Translation and Validation of Tampa Scale for Kinesiophobia in Urdu Language for Patients with Chronic Low Back Pain
DOI:
https://doi.org/10.61919/jhrr.v3i2.87Keywords:
Chronic low back pain, Kinesiophobia, Urdu Translation, Validity, Validation, Cross-Cultural AdaptationAbstract
Background: Chronic Low Back Pain (CLBP) significantly impacts patients' quality of life and is often associated with kinesiophobia, the fear of movement due to pain. The Tampa Scale for Kinesiophobia (TSK) is a recognized tool for assessing this condition, but there is a need for a version tailored to Urdu-speaking populations.
Objective: This study aimed to translate and validate the TSK into Urdu for patients with CLBP, ensuring its reliability and cultural relevance in the Pakistani context.
Methods: This descriptive cross-cultural linguistic validation study followed Bombardier, Beaton, and Guillemin’s guidelines. The TSK underwent forward and backward translation by two independent translators, a professor of Urdu literature and a medical professional. A final version was created and reviewed by bilingual experts, then validated by a panel of 20 physical therapists. This validated version was tested on 150 patients to determine the reliability of the Urdu version of the instrument.
Results: The Urdu version of the TSK achieved a Cronbach’s alpha of 0.986 post-translation and 0.817 after testing with the target population. The inter-item correlation varied between 0.443 to 0.987. The intra-class correlation coefficient, indicating test-retest reliability, ranged from 0.1 to 0.8, demonstrating high reliability.
Conclusion: The Urdu version of the TSK is a valid and reliable tool for assessing kinesiophobia in patients with CLBP. It exhibits good construct validity, high internal consistency, as well as good test-retest reliability and low to moderate responsiveness.
Downloads
References
Urits I, Burshtein A, Sharma M, Testa L, Gold PA, Orhurhu V, et al. Low back pain, a comprehensive review: pathophysiology, diagnosis, and treatment. Current pain and headache reports. 2019;23(3):1-10.
Frymoyer J, Pope M, Clements JH, Wilder DG, MacPherson B, Ashikaga T. Risk factors in low-back pain. An epidemiological survey. JBJS. 1983;65(2):213-8.
Stevans JM, Delitto A, Khoja SS, Patterson CG, Smith CN, Schneider MJ, et al. Risk factors associated with transition from acute to chronic low back pain in US patients seeking primary care. JAMA network open. 2021;4(2):e2037371-e.
Meucci RD, Fassa AG, Faria NMX. Prevalence of chronic low back pain: systematic review. Revista de saude publica. 2015;49:73.
Hudes K. The Tampa Scale of Kinesiophobia and neck pain, disability and range of motion: a narrative review of the literature. The Journal of the Canadian Chiropractic Association. 2011;55(3):222.
He S, Wang J, Ji P. Validation of the Tampa Scale for Kinesiophobia for Temporomandibular Disorders (TSK-TMD) in patients with painful TMD. The journal of headache and pain. 2016;17(1):1-5.
Weermeijer JD, Meulders A. Clinimetrics: Tampa scale for kinesiophobia. Journal of physiotherapy. 2018;64(2).
Rogers AH, Farris SG. A meta‐analysis of the associations of elements of the fear‐avoidance model of chronic pain with negative affect, depression, anxiety, pain‐related disability and pain intensity. European Journal of Pain. 2022;26(8):1611-35.
Gregg CD, McIntosh G, Hall H, Watson H, Williams D, Hoffman CW. The relationship between the Tampa Scale of Kinesiophobia and low back pain rehabilitation outcomes. The Spine Journal. 2015;15(12):2466-71.
Paolucci T, Attanasi C, Cecchini W, Marazzi A, Capobianco SV, Santilli V. Chronic low back pain and postural rehabilitation exercise: a literature review. Journal of pain research. 2018:95-107.
Huang H, Nagao M, Arita H, Shiozawa J, Nishio H, Kobayashi Y, et al. Reproducibility, responsiveness and validation of the Tampa Scale for Kinesiophobia in patients with ACL injuries. Health and quality of life outcomes. 2019;17(1):1-8.
Gómez-Pérez L, López-Martínez AE, Ruiz-Párraga GT. Psychometric properties of the Spanish version of the Tampa Scale for Kinesiophobia (TSK). The journal of Pain. 2011;12(4):425-35.
Cordeiro N, Pezarat-Correia P, Gil J, Cabri J. Portuguese language version of the Tampa Scale for Kinesiophobia [13 items]. Journal of Musculoskeletal Pain. 2013;21(1):58-63.
Monticone M, Ambrosini E, Rocca B, Foti C, Ferrante S. Responsiveness of the Tampa Scale of Kinesiophobia in Italian subjects with chronic low back pain undergoing motor and cognitive rehabilitation. European Spine Journal. 2016;25(9):2882-8.
Kikuchi N, Matsudaira K, Sawada T, Oka H. Psychometric properties of the Japanese version of the Tampa Scale for Kinesiophobia (TSK-J) in patients with whiplash neck injury pain and/or low back pain. Journal of orthopaedic science. 2015;20(6):985-92.
Monticone M, Ferrante S, Ambrosini E, Rocca B, Secci C, Foti C. Development of the Tampa Scale of Kinesiophobia for Parkinson’s disease: Confirmatory factor analysis, reliability, validity and sensitivity to change. International journal of rehabilitation research. 2015;38(2):113-20.
Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25(24):3186-91.
Arifin WN. Sample size for questionnaire validation studies.
French DJ, France CR, Vigneau F, French JA, Evans RT. Fear of movement/(re) injury in chronic pain: a psychometric assessment of the original English version of the Tampa scale for kinesiophobia (TSK). Pain. 2007;127(1-2):42-51
Abedi M, Okhovatian F, Meymeh MH, Daryabor A, Baghban AA. Reliability and Validity of the Tampa Scale of Kinesiophobia Questionnaire in Individuals with Non-specific Low Back Pain. Middle East Journal of Rehabilitation and Health Studies. 2021;8(4).
La Touche R, Pardo-Montero J, Cuenca-Martínez F, Visscher CM, Paris-Alemany A, López-de-Uralde-Villanueva I. Cross-cultural adaptation and psychometric properties of the Spanish version of the Tampa Scale for Kinesiophobia for temporomandibular disorders. Journal of Clinical Medicine. 2020;9(9):2831.
Kikuchi N, Matsudaira K, Sawada T, Oka H. Psychometric properties of the Japanese version of the Tampa Scale for Kinesiophobia (TSK-J) in patients with whiplash neck injury pain and/or low back pain. Journal of orthopaedic science. 2015;20:985-92.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Aniqa Tarar, Somia Faisal, Muhammad Usman Zia, Khadija Sharif, Fatima Saqib, Zainab Hassan, Syed Ali Hussain
This work is licensed under a Creative Commons Attribution 4.0 International License.