PMID- 20705501 OWN - NLM STAT- MEDLINE DCOM- 20110505 LR - 20191210 IS - 1532-2769 (Electronic) IS - 1356-689X (Linking) VI - 15 IP - 6 DP - 2010 Dec TI - Fear of movement in pre-operative patients with a lumbar stenosis and or herniated disc: factor structure of the Tampa scale for kinesiophobia. PG - 593-8 LID - 10.1016/j.math.2010.07.002 [doi] AB - The presence of fear of movement is related to higher disability rates in several patient groups. The purpose of this study was first to analyze fear of movement and the relation with pain and disability in pre-operative patients with low back pain and radiculopathy and secondly to analyze the factor structure of the Dutch version of the Tampa Scale for Kinesiophobia (TSK). The TSK and Pain Disability Index (PDI) were assessed in 128 patients. An explorative factor analysis (EFA) and a confirmatory factor analysis (CFA) of the TSK were performed using Structural Equation Models (SEMs). Fear of movement was significantly related to leg-pain and pain disability. A four-factor model had an explained variance of 49%. After further analyses a solution with three factors (harm, somatic focus, activity avoidance) and nine items (1, 3, 6, 7, 9, 11, 14, 15, 17) had the best fit. Based on the content of this study clinically a factor structure with three subscales with nine items is favorable for usage in pre-operative patients with low back pain and radiculopathy. CI - Copyright (c) 2010 Elsevier Ltd. All rights reserved. FAU - van Wilgen, C Paul AU - van Wilgen CP AD - Department of Anesthesiology, University Medical Center Groningen, Pain Centre, University of Groningen, The Netherlands. c.p.van.wilgen@sport.umcg.nl FAU - Stewart, Roy AU - Stewart R FAU - Patrick Stegeman, P T AU - Patrick Stegeman PT FAU - Coppes, Maarten AU - Coppes M FAU - van Wijhe, Marten AU - van Wijhe M LA - eng PT - Evaluation Study PT - Journal Article DEP - 20100811 PL - Scotland TA - Man Ther JT - Manual therapy JID - 9610924 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Fear/*psychology MH - Female MH - Humans MH - Intervertebral Disc Displacement/*psychology/surgery MH - Male MH - Middle Aged MH - Models, Psychological MH - *Movement MH - Pain Measurement/methods MH - Phobic Disorders/*psychology MH - Preoperative Care/methods MH - *Preoperative Period MH - Psychometrics MH - Reproducibility of Results MH - Sensitivity and Specificity MH - Severity of Illness Index MH - Spinal Stenosis/*psychology/surgery EDAT- 2010/08/14 06:00 MHDA- 2011/05/06 06:00 CRDT- 2010/08/14 06:00 PHST- 2010/01/28 00:00 [received] PHST- 2010/06/29 00:00 [revised] PHST- 2010/07/06 00:00 [accepted] PHST- 2010/08/14 06:00 [entrez] PHST- 2010/08/14 06:00 [pubmed] PHST- 2011/05/06 06:00 [medline] AID - S1356-689X(10)00118-9 [pii] AID - 10.1016/j.math.2010.07.002 [doi] PST - ppublish SO - Man Ther. 2010 Dec;15(6):593-8. doi: 10.1016/j.math.2010.07.002. Epub 2010 Aug 11.