Morais Daniel Nunes, Pontes-Silva André, Barreto Felipe Souza, Pinheiro Jocassia Silva, Oliveira Leonardo Antônio Santos de, Bassi-Dibai Daniela, Fidelis-de-Paula-Gomes Cid André, Avila Mariana Arias, Dibai-Filho Almir Vieira
Postgraduate Program in Adult Health, Universidade Federal do Maranhão, São Luís, Maranhão, Brazil.
Postgraduate Program in Physical Therapy, Department of Physical Therapy, Universidade Federal de São Carlos, São Carlos, São Paulo, Brazil.
Clin Rehabil. 2025 Apr;39(4):486-492. doi: 10.1177/02692155251315060. Epub 2025 Jan 28.
ObjectiveTo assess the test-retest reliability, internal consistency, and construct validity of the 9-item Tampa Scale for Kinesiophobia in patients with chronic low back pain.DesignQuestionnaire validation study.SettingStudy was conducted in an online environment.ParticipantsWe included people aged 18 to 50 years with self-reported low back pain lasting > three months and assessed the Pain-Related Catastrophizing Thoughts Scale and the 9-item Tampa Scale for Kinesiophobia.Main measuresWe used intraclass correlation coefficient, standard error of measurement, minimum detectable change, and Cronbach's alpha to assess the reliability and internal consistency of the 9-item Tampa Scale for Kinesiophobia. We tested correlations between the domains of the 9-item Tampa Scale for Kinesiophobia and the other variables to assess construct validity.ResultsA total of 174 participants with chronic low back pain were included in the analysis. No ceiling or floor effect was found. In terms of construct validity, there was a positive correlation between the domains of the 9-item Tampa Scale for Kinesiophobia and the other variables. In the reliability analysis, there was adequate test-retest reliability of the two domains of the 9-item Tampa Scale for Kinesiophobia: intraclass correlation coefficient = 0.99, standard error of measurement = 3.4%, and minimum detectable change = 9.6% for the activity avoidance domain; and intraclass correlation coefficient = 0.99, standard error of measurement = 3.5%, and minimum detectable change = 9.9% for the somatic focus domain. There was acceptable internal consistency (Cronbach's alpha ≥ 0.68) for both domains.ConclusionThe 9-item Tampa Scale for Kinesiophobia has adequate measurement properties in patients with chronic low back pain.
目的
评估慢性下腰痛患者运动恐惧9项坦帕量表的重测信度、内部一致性和结构效度。
设计
问卷效度研究。
设置
研究在在线环境中进行。
参与者
纳入年龄在18至50岁之间、自我报告下腰痛持续超过3个月的人群，并评估疼痛相关灾难性思维量表和运动恐惧9项坦帕量表。
主要测量指标
我们使用组内相关系数、测量标准误差、最小可检测变化和克朗巴哈系数来评估运动恐惧9项坦帕量表的信度和内部一致性。我们测试了运动恐惧9项坦帕量表各领域与其他变量之间的相关性，以评估结构效度。
结果
共有174名慢性下腰痛患者纳入分析。未发现天花板效应或地板效应。在结构效度方面，运动恐惧9项坦帕量表各领域与其他变量之间存在正相关。在信度分析中，运动恐惧9项坦帕量表的两个领域具有足够的重测信度：活动回避领域的组内相关系数=0.99，测量标准误差=3.4%，最小可检测变化=9.6%；躯体关注领域的组内相关系数=0.99，测量标准误差=3.5%，最小可检测变化=9.9%。两个领域的内部一致性均可接受（克朗巴哈系数≥0.68）。
结论
运动恐惧9项坦帕量表在慢性下腰痛患者中具有足够的测量属性。
