Psychometric properties of the Japanese version of the Tampa Scale for Kinesiophobia (TSK-J) in patients with whiplash neck injury pain and/or low back pain

Minimizing the number of patient-reported outcome measures (PROMs) can reduce patient burden. The primary aim of the present study was to investigate whether physical therapists (PTs) can estimate psychological PROM scores in patients with low back pain (LBP) through physical therapy evaluation. The secondary aims were; 1) to investigate whether the clinical experiences of PTs influence correlations between PT estimates and psychological PROM scores, and 2) to investigate the sensitivity and specificity of PT estimates for the psychological features detected by the PROMs. We recruited hospitalized patients owing to LBP, who underwent evaluation by PTs on the initial day of hospitalization. Patients completed PROMs, including the Pain Catastrophizing Scale (PCS), Tampa Scale for Kinesiophobia, and Hospital Anxiety and Depression Scale immediately before the initial physical therapy session. PTs rated the magnitude of patient kinesiophobia, pain catastrophizing, anxiety, and depression using an 11-point numerical rating scale (NRS; 0 = not detected at all, 10 = very highly detected) through physical therapy evaluation immediately after the initial session. The PTs were blinded to the PROM results. We categorized PTs into two subgroups (PTs with �4 years and those with <4 years of clinical experience). Data from 78 patients (mean [SD] age = 60.5 [16.3] years) and 21 PTs were analyzed. A statistically significant but weak correlation (P = .04, Spearman's ρ = .24) was detected only in the total PCS scores and PT NRS scores in a dataset of all patients and PTs. Further, there were no statistically significant differences in correlations (all P >.05) between the two subgroups of PTs in all measures. Low sensitivity and high specificity of PT estimates for psychological features through physical therapy evaluation were identified in all PROMs when PT NRS scores were categorized into the binary score by 5 (negative: <5; positive: �5).

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“…Tampa scale for kinesiophobia. We used the Japanese version of the TSK [20]. The TSK includes 17 items, with scores ranging from 1 to 4.…”

Section: Methodsmentioning

confidence: 99%

Difference between physical therapist estimation and psychological patient-reported outcome measures in patients with low back pain

Miki¹,

Kondo²,

Takebayashi³

et al. 2020

PLoS ONE

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“…Pain intensity at rest and during movement were measured using a 0–100 visual analog scale anchored at left with “0 = no pain” and at right with “100 = unbearable pain” [29, 30, 31]. Pain-related catastrophizing was measured using the Japanese version of the Pain Catastrophizing Scale (PCS) [32, 33] and pain-related fear was assessed using the Japanese version of the Tampa Scale of Kinesiophobia (TSK) [34, 35]. We evaluated anxiety and depression with the Japanese version of the Hospital Anxiety and Depression Scale (HADS), which consists of seven anxiety and seven depression items, from which separate anxiety and depression scores are calculated [36–38].…”

Section: Methodsmentioning

confidence: 99%

Development and psychometric properties of knee-specific body-perception questionnaire in people with knee osteoarthritis: The Fremantle Knee Awareness Questionnaire

Nishigami

Mibu²,

Tanaka³

et al. 2017

PLoS ONE

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BackgroundRecent systematic reviews have demonstrated that pain associated with knee osteoarthritis (OA) is a complex phenomenon that involves various contributors. People with knee OA exhibit symptoms of impaired body-perception, including reduced tactile acuity, impairments in limb laterality recognition, and degraded proprioceptive acuity. The Fremantle Back Awareness Questionnaire (FreBAQ) was developed to assess body-perception specific to the back in people with chronic low back pain. The aim of this study was to develop and assess the psychometric properties of a knee-specific version of the FreBAQ-J (FreKAQ-J), determine whether people with knee pain experience perceptual impairments and investigate the relationship between disturbed self-perception and clinical status.MethodsSixty-five people with knee OA completed the FreKAQ-J. A subset of the participants completed the FreKAQ-J again two-weeks later. Rasch analysis was used to assess item order, targeting, category ordering, unidimensionality, person fit, internal consistency, and differential item functioning. Validity was investigated by examining the relationship between the FreKAQ-J and clinical valuables.ResultsThe FreKAQ-J had acceptable internal consistency, unidimensionality, good test-retest reliability, and was functional on the category rating scale. The FreKAQ-J was significantly correlated with pain in motion, disability, pain-related catastrophizing, fear of movement, and anxiety symptomatology.ConclusionsWe developed FreKAQ-J by modifying the FreBAQ-J. The FreKAQ-J fits the Rasch measurement model well and is suitable for use in people with knee OA. Altered body perception may be worth evaluating when managing people with knee OA.

