Tissot Liam-Pierre Mathieu, Evans David William, Kirby Edward, Liew Bernard Xian Wei
School of Sport, Rehabilitation and Exercise Sciences, University of Essex, Colchester, Essex, United Kingdom.
Centre of Precision Rehabilitation for Spinal Pain, School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Edgbaston, Birmingham, United Kingdom.
Pain Rep. 2023 Jun 7;8(4):e1081. doi: 10.1097/PR9.0000000000001081. eCollection 2023 Jul-Aug.
The Tampa Scale of Kinesiophobia (TSK) is commonly used to assess fear of movement (FoM) in people with low back pain (LBP). However, the TSK does not provide a task-specific measure of FoM, whereas image-based or video-based methods may do so.
To compare the magnitude of FoM when assessed using 3 methods (TSK-11, image of lifting, video of lifting) in 3 groups of people: current LBP (LBP), recovered LBP (rLBP), and asymptomatic controls (control).
Fifty-one participants completed the TSK-11 and rated their FoM when viewing images and videos depicting people lifting objects. Low back pain and rLBP participants also completed the Oswestry Disability Index (ODI). Linear mixed models were used to estimate the effects of methods (TSK-11, image, video) and group (control, LBP, rLBP). Linear regression models were used to assess associations between the methods on ODI after adjusting for group. Finally, a linear mixed model was used to understand the effects of method (image, video) and load (light, heavy) on fear.
In all groups, viewing images ( = 0.009) and videos ( = 0.038) elicited greater FoM than that captured by the TSK-11. Only the TSK-11 was significantly associated with the ODI ( < 0.001). Finally, there was a significant main effect of load on fear ( < 0.001).
Fear of specific movements (eg, lifting) may be better measured using task-specific measures, such as images and videos, than by task-generic questionnaires, such as the TSK-11. Being more strongly associated with the ODI, the TSK-11 still plays an important role in understanding the impact of FoM on disability.
坦帕运动恐惧量表（TSK）常用于评估腰痛（LBP）患者的运动恐惧（FoM）。然而，TSK并未提供针对特定任务的FoM测量方法，而基于图像或视频的方法可能能够做到。
比较在三组人群（当前腰痛患者（LBP）、腰痛已康复患者（rLBP）和无症状对照组（对照组））中使用三种方法（TSK-11、举重图像、举重视频）评估时FoM的程度。
51名参与者完成了TSK-11，并在观看描绘人们举起重物的图像和视频时对他们的FoM进行评分。腰痛和rLBP参与者还完成了奥斯威斯残疾指数（ODI）。使用线性混合模型估计方法（TSK-11、图像、视频）和组（对照组、LBP、rLBP）的影响。在调整组因素后，使用线性回归模型评估方法与ODI之间的关联。最后，使用线性混合模型了解方法（图像、视频）和负荷（轻、重）对恐惧的影响。
在所有组中，观看图像（=0.009）和视频（=0.038）引发的FoM比TSK-11所测得的更大。只有TSK-11与ODI显著相关（<0.001）。最后，负荷对恐惧有显著的主效应（<0.001）。
与任务通用的问卷（如TSK-11）相比，使用针对特定任务的测量方法（如图像和视频）可能能更好地测量对特定运动（如举重）的恐惧。TSK-11与ODI的关联更强，在理解FoM对残疾的影响方面仍发挥着重要作用。
