Nishigami Tomohiko, Watanabe Akihisa, Maitani Toshiki, Shigetoh Hayato, Mibu Akira, Wand Benedict Martin, Catley Mark J, Stanton Tasha R, Moseley G Lorimer
Department of Physical Therapy, Faculty of Health and Welfare, Prefectural University of Hiroshima, 1-1, Gakuen-chou, Mihara, Hiroshima, 723-0053, Japan.
Department of Rehabilitation, Machida Orthopaedics, Kochi, Japan.
BMC Musculoskelet Disord. 2021 Jan 21;22(1):98. doi: 10.1186/s12891-021-03944-z.
There is evidence that people with persistent shoulder pain exhibit findings consistent with the presence of sensorimotor dysfunction. Sensorimotor impairments can manifest in a variety of ways, and further developing our understanding of sensorimotor dysfunction in shoulder pain may improve current models of care. The Fremantle Back Awareness Questionnaire (FreBAQ) has been developed to assess disturbed body perception specific to the back. The purpose of the present study was to develop a shoulder-specific self-perception questionnaire and evaluate the questionnaire in people with persistent shoulder pain.
The Fremantle Shoulder Awareness Questionnaire (FreSHAQ-J) was developed by modifying the FreBAQ. One hundred and twelve consecutive people with persistent shoulder pain completed the FreSHAQ-J. Thirty participants completed the FreSHAQ-J again two-weeks later to assess test-retest reliability. Rasch analysis was used to assess the psychometric properties of the FreSHAQ-J. Associations between FreSHAQ-J total score and clinical status was explored using correlational analysis.
The FreSHAQ-J has acceptable category order, unidimensionality, no misfitting items, and excellent test-retest reliability. The FreSHAQ-J was moderately correlated with disability and pain catastrophization.
The FreSHAQ-J fits the Rasch measurement model well and is suitable for use with people with shoulder pain. Given the relationship between the FreSHAQ-J score and clinical status, change in body perception may be worth assessing when managing patients with shoulder pain.
有证据表明，患有持续性肩部疼痛的人表现出与感觉运动功能障碍存在相一致的症状。感觉运动障碍可以以多种方式表现出来，进一步加深我们对肩部疼痛中感觉运动功能障碍的理解可能会改善当前的护理模式。弗里曼特尔背部感知问卷（FreBAQ）已被开发出来，用于评估特定于背部的身体感知障碍。本研究的目的是开发一份针对肩部的自我感知问卷，并在患有持续性肩部疼痛的人群中对该问卷进行评估。
通过修改FreBAQ开发了弗里曼特尔肩部感知问卷（FreSHAQ-J）。112名连续患有持续性肩部疼痛的患者完成了FreSHAQ-J。30名参与者在两周后再次完成FreSHAQ-J，以评估重测信度。使用拉施分析来评估FreSHAQ-J的心理测量特性。使用相关分析探索FreSHAQ-J总分与临床状态之间的关联。
FreSHAQ-J具有可接受的类别顺序、单维度性、无拟合不佳的项目以及出色的重测信度。FreSHAQ-J与残疾和疼痛灾难化呈中度相关。
FreSHAQ-J很好地拟合了拉施测量模型，适用于肩部疼痛患者。鉴于FreSHAQ-J得分与临床状态之间的关系，在管理肩部疼痛患者时，评估身体感知的变化可能是值得的。
