control group (11 [6 ; 17] vs. 0.5 [0 ; 5], P<0.0001). The temporal stability of the FreBAQ-FR was acceptable, with an ICC of 0.84 (95% CI: 0.77 to 0.89) and an estimated bias of -0.71±4.2 (95% CI: -1.61 to 0.18, P=0.12). In the cLBP group, FreBAQ-FR total scores correlated moderately with the Oswestry Disability Index (r=0.53, 95% CI: 0.39 to 0.65) and the Pain Catastrophizing Scale total score (r=0.53, 95% CI: 0.38 to 0.65). TPD results did not correlate with FreBAQ-FR scores (r=0.06, 95% CI: -0.12 to 0.24).</p><p><strong>Conclusions: </strong>The FreBAQ-FR showed acceptable psychometric properties and is suitable to assess back-specific body perception in the French-speaking population with cLBP.</p><p><strong>Clinical rehabilitation impact: </strong>This questionnaire may help researchers and clinicians to assess disrupted self-perception of the back, improve our understanding of the multifaceted experience of cLBP, and potentially offer better tailored treatment to patients.</p>\",\"PeriodicalId\":12044,\"journal\":{\"name\":\"European journal of physical and rehabilitation medicine\",\"volume\":\" \",\"pages\":\"295-304\"},\"PeriodicalIF\":3.4000,\"publicationDate\":\"2025-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European journal of physical and rehabilitation medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.23736/S1973-9087.24.08412-0\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/3/10 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European journal of physical and rehabilitation medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.23736/S1973-9087.24.08412-0","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/3/10 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0
摘要
背景:身体知觉受损可能有助于疼痛体验,是一个可能的治疗目标。Fremantle背部意识问卷(FreBAQ)是唯一一份评估背部特异性自我知觉的自我报告问卷。目的:本研究的目的是开发一个法语版的FreBAQ (FreBAQ- fr),并评估其心理测量特性。设计:观察性研究。单位:大学医院物理医学与康复科。人群:118名慢性腰痛(cLBP)患者和30名健康参与者。方法:采用正反向法将FreBAQ翻译成法语。单向度采用探索性因子分析评估,内部一致性采用Cronbach’s alpha系数量化。通过比较cLBP患者和健康参与者的结果来评估已知组效度。7天后完成FreBAQ-FR测试的受试者使用类内相关系数(ICC)评估时间稳定性。患者的FreBAQ-FR评分与触觉灵敏度功能问卷和两点辨别阈值(TPD)相关。结果:FreBAQ-FR具有良好的内部一致性,Cronbach's α系数为0.78,可以认为是一维的。cLBP组得分明显高于对照组(11 [6;[17] vs. 0.5 [0;结论:FreBAQ-FR显示出可接受的心理测量特性,适用于评估法语区cLBP患者的背部特异性身体知觉。临床康复影响:该问卷可以帮助研究人员和临床医生评估背部自我知觉的中断,提高我们对cLBP多方面经验的理解,并有可能为患者提供更好的定制治疗。
Validation of the French version of the Fremantle Back Awareness Questionnaire in patients with chronic low back pain.
Background: Impaired body perception could contribute to the pain experience and be a possible treatment target. The Fremantle Back Awareness Questionnaire (FreBAQ) is the only self-report questionnaire to assess back-specific self-perception.
Aim: The aim of this study was to develop a French version of the FreBAQ (FreBAQ-FR) and to evaluate its psychometric properties.
Design: Observational study.
Setting: Department of Physical Medicine and Rehabilitation at University Hospital.
Population: One hundred eighteen patients with chronic low back pain (cLBP) and 30 healthy participants were included.
Methods: A forward-backward method was used to translate the FreBAQ into French. Unidimensionality was assessed by exploratory factor analysis, and internal consistency was quantified by Cronbach's alpha coefficient. Known-groups validity was assessed by comparing results between cLBP patients and healthy participants. Temporal stability was assessed in participants who completed the FreBAQ-FR 7 days later using the intraclass correlation coefficient (ICC). Patients' FreBAQ-FR scores were correlated with functional questionnaires and two-point discrimination thresholds (TPD) for tactile acuity.
Results: The FreBAQ-FR showed good internal consistency with a Cronbach's alpha coefficient of 0.78 and can be considered unidimensional. The cLBP group scored significantly higher than the control group (11 [6 ; 17] vs. 0.5 [0 ; 5], P<0.0001). The temporal stability of the FreBAQ-FR was acceptable, with an ICC of 0.84 (95% CI: 0.77 to 0.89) and an estimated bias of -0.71±4.2 (95% CI: -1.61 to 0.18, P=0.12). In the cLBP group, FreBAQ-FR total scores correlated moderately with the Oswestry Disability Index (r=0.53, 95% CI: 0.39 to 0.65) and the Pain Catastrophizing Scale total score (r=0.53, 95% CI: 0.38 to 0.65). TPD results did not correlate with FreBAQ-FR scores (r=0.06, 95% CI: -0.12 to 0.24).
Conclusions: The FreBAQ-FR showed acceptable psychometric properties and is suitable to assess back-specific body perception in the French-speaking population with cLBP.
Clinical rehabilitation impact: This questionnaire may help researchers and clinicians to assess disrupted self-perception of the back, improve our understanding of the multifaceted experience of cLBP, and potentially offer better tailored treatment to patients.