Saulicz Edward, Knapik Andrzej, Saulicz Aleksandra, Sikora Damian, Saulicz Mariola
Institute of Physiotherapy and Health Sciences, Jerzy Kukuczka Academy of Physical Education, 40-065 Katowice, Poland.
Department of Adapted Physical Activity and Sport, School of Health Sciences in Katowice, Medical University of Silesia in Katowice, 40-751 Katowice, Poland.
Diagnostics (Basel). 2025 Jul 9;15(14):1746. doi: 10.3390/diagnostics15141746.
The phenomenon of fear of movement is called kinesiophobia. Kinesiophobia is a significant factor that complicates the treatment process. Fear of movement and physical activity is a risk factor for the transformation of acute pain into chronic pain. Therefore, the assessment of the level of kinesiophobia is a prognostic factor for disability and mental stress, thus having a significant impact on the quality of life of people with lower back pain. One of the psychometric diagnostic tools for assessing the level of kinesiophobia is the Kinesiophobia Causes Scale (KCS). The aim of the study was to assess the reliability of the KCS test used in people suffering from chronic nonspecific lower back pain (nsLBP). The study included a group of 112 people suffering from chronic nsLBP. The subjects completed the same Polish version of the KCS questionnaire 4 weeks apart. Good internal consistency was recorded for both domains-the biological and psychological one-as well as the general KCS index (Cronbach's alpha index α from 0.8 to 0.9). Reliability was excellent for both domains (95% CI of ICC biological domain: 0.86-0.93 and for psychological domain: 0.92-0.96) and for the total score of the Kinesiophobia Causes Scale (95% CI of ICC: 0.91-0.93). These results indicate very good measurement reliability of the Polish version of the KCS questionnaire among people suffering from chronic nsLBP.
对运动的恐惧现象被称为运动恐惧。运动恐惧是使治疗过程复杂化的一个重要因素。对运动和体育活动的恐惧是急性疼痛转变为慢性疼痛的一个风险因素。因此，运动恐惧水平的评估是残疾和精神压力的一个预后因素，从而对下背痛患者的生活质量产生重大影响。评估运动恐惧水平的心理测量诊断工具之一是运动恐惧成因量表（KCS）。该研究的目的是评估用于慢性非特异性下背痛（nsLBP）患者的KCS测试的可靠性。该研究纳入了一组112名患有慢性nsLBP的患者。受试者相隔4周完成相同的波兰语版KCS问卷。生物学和心理学这两个领域以及KCS总指数均记录到良好的内部一致性（克朗巴赫α系数α为0.8至0.9）。两个领域的信度都非常好（ICC生物学领域的95%置信区间：0.86 - 0.93，心理学领域：0.92 - 0.96）以及运动恐惧成因量表的总分（ICC的95%置信区间：0.91 - 0.93）。这些结果表明波兰语版KCS问卷在慢性nsLBP患者中具有非常好的测量信度。
