New Factor Structure of the Tampa Scale for Kinesiophobia in Older Japanese Adults After Lumbar Surgery

Higuchi, Daisuke; Watanabe, Yuta; Kondo, Yu; Miki, Tsuneharu

doi:10.2147/jpr.s277568

Cited by 3 publications

(8 citation statements)

References 53 publications

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“…Questionnaires were mailed between October 2019 and August 2020. The study was an extension of a previously published study 18 and approved by the Ethical Review Committees of Sapporo Maruyama Orthopedic Hospital and Harunaso Hospital (approval numbers: 000025 and 190105, respectively). The study was conducted in accordance with the Declaration of Helsinki of 1975, as revised in 1983.…”

Section: Methodsmentioning

confidence: 99%

Sex Differences in the Mediating Effect of Kinesiophobia on Chronic Pain, Dysesthesia, and Health-Related Quality of Life in Japanese Individuals Aged 65 Years Old and Older Treated with Surgery for Lumbar Spinal Stenosis

Higuchi

Kondo²,

Watanabe³

et al. 2022

JPR

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Section: Methodsmentioning

confidence: 99%

Sex Differences in the Mediating Effect of Kinesiophobia on Chronic Pain, Dysesthesia, and Health-Related Quality of Life in Japanese Individuals Aged 65 Years Old and Older Treated with Surgery for Lumbar Spinal Stenosis

Higuchi

Kondo²,

Watanabe³

et al. 2022

JPR

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“…This was a cross-sectional, observational study and extension of a previously published study series [ 16 ]. In the previous study in the series, we focused on clarifying the psychometric properties of the Tampa scale for kinesiophobia (TSK) used in this study.…”

Section: Methodsmentioning

confidence: 99%

“…The internal consistency, re-test reliability, and validity of the TSK have already been confirmed [ 27 , 28 ]. In this study, the subdomains of the TSK, namely, SF and AA, were employed: the SF was based on the total scores (7–28 points) of items 2, 3, 5, 6, 7, 9, and 11, and the AA was based on the total scores (6–24 points) of items 10, 13, 14, 15, 16, and 17 (item 16 was reversed scores) [ 16 ]. The SF refers to the tendency to focus awareness on physical symptoms that are not related to health conditions [ 29 ], with higher scores indicating a stronger tendency in each domain.…”

Section: Methodsmentioning

confidence: 99%

“…A two-factor model, somatic focus (SF) and activity avoidance (AA), is proposed for kinesiophobia [ 15 ]. Both factors are associated with HRQOL in older adults after lumbar surgery [ 16 ]. Thus, kinesiophobia is a key factor in improving HRQOL because it bridges the relationship between pain and HRQOL.…”

Section: Introductionmentioning

confidence: 99%

“…A twofactor model, somatic focus (SF) and activity avoidance (AA), is proposed for kinesiophobia [15]. Both factors are associated with HRQOL in older adults after lumbar surgery [16].…”

Section: Introductionmentioning

confidence: 99%

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Validation of a Model Predicting That Physical Activities Improve Health-Related Quality of Life in Older Japanese Adults with Pain, Dysesthesia, and Kinesiophobia after Lumbar Surgery: Structural Equation Modeling

Higuchi

Watanabe²,

Kondo³

et al. 2022

Pain Research and Management

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Objectives. This study assessed the validity of a hypothesized model predicting that physical activity improves health-related quality of life (HRQOL) in older Japanese adults with pain, dysesthesia, and kinesiophobia following lumbar surgery. Methods. We included 431 elderly patients who underwent surgery for lumbar spinal stenosis at two hospitals. The frequency of physical activity, pain, dysesthesia, kinesiophobia (somatic focus and activity avoidance), and HRQOL were investigated using a questionnaire. Missing values were complemented by the stochastic regression imputation. We constructed the following model. (i) physical activity affects pain, dysesthesia, and kinesiophobia. (ii) pain, dysesthesia, and kinesiophobia separately affect HRQOL. This hypothetical model was tested by structural equation modeling. The model was improved based on a modified index. Results. Of the 431 respondents, 297 (median age 72 years, range 65–91 years; 158 men and 139 women) were analyzed (68.9%). The fit of the model improved based on the modification index and was acceptable comparative fit index, 0.948; Tucker–Lewis index, 0.919; root mean square error of approximation, 0.048 (90% confidence interval, 0.026–0.069), and standardized root mean square residual (0.046). The paths by which physical activities reduced pain or dysesthesia (standardized pass coefficients, −0.406) and somatic focus (−0.301) and consequently improved HRQOL were significant (pain/dysesthesia, −0.684; somatic focus, −0.218). Discussion. Our hypothesized model predicting that physical activity improves HRQOL in terms of pain, dysesthesia, and kinesiophobia in older Japanese adults after lumbar surgery was validated using cross-sectional data. Interventional studies on physical activity based on this model are required to establish the model.

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The Tampa Scale of Kinesiophobia

Dupuis

Amira

Charles

et al. 2023

The Clinical Journal of Pain

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Objective: The aims of this systematic review were to identify the different versions of the Tampa Scale of kinesiophobia (TSK) and to report on the psychometric evidence relating to these different versions for people experiencing musculoskeletal pain.Methods: Medline [Ovid] CINAHL and Embase databases were searched for publications reporting on the psychometric properties of the TSK in populations with musculoskeletal pain. Risks of bias were evaluated using the COSMIN risk of the bias assessment tool.Results: Forty-one studies were included, mainly with a low risk of bias. Five versions of the TSK were identified: TSK-17, TSK-13, TSK-11, TSK-4, and TSK-TMD (for temporomandibular disorders). Most TSK versions showed good to excellent test-retest reliability (intraclass coefficient correlation 0.77 to 0.99) and good internal consistency (ɑ = 0.68 to 0.91), except for the TSK-4 as its reliability has yet to be defined. The minimal detectable change was lower for the TSK-17 (11% to 13% of total score) and the TSK-13 (8% of total score) compared with the TSK-11 (16% of total score). Most TSK versions showed good construct validity, although TSK-11 validity was inconsistent between studies. Finally, the TSK-17, -13, and -11 were highly responsive to change, while responsiveness has yet to be defined for the TSK-4 and TSK-TMD.Discussion: Clinical guidelines now recommend that clinicians identify the presence of kinesiophobia among patients as it may contribute to persistent pain and disability. The TSK is a self-report questionnaire widely used, but 5 different versions exist. Based on these results, the use of TSK-13 and TSK-17 is encouraged as they are valid, reliable, and responsive.

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New Factor Structure of the Tampa Scale for Kinesiophobia in Older Japanese Adults After Lumbar Surgery

Cited by 3 publications

References 53 publications

Sex Differences in the Mediating Effect of Kinesiophobia on Chronic Pain, Dysesthesia, and Health-Related Quality of Life in Japanese Individuals Aged 65 Years Old and Older Treated with Surgery for Lumbar Spinal Stenosis

Sex Differences in the Mediating Effect of Kinesiophobia on Chronic Pain, Dysesthesia, and Health-Related Quality of Life in Japanese Individuals Aged 65 Years Old and Older Treated with Surgery for Lumbar Spinal Stenosis

Validation of a Model Predicting That Physical Activities Improve Health-Related Quality of Life in Older Japanese Adults with Pain, Dysesthesia, and Kinesiophobia after Lumbar Surgery: Structural Equation Modeling

The Tampa Scale of Kinesiophobia

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