Validation of the portuguese version of the tampa scale for kinesiophobia heart (TSK-SV heart)

Abstract

Introduction: It has been shown that kinesiophobia has a negative influence on the outcomes of cardiac rehabilitation and consequently is important for the clinical setting. Objective: The objective of this study was to translate, culturally adapt, and psychometrically validate the Tampa Scale for Kinesiophobia Heart (TSK-SV Heart) to Brazilian Portuguese. Methods: The Portuguese version was tested in 300 patients in cardiac rehabilitation. Test-retest reliability was assessed by intraclass correlation coefficient, internal consistency by Cronbach’s alpha, and criterion validity was assessed with respect to patients’ education, income, duration of cardiac rehabilitation, and sex. Results: After intraclass correlation coefficient analysis, one item was excluded. All four areas were considered internally consistent (α >0.7). Significant differences between mean total scores and income (p<0.01) supported the criterion validity. Two hundred sixty-nine (89.6%) patients had a high level of kinesiophobia (scores > 37). Conclusions: The Brazilian Portuguese version of TSK-SV Heart demonstrated sufficient reliability, consistency and validity, supporting its use in future studies.

Fear of movement in patients attending cardiac rehabilitation: A validation study

“…Surgical procedures included: aortic replacement, coronary artery bypass grafting (CABG) and CABG combined with mitral valve replacement (MVR) or aortic valve replacement (AVR). High kinesiophobic traits were defined as a TSK-NL Heart sum score ≥ 37 (9). If items were removed from the analysis due to low internal consistency, this cut-off point was proportionally re-scaled.…”

“…The TSK is predominantly used in patients with musculoskeletal complaints and was adapted by Bäck et al (7) for use in patients with CAD by replacing "fear of pain" with "fear of a heart incident" (TSK-Heart) (7). The TSK-Heart has been translated into several other languages (8,9). However, a comprehensive external validation, including a rigorous factor analysis, and population prevalence of kinesiophobia in a large contemporary group of patients attending CR, is lacking.…”

Measurement properties of assessment tools of Kinesophobia in patients with cardiovascular disease: A systematic review

“…Six instruments, specifically developed or translated for assessing fear of exercise in patients with CVD, were identified [ 14 , 15 , [23] , [24] , [25] , [26] , [31] , [32] , [33] , [34] , [35] , [36] , [37] , [38] , [39] , [40] , [41] ]. Table 1 presents the basic characteristics of these studies, published between 1993 and 2023, with study sites in countries including the United Kingdom, Poland, Sweden, Turkey, and China.…”

Reliability and Validity of the Tampa Scale of Kinesiophobia Questionnaire in Individuals with Non-specific Low Back Pain

“…Two valid questionnaires for this purpose are available, named the Fear-Avoidance Belief Questionnaire and the Tampa Scale of Kinesiophobia (TSK) (1). The TSK has been used for various disorders, such as low back pain (LBP), neck pain, Parkinson's disease, chronic fatigue syndrome, temporomandibular joint injuries, cardiovascular diseases, and post-surgery issues (2)(3)(4)(5)(6). Regarding the fear of movement, the original version of the TSK developed in English includes a 17-item measurement of this disorder in individu-als suffering from musculoskeletal conditions (7,8).…”