Eraslan Umut, Kitis Ali, Usta Ozdemir Hande, Senol Hande, Demirkan Ahmet Fahir, Ozcan Ramazan Hakan, Ozgur Emral
Faculty of Physiotherapy and Rehabilitation, Pamukkale University, Denizli, Turkey.
Department of Biostatistics, Faculty of Medicine, Pamukkale University, Denizli, Turkey.
Clin Rehabil. 2025 Feb;39(2):214-223. doi: 10.1177/02692155241303041. Epub 2024 Dec 5.
Fear of movement in patients with traumatic hand-arm injuries can negatively affect functional outcomes. Therefore, it is important to evaluate fear of movement in this patient population. The aim of this study was to investigate the validity and reliability of the Tampa Scale for Kinesiophobia in patients with traumatic hand-forearm injuries.
Cross-sectional.
Hand rehabilitation unit in a university hospital.
The study included 170 patients with traumatic hand-arm injuries and a mean age of 37.57 (11.85) years.
Tampa Scale for Kinesiophobia Pain Catastrophizing Scale, Beck Anxiety Inventory and pain severity rating (via Visual Analog Scale) were completed by interview in the first session. In addition, Modified Hand Injury Scoring System was used to determine severity of the injury. Tampa Scale for Kinesiophobia was re-administered 15 days after the first session. Test-retest reliability, internal consistency, and construct validity of the Tampa Scale for Kinesiophobia were evaluated. In addition, exploratory factor analysis was completed using baseline data.
Cronbach's alpha for the scale was 0.604, and test-retest reliability was acceptable (ICC = 0.646). Tampa Scale for Kinesiophobia had a significant relationship with Beck Anxiety Inventory ( = 0.269, < 0.001), Pain Catastrophizing Scale ( = 0.457, < 0.001) and pain severity at rest ( = 0.168, = 0.029). Factor analysis estimated the scale represented five subsections in this population.
Psychometric properties of the Tampa Scale for Kinesiophobia were acceptable in patients with hand-forearm injuries. However, since our results were weaker than those in the literature, this should be considered when interpreting the results.
创伤性手臂损伤患者对运动的恐惧会对功能恢复产生负面影响。因此，评估该患者群体对运动的恐惧很重要。本研究旨在调查坦帕运动恐惧量表在创伤性前臂损伤患者中的有效性和可靠性。
横断面研究。
大学医院的手部康复科。
本研究纳入了170例创伤性手臂损伤患者，平均年龄为37.57（11.85）岁。
在第一次访谈中，通过面谈完成了坦帕运动恐惧量表、疼痛灾难化量表、贝克焦虑量表和疼痛严重程度评分（通过视觉模拟量表）。此外，使用改良手部损伤评分系统来确定损伤的严重程度。在第一次访谈15天后重新进行坦帕运动恐惧量表测试。评估了坦帕运动恐惧量表的重测信度、内部一致性和结构效度。此外，使用基线数据完成了探索性因素分析。
该量表的Cronbach's alpha系数为0.604，重测信度可接受（ICC = 0.646）。坦帕运动恐惧量表与贝克焦虑量表（r = 0.269，p < 0.001）、疼痛灾难化量表（r = 0.457，p < 0.001）和静息时疼痛严重程度（r = 0.168，p = 0.029）有显著关系。因素分析估计该量表在该人群中代表五个子部分。
坦帕运动恐惧量表在手部前臂损伤患者中的心理测量学特性是可以接受的。然而，由于我们的结果比文献中的结果弱，在解释结果时应考虑这一点。
