Reproducibility, responsiveness and validation of the Tampa Scale for Kinesiophobia in patients with ACL injuries
Reproducibility, responsiveness and validation of the Tampa Scale for Kinesiophobia in patients with ACL injuries
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DOI：
10.1186/s12955-019-1217-7
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发表时间：
2019-09-11
影响因子：
3.6
通讯作者：
Kaneko, Kazuo
中科院分区：
文献类型：
--
作者：
Huang, Hui;Nagao, Masashi;Kaneko, Kazuo
背景和目的心理因素包括对疼痛的恐惧，运动时的再损伤（运动恐惧症）影响前交叉韧带（ACL）重建手术后的恢复率。临床医生在日常练习中经常遇到运动员在体育活动中缺乏自信或心理准备的情况。坦帕运动恐惧症量表（Tampa Scale for Kinesiophobia， TSK）已被许多国家用于评估前交叉韧带损伤患者的心理结果，并于2013年翻译成日文版。然而，目前还没有研究者对TSK在ACL损伤患者中的信度、效度和反应性进行验证。本研究的目的是评估日本版TSK （TSK- j）在ACL损伤患者中的测量特性。队列研究（诊断）；证据等级2。方法本前瞻性研究于2016年9月至2017年4月在中山大学附属医院骨科进行。诊断为ACL损伤的患者进行或不进行重建手术，完成了几个患者报告的结果测量（PROMs），包括在本研究中。采用基于共识的健康状况测量工具选择标准（COSMIN）指南来评估TSK-J的信度、效度、反应性和可解释性。结果222例患者纳入本研究。前交叉韧带损伤患者的TSK-J具有良好的内部一致性（Cronbach’s alpha = 0.79）和良好的重测信度（类内相关系数ICC2,1 = 0.90, 95% CI = 0.81 ~ 0.95）。此外，TSK-J与IKDC-SKF呈显著但中度相关(r = - 0.49， P
Background and purpose Psychological factors including fear of pain, re-injury during movement (kinesiophbia) affect return-to-sport rates after anterior cruciate ligament (ACL) reconstructive surgery. Clinicians often encounter in the daily practice that athletes explain lack of self-confidence or psychological readiness during the sports activity. The Tampa Scale for Kinesiophobia (TSK) has been used to evaluate psychological outcomes in patients with ACL injuries in many countries and translated into Japanese version in 2013. However, no researchers validated its reliability, validity, and responsiveness of TSK for patients with ACL injury up to now. The purpose of this study was to evaluate the measurement properties of the Japanese version of the TSK (TSK-J) in patients with ACL injuries. Study design Cohort study (Diagnostic); Level of evidence, 2. Methods This prospective study was performed in the department of orthopaedic surgery at the university hospital of Juntendo from Sep 2016 and Apr 2017. Patients who diagnosed with ACL injury with or without reconstruction surgery completed several patient-reported outcome measures (PROMs) were included in this study. The COnsensus-based Standards for the selection of health status Measurement INstruments (COSMIN) guidelines were used to evaluate reliability, validity, responsiveness, and interpretability of the TSK-J. Results 222 patients were included in this study. The TSK-J for ACL injured patients showed good internal consistency (Cronbach's alpha = 0.79) and excellent test-retest reliability (intra-class correlation coefficient, ICC2,1 = 0.90, 95% CI = 0.81 to 0.95). In addtion, the TSK-J was significantly but moderately correlated with the IKDC-SKF (r = - 0.49, P