Establishing clinically meaningful severity levels for the Tampa Scale for Kinesiophobia (TSK‐13)

Neblett, Randy; Hartzell, Meredith M.; Mayer, Tom G.; Bradford, E. Mc Kenna; Gatchel, Robert J.

doi:10.1002/ejp.795

Cited by 75 publications

(57 citation statements)

References 70 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…For example, our participants' kinesiophobia scores fell into the severe category (43-52 on the TSK) and were markedly higher compared to another study of 912 chronic pain sufferers whose scores fell into the moderate category (33-43). 34 Further, our chronic pain population suffered from more pain catastrophizing (higher PCS scores than the referenced study) than a group of 60 subjects from an outpatient chronic pain treatment group. 14,44,45 Additionally, our participants had higher depression scores (higher BECK scores than the referenced study), reported more severe subjective ratings of pain (higher MPQ scores than the referenced study), and more severe subjective perceptions of disability (higher PDI scores than the referenced study) than the previous literature in chronic pain populations.…”

Section: Discussionmentioning

confidence: 67%

See 1 more Smart Citation

<p>Chronic Pain Patients’ Kinesiophobia and Catastrophizing are Associated with Activity Intensity at Different Times of the Day</p>

Miller¹,

Roumanis²,

Kakinami³

et al. 2020

JPR

View full text Add to dashboard Cite

Purpose: To examine the relationship between baseline kinesiophobia and baseline pain catastrophizing with the 4-day average activity intensity at different times of the day while accounting for different wake and sleep-onset times in chronic pain patients. Methods: Twenty-one participants suffering from idiopathic chronic pain completed baseline questionnaires about kinesiophobia, catastrophizing, disability, depression, and pain. We measured the participants' activity using accelerometers and calculated activity intensity in the morning, afternoon, and evening. We performed a 2-way repeated measures ANOVA to compare activity levels at different times of the day, and multiple linear regressions. Results: Baseline kinesiophobia was significantly associated with 4-day average evening light activity and sedentary activity at all time periods while baseline catastrophizing was significantly associated with increased 4-day average light activity in the evening and more moderate to vigorous activity in the morning. Our participants engaged in more light activity on average than sedentary activity, and very little moderate-vigorous activity. Participants were most active in the afternoon. Conclusion: Baseline kinesiophobia and baseline catastrophizing were not associated with the 4-day average total daily activity; however, they were associated with 4-day average activity intensities at different times throughout the day. Segmenting daily activity into morning, afternoon, evening may influence the relationship between daily activity, and kinesiophobia and pain catastrophizing. Individuals with chronic pain are less sedentary than previously thought which may affect future interventions.

show abstract

Section: Discussionmentioning

confidence: 67%

“…Score categories for the TSK include: 13-22, subclinical; 23-32, mild; 33-42, moderate; 43-52, severe. 34…”

Section: Outcome Measures Tampa Scale Of Kinesiophobia (Tsk)mentioning

confidence: 99%

<p>Chronic Pain Patients’ Kinesiophobia and Catastrophizing are Associated with Activity Intensity at Different Times of the Day</p>

Miller¹,

Roumanis²,

Kakinami³

et al. 2020

JPR

View full text Add to dashboard Cite

show abstract

“…This result might reflect the progress of previous research regarding the psychometric properties of the different TSK versions. Compared to the 17-item version, the 13item version has better psychometric properties without the four inversely phrased items (Roelofs et al, 2004a;Neblett et al, 2016) and the 11-item version has been recommended for future research and clinical settings (for a chronological summary see Tkachuk and Harris, 2012).…”

