坦帕运动恐惧症量表可能低估了有或没有腰痛的人对运动的特定恐惧。

IF 3.4 Q2 NEUROSCIENCES Pain Reports Pub Date : 2023-07-01 DOI:10.1097/PR9.0000000000001081
Liam-Pierre Mathieu Tissot, David William Evans, Edward Kirby, Bernard Xian Wei Liew
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引用次数: 0

摘要

坦帕运动恐惧症量表(TSK)通常用于评估腰痛(LBP)患者的运动恐惧(FoM)。然而,TSK不提供特定于任务的FoM度量,而基于图像或基于视频的方法可以这样做。目的:比较3组患者(当前LBP (LBP)、恢复LBP (rLBP)和无症状对照组(control))使用3种方法(TSK-11、举重图像、举重视频)评估FoM的程度。方法:51名参与者完成了TSK-11,并对他们在观看描绘人们举起物体的图像和视频时的FoM进行了评分。腰痛和rLBP参与者还完成了Oswestry残疾指数(ODI)。采用线性混合模型估计方法(TSK-11、图像、视频)和组(对照组、LBP、rLBP)的效果。采用线性回归模型评估各组调整后各方法对ODI的相关性。最后,采用线性混合模型来了解方法(图像、视频)和负荷(轻、重)对恐惧的影响。结果:在所有组中,观看图像(P = 0.009)和视频(P = 0.038)比TSK-11捕获的FoM更大。只有TSK-11与ODI显著相关(P < 0.001)。最后,负荷对恐惧有显著的主效应(P < 0.001)。结论:使用特定任务的测量方法(如图像和视频)可能比使用任务通用问卷(如TSK-11)更好地测量特定动作(如举起)的恐惧。由于TSK-11与ODI的相关性更强,因此在理解FoM对残疾的影响方面仍发挥着重要作用。
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Tampa Scale of Kinesiophobia may underestimate task-specific fear of movement in people with and without low back pain.

Introduction: The Tampa Scale of Kinesiophobia (TSK) is commonly used to assess fear of movement (FoM) in people with low back pain (LBP). However, the TSK does not provide a task-specific measure of FoM, whereas image-based or video-based methods may do so.

Objectives: To compare the magnitude of FoM when assessed using 3 methods (TSK-11, image of lifting, video of lifting) in 3 groups of people: current LBP (LBP), recovered LBP (rLBP), and asymptomatic controls (control).

Methods: Fifty-one participants completed the TSK-11 and rated their FoM when viewing images and videos depicting people lifting objects. Low back pain and rLBP participants also completed the Oswestry Disability Index (ODI). Linear mixed models were used to estimate the effects of methods (TSK-11, image, video) and group (control, LBP, rLBP). Linear regression models were used to assess associations between the methods on ODI after adjusting for group. Finally, a linear mixed model was used to understand the effects of method (image, video) and load (light, heavy) on fear.

Results: In all groups, viewing images (P = 0.009) and videos (P = 0.038) elicited greater FoM than that captured by the TSK-11. Only the TSK-11 was significantly associated with the ODI (P < 0.001). Finally, there was a significant main effect of load on fear (P < 0.001).

Conclusion: Fear of specific movements (eg, lifting) may be better measured using task-specific measures, such as images and videos, than by task-generic questionnaires, such as the TSK-11. Being more strongly associated with the ODI, the TSK-11 still plays an important role in understanding the impact of FoM on disability.

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来源期刊
Pain Reports
Pain Reports Medicine-Anesthesiology and Pain Medicine
CiteScore
7.50
自引率
2.10%
发文量
93
审稿时长
8 weeks
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