Reproducibility, responsiveness and validation of the Tampa Scale for Kinesiophobia in patients with ACL injuries

Health and Quality of Life Outcomes

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[1] 0000 0004 1762 2738, grid.258269.2, Department of Orthopaedic Surgery, Juntendo University School of Medicine, 2-1-1 Hongo Bunkyo-ku, 113-8421, Tokyo, Japan;0000 0004 1762 2738, grid.258269.2, Department of Orthopaedic Surgery, Juntendo University School of Medicine, 2-1-1 Hongo Bunkyo-ku, 113-8421, Tokyo, Japan;0000 0004 1762 2738, grid.258269.2, Department of Sports Medicine, School of Health & Sports Science, Juntendo University, Chiba, Japan;0000 0004 1762 2738, grid.258269.2, Department of Orthopaedic Surgery, Juntendo University School of Medicine, 2-1-1 Hongo Bunkyo-ku, 113-8421, Tokyo, Japan;0000 0004 1762 2738, grid.258269.2, Medical Technology Innovation Center, Juntendo University, Tokyo, Japan;0000 0004 1762 2738, grid.258269.2, Clinical Research & Trial Center, Juntendo University, Tokyo, Japan;0000 0004 1762 2738, grid.258269.2, Department of Orthopaedic Surgery, Juntendo University School of Medicine, 2-1-1 Hongo Bunkyo-ku, 113-8421, Tokyo, Japan;grid.411966.d, Department of Emergency and Critical Care Medicine, Juntendo University Hospital, Tokyo, Japan;

关键词: Validation study;    Tampa Scale for Kinesiophobia (TSK);    Anterior cruciate ligament (ACL);    The consensus-based standards for the selection of health status measurement INstruments (COSMIN);   

DOI  :  10.1186/s12955-019-1217-7

来源: publisher

【 摘 要 】

Background and purposePsychological 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 designCohort study (Diagnostic); Level of evidence, 2.MethodsThis 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.Results222 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 <0.001), VAS-Sports (r = − 0.48, P <0.001), and JACL-25 (r = 0.48, P <0.001). The effect size (ES) was small with the Cohen’s d = − 0.2. The minimal important difference (MID) was − 1.3 points. No significant TSK-J score change was observed over 1-year after ACL reconstruction (r = − 0.12, P <0.001). There were no floor or ceiling effects.ConclusionsOur study demonstrated that the Japanese version of TSK has good reliability. However, its low validity and responsiveness indicate that it may not the best way to assess psychological factors for patients with ACL injury.

【 授权许可】

CC BY