Psychometric properties of the fear-avoidance beliefs questionnaire and Tampa scale of kinesiophobia in patients with shoulder pain
Deutscher übersetzter Titel: | Psychometrische Eigenschaften des Angst-Vermeidungsstrategie Fragebogens und der Tampa-Skala für Kinesiophobie bei Patienten mit Schulterschmerz |
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Autor: | Mintken, Paul E.; Cleland, Joshua A.; Whitman, Julie M.; George, Steven Z. |
Erschienen in: | Archives of physical medicine and rehabilitation |
Veröffentlicht: | 91 (2010), 7, S. 1128-1136, Lit. |
Format: | Literatur (SPOLIT) |
Publikationstyp: | Zeitschriftenartikel |
Medienart: | Gedruckte Ressource |
Sprache: | Englisch |
ISSN: | 0003-9993, 1532-821X |
Schlagworte: | |
Online Zugang: | |
Erfassungsnummer: | PU201012009137 |
Quelle: | BISp |
Abstract
Objective: To investigate the reliability and validity of 2 commonly used measures of pain related fear in patients with shoulder pain. Design: A preplanned secondary analysis of a prospective single-arm trial involving a repeated-measures design. Setting: Outpatient physical therapy clinics. Participants: Patients (N=80) with a primary report of shoulder pain. Intervention: All patients completed the outcome measures at baseline and at follow-up. Main Outcome Measures: Patients completed a modified Fear-Avoidance Beliefs Questionnaire (FABQ), the 11-item version of Tampa Scale of Kinesiophobia (TSK-11), and the Shoulder Pain and Disability Index (SPADI) at baseline and at a 48-hour follow-up. Patients were dichotomized as improved or stable at follow-up based on the Global Rating of Change. Results: Factor analysis indicated 3 stable factors for the FABQ and 1 stable factor for the TSK-11. Shoulder specific scoring for the FABQ and TSK-11 were used in subsequent analyses. Test-retest reliability intraclass correlation coefficient (ICC) was substantial for the FABQ and the TSK-11. The FABQ correlated significantly with SPADI pain and disability scores, while the TSK-11 correlated significantly only with SPADI pain scores. The shoulder-specific FABQ–W (work beliefs subscale) was a better than chance predictor of missing days of work during the 48-hour study period. Conclusions: The modified FABQ and TSK-11 may be appropriate for use in patients with shoulder pain. Shoulder-specific scoring of these measures resulted in substantial test-retest reliability, and the FABQ correlated with the SPADI for pain and disability. The FABQ also showed potential for prediction of short-term work loss in this sample. Pain-related fear may be an important variable in patients with shoulder pain and merits future consideration in longitudinal studies. Verf.-Referat