“对被动活动的恐惧”是否是挥鞭伤恐惧-回避模型的一个独特组成部分？
Is "fear of passive movement" a distinctive component of the Fear-Avoidance Model in whiplash?
作者信息
Vernon Howard, Guerriero Rocco, Kavanaugh Shawn, Puhl Aaron
机构信息
Canadian Memorial Chiropractic College, Toronto, Ontario.
出版信息
J Can Chiropr Assoc. 2015 Sep;59(3):288-93.
OBJECTIVES
Modify the Tampa Scale for Kinesiophobia (TSK) for 'fear of passive motion' beliefs.
METHODS
With permission, a 14-item modification, the TSK-PM (passive movement), was created. Test-retest reliability was tested first. Construct validity was tested in chronic whiplash patients by comparing the TSK-PM with the TSK, the Neck Disability Index (NDI) and cervical ranges of motion.
RESULTS
The TSK-PM showed high test-retest reliability (r = 0.83) and high correlation with the original TSK (r = 0.84). Low, non-significant correlations were found with other variables. NDI scores were strongly correlated with ranges of motion.
CONCLUSIONS
While having high test-retest reliability and a single factor structure, the TSK-PM failed to demonstrate distinctive construct validity vs the original TSK. The original TSK is likely to be sufficient to assess fear of being moved in neck pain patients in a clinical setting. Modifications to the current version of the TSK-PM might improve its construct validity in future studies.
目的
针对“害怕被动运动”信念对坦帕运动恐惧量表（TSK）进行修订。
方法
经许可，创建了一个包含14个条目的修订版，即TSK-PM（被动运动）。首先测试了重测信度。通过将TSK-PM与TSK、颈部功能障碍指数（NDI）以及颈椎活动范围进行比较，对慢性挥鞭伤患者进行了结构效度测试。
结果
TSK-PM显示出较高的重测信度（r = 0.83），且与原始TSK高度相关（r = 0.84）。与其他变量的相关性较低且无统计学意义。NDI评分与活动范围密切相关。
结论
尽管TSK-PM具有较高的重测信度和单一因素结构，但与原始TSK相比，未能证明其具有独特的结构效度。在临床环境中，原始TSK可能足以评估颈部疼痛患者对被动运动的恐惧。对当前版本的TSK-PM进行修订可能会在未来研究中提高其结构效度。
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