Article

OBJECTIVE: To compare the factor structure of 6 short forms of the Tampa Scale
for Kinesiophobia (TSK) by means of confirmatory factor analysis in patients
after spinal surgery for degenerative conditions. DESIGN: A cross-sectional
survey study. SETTING: University-based surgical clinic. PARTICIPANTS: Adults
(N=137) treated by spinal surgery for a degenerative condition (ie, spinal
stenosis, spondylosis with or without myelopathy, and spondylolisthesis).
INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE: Patients completed the TSK
within 3 months of hospital discharge. RESULTS: Confirmatory factor analysis
demonstrated that the 2-factor models of the TSK-13 and TSK-11 had a reasonable
fit for the data, with internal consistency values >.70.
A 1-factor TSK-4 (items
3, 6, 7, and 11) demonstrated an excellent fit for the data, but an adequate
internal consistency was not maintained. A poor fit was noted for the 1-factor
models of the TSK-13 and TSK-11, and a 4-item TSK (items 1, 2, 9, and 11).
CONCLUSIONS: The current study provides further evidence that specific short-form
versions of the TSK may be useful for assessing fear of movement in surgical
populations. Results support the measurement of fear of movement using the
2-factor, 13- and 11-item versions of the TSK in patients after spinal surgery. A
TSK-4 (items 3, 6, 7, and 11) offers a promising alternative to the TSK-13 and
TSK-11. However, further research is needed to test the validity and reliability
of the TSK-4 in patients undergoing spinal surgery in order to support its use in
a clinical environment. Researchers and clinicians interested in a shorter
measure of fear of movement should consider using the
TSK-11.
CI - Copyright (c) 2012 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS