Kese Burak, Salcı Yeliz, Yılmaz Öznur Tunca
Osmaneli Vocational School, Department of Patient Care at Home, Bilecik Seyh Edebali University, Bilecik, Turkey.
Faculty of Physiotherapy and Rehabilitation, Department of Neurologic Physiotherapy and Rehabilitation, Hacettepe University, Ankara, Turkey.
Ir J Med Sci. 2023 Feb;192(1):285-290. doi: 10.1007/s11845-021-02902-x. Epub 2022 Jan 30.
Kinesiophobia can be a barrier for physical activity in patients with multiple sclerosis (PwMS) and it can develop as a result of fear and avoidance reactions due to fatigue. However, there is no valid and reliable scale available to assess kinesiophobia due to fatigue in PwMS.
To investigate the test-retest reliability and construct validity of the Tampa Scale of Kinesiophobia-Fatigue (TSK-F) in PwMS.
Eighty-seven PwMS were included in the study. In addition to TSK-F, the following measurements were used for construct validity: Expanded Disability Status Scale (EDSS), Fatigue Severity Scale (FSS), Fatigue Impact Scale (FIS), 6-Minute Walking Test (6MWT), International Physical Activity Questionnaire (IPAQ), Beck Depression Inventory (BDI), Multiple Sclerosis Quality of Life Scale-54 (MSQoL-54). TSK-F was administered twice (3-7 days apart) to measure test-retest reliability.
The intraclass correlation coefficient of the TSK-F was 0.867. It had a weak correlation with the IPAQ and EDSS, moderate correlation with the MSQoL-54 and 6MWT, and strong correlation with the BDI, FSS, and FIS (respectively, rho - 0.345, rho 0.365, rho 0.544, rho - 0.449, rho 0.690, rho 0.602, rho 0.650). The scale had good performance to discriminate the disease severity with the area under the curve (AUC) value 0.730.
TSK-F has excellent reliability and moderate-to-good validity in evaluating kinesiophobia and the scale may be a useful outcome measurement for assessment of kinesiophobia due to fatigue in PwMS.
运动恐惧可能成为多发性硬化症患者（PwMS）进行体育活动的障碍，并且它可能由于疲劳导致的恐惧和回避反应而产生。然而，目前尚无有效且可靠的量表可用于评估PwMS患者因疲劳引起的运动恐惧。
研究坦帕运动恐惧-疲劳量表（TSK-F）在PwMS患者中的重测信度和结构效度。
87名PwMS患者纳入本研究。除TSK-F外，还使用以下测量方法进行结构效度评估：扩展残疾状态量表（EDSS）、疲劳严重程度量表（FSS）、疲劳影响量表（FIS）、6分钟步行试验（6MWT）、国际体力活动问卷（IPAQ）、贝克抑郁量表（BDI）、多发性硬化症生活质量量表-54（MSQoL-54）。TSK-F进行两次测量（间隔3 - 7天）以评估重测信度。
TSK-F的组内相关系数为0.867。它与IPAQ和EDSS呈弱相关，与MSQoL-54和6MWT呈中度相关，与BDI、FSS和FIS呈强相关（分别为rho - 0.345、rho 0.365、rho 0.544、rho - 0.449、rho 0.690、rho 0.602、rho 0.650）。该量表在区分疾病严重程度方面表现良好，曲线下面积（AUC）值为0.730。
TSK-F在评估运动恐惧方面具有出色的信度和中等到良好的效度，该量表可能是评估PwMS患者因疲劳引起的运动恐惧的有用结局指标。
