Master's and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, SP, Brazil.
Master's and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, SP, Brazil.
Braz J Phys Ther. 2021 Mar-Apr;25(2):168-174. doi: 10.1016/j.bjpt.2020.05.004. Epub 2020 May 26.
To analyze the measurement properties of the Brazilian-Portuguese version of the Tampa Scale for Kinesiophobia-11 in patients with fibromyalgia.
Assessment was made at three time points: baseline (n=130) and 15 days (n=54) and eight weeks after baseline (n=51). Data collected at baseline were used to assess internal consistency, criterion and construct validity, and ceiling and floor effects. Data collected at baseline and 15 days after baseline were used to assess reliability and measurement error, and data collected before and after an eight-week exercise-based physical therapy intervention were used to assess interpretability of change scores.
The Tampa Scale for Kinesiophobia-11 showed adequate internal consistency (Cronbach's alpha=0.77; alpha if item deleted: 0.74-0.77), substantial reliability (intraclass correlation coefficient=0.85; 95% confidence interval: 0.75, 0.90), good measurement error (standard error of measurement: 2.65 points), and a minimal detectable change (90% confidence) of 6.16 points. For validity, the Tampa Scale for Kinesiophobia-11 showed a positive and good correlation with the original Tampa Scale for Kinesiophobia (r=0.84, p<0.01), positive and moderate correlation with the Pain Catastrophizing Scale (r=0.55, p<0.01), positive and weak correlation with the Numerical Pain Rating Scale (r=0.25, p<0.01), positive and moderate correlation with the Beck Depression Inventory (r=0.39, p<0.01), and no correlation with the Patient-Specific Functional Scale (r=0.11, p=0.23). Kinesiophobia, pain, function, catastrophizing, and depression statistically improved after the eight-week intervention (p<0.01).
The Tampa Scale for Kinesiophobia-11 is consistent, reliable, and appropriate to assess fear of movement in patients with fibromyalgia in the clinical context. Responsiveness of the Tampa Scale for Kinesiophobia-11 should be tested in future studies.
分析巴西葡萄牙语版 Tampa 运动恐惧量表-11 在纤维肌痛患者中的测量特性。
在三个时间点进行评估：基线（n=130）、15 天（n=54）和基线后 8 周（n=51）。基线时收集的数据用于评估内部一致性、标准和结构效度以及天花板和地板效应。基线和基线后 15 天收集的数据用于评估可靠性和测量误差，基线和 8 周基于运动的物理治疗干预前后收集的数据用于评估变化分数的可解释性。
Tampa 运动恐惧量表-11 显示出较好的内部一致性（Cronbach's alpha=0.77；项目删除后的 alpha 值为 0.74-0.77）、较高的可靠性（组内相关系数=0.85；95%置信区间：0.75，0.90）、较好的测量误差（测量标准误差：2.65 分）和最小可检测变化（90%置信区间）为 6.16 分。在有效性方面，Tampa 运动恐惧量表-11 与原始 Tampa 运动恐惧量表呈正相关且相关性较好（r=0.84，p<0.01），与疼痛灾难化量表呈正相关且相关性中等（r=0.55，p<0.01），与数字疼痛评分量表呈正相关且相关性较弱（r=0.25，p<0.01），与贝克抑郁量表呈正相关且相关性中等（r=0.39，p<0.01），与患者特定功能量表无相关性（r=0.11，p=0.23）。经过 8 周的干预，运动恐惧、疼痛、功能、灾难化和抑郁均有统计学意义上的改善（p<0.01）。
在临床环境中，Tampa 运动恐惧量表-11 是一种一致、可靠且适宜评估纤维肌痛患者对运动恐惧的工具。未来的研究应检验该量表的反应性。
