• Title/Summary/Keyword: Tampa scale

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Reliability of the Korean Version of Tampa Scale for Kinesiophobia for Temporomandibular Disorders

  • Park, In Hee;Jang, Ji Hee;Chung, Jin Woo
    • Journal of Oral Medicine and Pain
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    • v.43 no.2
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    • pp.34-40
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    • 2018
  • Purpose: The aim of this study was to translate the original English version of tampa scale for kinesiophobia for temporomandibular disorders (TSK-TMDs) for cultural equivalency into Korean language and to evaluate the reliability of the Korean version of the TSK-TMD among symptom free subjects. Methods: The original version of TSK-TMD was translated and cross-culturally adapted following international guidelines. A total 90 subjects (50 women, 40 men) were participated to fill out the questionnaire. The internal consistency and test-retest reliability with a one- or two-week time interval were evaluated. Results: The internal consistency of TSK-TMD of the original and the modified 12-item TSK-TMD were 0.866, and 0.858, respectively using the Cronbach's alpha coefficient. And the internal consistency of activity avoidance (AA) and somatic focus (SF) subscale were 0.838 and 0.807 assessed with Cronbach's alpha indicating excellent reliability. Test-retest reliability of the original TSK-TMD measured by the intra-class correlation coefficient (ICC) was 0.764, and coefficients value of the 12-question TSK-TMD was 0.752. Test-retest reliability of AA subscale was 0.722 and SF subscale was 0.677 measured by ICC. Conclusions: The Korean version of the TSK-TMD questionnaire was found to be a reliable instrument and successfully translated to Korean language. There are no significant differences between overall and modified version of TSK-TMD. It can be used as a valuable instrument for the analyses of the psychosocial aspects of the TMD patients in Korea.

Combining Bias-correction on Regional Climate Simulations and ENSO Signal for Water Management: Case Study for Tampa Bay, Florida, U.S. (ENSO 패턴에 대한 MM5 강수 모의 결과의 유역단위 성능 평가: 플로리다 템파 지역을 중심으로)

  • Hwang, Syewoon;Hernandez, Jose
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.14 no.4
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    • pp.143-154
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    • 2012
  • As demand of water resources and attentions to changes in climate (e.g., due to ENSO) increase, long/short term prediction of precipitation is getting necessary in water planning. This research evaluated the ability of MM5 to predict precipitation in the Tampa Bay region over 23 year period from 1986 to 2008. Additionally MM5 results were statistically bias-corrected using observation data at 33 stations over the study area using CDF-mapping approach and evaluated comparing to raw results for each ENSO phase (i.e., El Ni$\tilde{n}$o and La Ni$\tilde{n}$a). The bias-corrected model results accurately reproduced the monthly mean point precipitation values. Areal average daily/monthly precipitation predictions estimated using block-kriging algorithm showed fairly high accuracy with mean error of daily precipitation, 0.8 mm and mean error of monthly precipitation, 7.1 mm. The results evaluated according to ENSO phase showed that the accuracy in model output varies with the seasons and ENSO phases. Reasons for low predictions skills and alternatives for simulation improvement are discussed. A comprehensive evaluation including sensitivity to physics schemes, boundary conditions reanalysis products and updating land use maps is suggested to enhance model performance. We believe that the outcome of this research guides to a better implementation of regional climate modeling tools in water management at regional/seasonal scale.

The association between pain, balance, fall, and disability in patients with lumbar spinal stenosis with vascular claudication

  • Gunes, Musa;Ozmen, Tarik;Guler, Tugba Morali
    • The Korean Journal of Pain
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    • v.34 no.4
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    • pp.471-478
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    • 2021
  • Background: The effect of lumbar spinal stenosis (LSS) and peripheral vascular disease (PVD), which occurs with similar degenerative conditions, when seen together, has not been studied. The aim of this study is to examine and compare the relationship between pain, balance, disability, fear of falling, and kinesiophobia in LSS patients with intermittent vascular claudication (IVC). Methods: Seventy-two patients diagnosed with LSS using magnetic resonance imaging participated in this study. Thirty-five patients with IVC symptoms and showing vascular lesions by lower extremity venous and arterial Doppler ultrasonography imaging were included in the IVC-LSS group. The pain, static balance, dynamic balance, disability, fear of falling, and kinesiophobia were evaluated using the numeric rating scale, single leg stance test, Time Up and Go (TUG), the Oswestry Disability Index (ODI), Fall Efficacy Scale-International (FES-I), and Tampa Scale for Kinesiophobia (TSK), respectively. Results: Age and female sex were found to be higher in the IVC-LSS group (P = 0.024; P = 0.012). The IVC-LSS group had a shorter single leg stance time and TUG test duration, pain intensity, ODI, FES-I, and TSK scores were higher than patients with LSS (P = 0.001). Pain, fear of falling, and kinesiophobia were moderately correlated with disability in the IVC-LSS group. No relationship was found between pain and dynamic balance. Also, the pain was not related to kinesiophobia. Conclusions: The findings indicated that IVC causes loss of balance and an increase in pain, disability, fear of falling, and kinesophobia in patients with LSS.

