van Gastel Marianne L, Soares Madu N, van Iersel Theodore P, Scholten-Peeters Gwendolyne G M, Hekman Karin M C, de Vries Jasper S, van den Bekerom Michel P J, Broekman Birit F P
Department of Orthopedic Surgery, Shoulder and Elbow Unit, OLVG, Amsterdam, The Netherlands.
Department of Orthopedic Surgery, Ziekenhuis Amstelland, Amstelveen, The Netherlands.
JSES Int. 2025 Jan 23;9(3):611-618. doi: 10.1016/j.jseint.2024.12.018. eCollection 2025 May.
This study aimed to develop a standardized tool for kinesiophobia using visual stimuli and estimate its test-retest reliability for patients with traumatic anterior shoulder instability.
The research project entailed a sequence of focus group meetings, followed by a web-based survey. An initial set of images designed to induce kinesiophobia was developed based on the results of the focus group meetings. The web-based assessment of this initial set and its correlation to the Tampa scale of kinesiophobia formed the basis for the development of a final kinesiophobia-inducing tool. When finalized, the test-retest reliability of the tool was assessed. A total of 75 patients between the ages of 18 and 57, who had experienced traumatic anterior shoulder instability, participated in the study.
Following the focus group meetings, an initial collection of 17 images was composed. From these, the 5 images that induced the strongest feelings of kinesiophobia were selected as the foundation for the new standardized tool for kinesiophobia. Furthermore, three additional images were included that showed the strongest correlation with the Tampa scale of kinesiophobia, resulting in a tool consisting of 8 images with an excellent overall test-retest reliability.
The outcome of this study was an 8-image standardized reliable tool designed to induce kinesiophobia in patients with traumatic anterior shoulder instability. This tool might be useful in assessing and monitoring kinesiophobia among this patient population.
本研究旨在开发一种使用视觉刺激的运动恐惧标准化工具，并评估其在创伤性前肩关节不稳定患者中的重测信度。
该研究项目包括一系列焦点小组会议，随后进行基于网络的调查。根据焦点小组会议的结果，开发了一组初步的旨在诱发运动恐惧的图像。对这组初步图像进行基于网络的评估及其与坦帕运动恐惧量表的相关性，构成了最终运动恐惧诱发工具开发的基础。工具确定后，评估其重测信度。共有75名年龄在18至57岁之间、经历过创伤性前肩关节不稳定的患者参与了该研究。
在焦点小组会议之后，初步收集了17张图像。从这些图像中，选择了5张诱发运动恐惧感受最强的图像作为新的运动恐惧标准化工具的基础。此外，还纳入了另外3张与坦帕运动恐惧量表相关性最强的图像，从而形成了一个由8张图像组成的工具，其整体重测信度极佳。
本研究的结果是一种8图像标准化可靠工具，旨在诱发创伤性前肩关节不稳定患者的运动恐惧。该工具可能有助于评估和监测该患者群体中的运动恐惧。