Section: Fabq and Tskmentioning

confidence: 99%

Pain-related fear – Dissociable neural sources of different fear constructs

Meier

Humphreys

Vrana

et al. 2018

Preprint

View full text Add to dashboard Cite

The ability to infer emotional states through self-reports is often limited. Their measurement becomes even more challenging when considering emotional phenomena such as pain-related fear where different associated fear constructs have been proposed. Demonstrating significant predictive value regarding disability in patients with persistent musculoskeletal pain, pain-related fear is often assessed by questionnaires focusing on either fear of movement/(re)injury/kinesiophobia, fear avoidance beliefs or pain anxiety. Furthermore, the relationship of general anxiety measures such as trait anxiety to pain-related fear remains ambiguous. Advances in neuroimaging might help to support potential commonalities or differences across psychological constructs using appropriate machine learning techniques with the ability to reveal predictive relationships between neural information and questionnaire scores.Here, we applied a pattern regression approach using functional magnetic resonance imaging data of 20 non-specific chronic low back pain (LBP) patients. More specifically, we applied a novel approach using Multiple Kernel Learning that allows investigating the contribution of experimental conditions and regional neural information to a prediction model. We hypothesized to find evidence for or against a common fear construct by computing and comparing the prediction model of each questionnaire according to the contribution of fear-related neural information and conditions. The current results underpin the diversity of fear constructs among self-report measures of pain-related fear by demonstrating evidence of non-overlapping and differentially contributing neural sources within fear processing regions. Thus, the current approach might ultimately help to further understand and dissect the fear constructs captured by the various pain-related fear questionnaires. Significance. CC-BY-NC-ND 4.0 International license peer-reviewed) is the author/funder. It is made available under aThe copyright holder for this preprint (which was not . http://dx.doi.org/10.1101/251751 doi: bioRxiv preprint first posted online Jan. 25, 2018; Pain-related fear, often assessed through self-reports such as questionnaires, has shown prognostic value and clinical utility for a variety of musculoskeletal pain disorders. However, it remains difficult to determine a common underlying fear construct of pain-related fear due to several proposed constructs among questionnaires. The current study describes a novel neuroscientific approach using machine learning of neural patterns within the fear network of chronic LBP patients that might have the potential to identify neural commonalities or differences among the various fear constructs. Ultimately, this approach might afford a deeper understanding of the suggested fear constructs of pain-related fear and might be also applied to other domains where ambiguity exists between emotional phenomena and underlying psychological constructs.

show abstract

“…The total score ranges from 13 to 52, with higher scores indicating higher fear and insecurity of movement (Cordeiro, Pezarat‐Correia, Gil, & Cabri, ). This scale has four severity ranges: “subclinical” (13–22);”mild” (23–32); “moderate” (33–42); and “severe” (43–52) (Neblett, Hartzell, Mayer, Bradford, & Gatchel, ).…”

Section: Methodsmentioning

confidence: 99%

A single session of visual feedback improves range of motion in patients with chronic idiopathic neck pain: A randomized and controlled study

Ribeiro

Silva

2018

Musculoskeletal Care

View full text Add to dashboard Cite

Introduction: Chronic pain is associated with cortical reorganization, and interventions targeting cortical remapping, such as visual feedback of the painful body segment, seem promising. The primary aim of the present study was to evaluate the impact of visual feedback of the neck, using mirrors on pain intensity. Secondary aims were to evaluate the impact of visual feedback on neck range of motion and unadjusted cognitive processes.Methods: Pain intensity, range of motion, fear of movement, catastrophizing and anxiety were assessed before and after 10 repetitions of each of the neck movements, with (experimental group; n = 21) and without (control group; n = 21) visual feedback of the neck.Results: A significant increase in the range of motion of all neck movements (p < 0.05) was found in the experimental group when compared with the control group. Increases in range of motion varied between 2.5°and 3.4°. No significant effects were found for the remaining variables (p > 0.05). Conclusions:The study findings suggest that performing a series of 10 active movements of the neck while observing the reflection of the neck in a mirror might help to improve neck range of motion. Furthermore, our results support further studies investigating the effect of longer interventions using visual feedback of the neck, either alone or combined with other interventions. KEYWORDS neck pain, range of motion, visual feedback

show abstract

Establishing clinically meaningful severity levels for the Tampa Scale for Kinesiophobia (TSK‐13)

Abstract: TSK-13 severity levels were strongly associated with objective lifting performance variables and psychosocial PRO measures, providing support for these severity levels as a guideline for healthcare providers and researchers in interpreting TSK-13 scores.

Cited by 75 publications

References 70 publications

<p>Chronic Pain Patients’ Kinesiophobia and Catastrophizing are Associated with Activity Intensity at Different Times of the Day</p>

<p>Chronic Pain Patients’ Kinesiophobia and Catastrophizing are Associated with Activity Intensity at Different Times of the Day</p>

Pain-related fear – Dissociable neural sources of different fear constructs

A single session of visual feedback improves range of motion in patients with chronic idiopathic neck pain: A randomized and controlled study

Contact Info

Product

Resources

About