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“…To assess the fear of movement, we used a Japanese version of the 11-item Tampa Scale of Kinesiophobia (TSK) [16]. Each item was scored on a 4-point Likert scale (with higher score indicating more severe fear of movement).…”

Section: Introductionmentioning

confidence: 99%

Association between metabolic syndrome and disability due to low back pain among care workers

Tsuboi

Ueda

Sugimoto

et al. 2017

Int J Occup Med Environ Health

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Objectives: To elucidate the association between metabolic syndrome (MetS) and disability due to low back pain (LBP) among care workers. Material and Methods: This cross-sectional study enrolled 656 care workers having experienced LBP in the year prior to the year of this study. The Roland-Morris Disability questionnaire (RDQ) and self-reported questionnaires regarding LBP, fear of movement, depressive symptom, psychosocial factors, intensity of pain, and duration of pain were administered, and a medical examination was performed. Metabolic syndrome was defined according to the international definition agreed in 2009. Out of the 656 care workers, we included 316 care workers (response rate: 48.2%) who had fully completed the questionnaires as the study sample (males: 13.6%, median age = 51 years old, range: 35-74 years old). To examine the association between MetS and the level of disability due to LBP, we used the Poisson regression analysis and estimated crude and adjusted prevalence ratios (PR). Results: Out of the 316 care workers, 52 (16.5%) were diagnosed as having MetS. Metabolic syndrome was significantly associated with the RDQ score (adjusted PR: 1.57, 95% confidence interval (CI): 1.17-2.11) after adjusting for covariates, such as age, sex, fear of movement, job demands, social support, intensity of pain, and duration of pain. Conclusions: This study showed that MetS was independently associated with disability due to LBP among care workers. A multidisciplinary intervention taking MetS into consideration may be an effective way to reduce disability due to LBP in people with both LBP and MetS. MATERIAL AND METHODS Study populationsA cross-sectional survey was conducted from January 2014 to March 2014. We distributed self-reported questionnaires to 954 care workers employed by a Japanese company providing senior care services and performed their medical examination. We included 656 care workers (68.8%) who had experienced LBP in the year prior to this study. Ethical approval for this study was given by the Ethics Committee of Kobe University Graduate School of Health Sciences. By completing the questionnaires, the participants indicated their consent to participation. The protocol number of approval of this study is 336-1. MeasurementsData on demographics and health status was collected from the results of the medical examination. Self-reported questionnaires were designed to collect information on the level of disability due to LBP, the details of the LBP, MetS, physical workload, fear of movement, depressive symptom, and psychosocial factors. A Japanese version of the Roland-Morris Disability Questionnaire (RDQ) [14] was used for assessing disability in those having experienced LBP in the previous year. The RDQ is a validated and reliable instrument for assessing disability due to LBP [14]. It includes 20 items concerning limitations due to LBP in different daily life activities and 4 items concerning pain, sleep, appetite and emotional functions. Each item is scored either 0 or 1, with all t...

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Psychometric properties of the Japanese version of the Tampa Scale for Kinesiophobia (TSK-J) in patients with whiplash neck injury pain and/or low back pain

Cited by 90 publications

References 26 publications

Difference between physical therapist estimation and psychological patient-reported outcome measures in patients with low back pain

Difference between physical therapist estimation and psychological patient-reported outcome measures in patients with low back pain

Development and psychometric properties of knee-specific body-perception questionnaire in people with knee osteoarthritis: The Fremantle Knee Awareness Questionnaire

Association between metabolic syndrome and disability due to low back pain among care workers

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