Risk Factors of the Masticatory Function in Patients with Temporomandibular Disorders: A Cross-Sectional Cohort Study

  • Kim, Keon-Hyung;Park, Jo-Eun;Kim, Mee-Eun;Kim, Hye-Kyoung
    • Journal of Oral Medicine and Pain
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    • v.44 no.3
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    • pp.92-102
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    • 2019
  • Purpose: To investigate the masticatory function of patients with different temporomandibular disorders (TMD) phenotypes, and to explore the risk factors for the masticatory function of TMD patients among multiple biopsychosocial variables using patient-reported outcomes (PROs). Methods: Clinical features and TMD diagnoses of 250 cases were investigated by reviewing medical records. Psychosocial factors were evaluated using four questionnaires representing pain severity and pain interference (Brief Pain Inventory), pain catastrophizing (Pain Catastrophizing Scale, PCS), psychological distress (Symptom Check List-90-Revised, SCL-90R) and kinesiophobia (Tampa Scale for Kinesiophobia for Temporomandibular Disorders, TSK-TMD). Masticatory function, as a dependent variable, was determined using the Jaw Functional Limitation Scale (JFLS). Kruskal-Wallis test and Spearman's rank correlation were used for analyses. Results: A total of 145 cases were included and classified into four subgroups including group 1: TMD with internal derangement without pain (n=14), group 2: TMD with muscle pain (n=32), group 3: TMD with joint pain (n=60) and group 4: TMD with muscle-joint combined pain (n=39). Pain severity (p=0.001) and interference (p=0.022) were the highest in group 2, but the mean global score of JFLS was the highest in group 3, followed by group 4, group 2, and group 1 (p=0.013). Pain severity, pain interference, the mean global score of PCS and the mean global score of TSK-TMD showed significant and moderate correlation with the mean global score of JFLS. All subdimensions and the global severity index of SCL-90R had significant, but weak correlations with all scores of JFLS. Conclusions: The results suggest that masticatory functional limitation depends on the TMD phenotypes. Among the various PROs, pain perception, pain catastrophizing and kinesiophobia seem to be more influential risk factors on jaw function than psychological distress, such as depression and anxiety.

Convergence Study on the Relationship between Kinesiophobia and Fear of Falling in Patients with Stroke (뇌졸중 환자의 운동공포증과 낙상공포 사이의 관계에 대한 융합 연구)

  • Jo, Sungbae;Choi, Wonjae;Jung, Jihye;Park, Jiyu;Lee, Seungwon
    • Journal of the Korea Convergence Society
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    • v.10 no.10
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    • pp.33-41
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    • 2019
  • This study aimed to investigate the convergence relationship between kinesiophobia and fear of falling in patients with stroke. A total of 113 patients with stroke participated in this study. Participants underwent inpatient rehabilitation and completed surveys with three different questionnaires including the fall efficacy scale (FES), translated Tampa Scale for Kinesiophobia 13 (TSK-13), and activity-specific balance confidence scale (ABC). TSK-13 and FES showed weak negative correlation (r=-0.226), and TSK-13 and ABC showed moderate negative correlation (r=-0.300). FES had a very strong positive relationship compared with ABC (r=0.838). Faller showed significantly low FES and ABC scores compared with non-faller (p<0.05). These results present that patients with stroke had mild kinesiophobia, and kinesiophobia is related to fear of falling. It is necessary to evaluate kinesiophobia in stroke rehabilitation.

An investigation of the relationship between cutaneous allodynia and kinesiophobia, gastrointestinal system symptom severity, physical activity and disability in individuals with migraine

  • Hafize Altay;Seyda Toprak Celenay
    • The Korean Journal of Pain
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    • v.36 no.1
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    • pp.137-246
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    • 2023
  • Background: To investigate the relationship between cutaneous allodynia (CA) and kinesiophobia, gastrointestinal system (GIS) symptom severity, physical activity, and disability, and to determine whether CA, pain, and disability were influencing factors for kinesiophobia, GIS symptoms, and physical activity in individuals with migraine. Methods: The study included 144 individuals with migraine. CA, kinesiophobia, GIS symptoms, physical activity level, and migraine-related disability were evaluated with the Allodynia Symptom Checklist, the Tampa Kinesiophobia Scale (TKS), the Gastrointestinal Symptom Rating Scale (GSRS), the International Physical Activity Questionnaire-7, and the Migraine Disability Assessment Scale (MIDAS), respectively. Results: The CA severity was only associated with TKS (r = 0.515; P < 0.001), GSRS-total (r = 0.336; P < 0.001), GSRS-abdominal pain (r = 0.323; P < 0.001), GSRS-indigestion (r = 0.257; P = 0.002), GSRS-constipation (r = 0.371; P < 0.001), and MIDAS scores (r = 0.178; P = 0.033). Attack frequency (P = 0.015), attack duration (P = 0.035) and presence of CA (P < 0.001) were risk factors for kinesiophobia. Attack frequency (P = 0.027) and presence of CA (P = 0.004) were risk factors for GIS symptoms. Conclusions: There was a relationship between the CA and kinesiophobia, GIS symptoms, and disability. CA and attack frequency were found to be risk factors for kinesiophobia and GIS symptoms. Migraine patients with CA should be assessed in terms of kinesiophobia, GIS, and disability. Lifestyle changes such as exercise and dietary changes and/or pharmacological treatment options for CA may increase success in migraine management.

The Effect of Combined Functional Intervention Program on Changes in Pain and Contractile Properties in Prime-aged Females with Non-specific Chronic Low Back Pain (복합 기능 운동 중재 프로그램이 비특이적 만성요통 장년 여성의 통증 변화 및 수축 특성 변화에 미치는 효과)

  • Hyungwoo Lee;Seungwon Lee;Kyoungkyu Jeon
    • Korean Journal of Applied Biomechanics
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    • v.33 no.2
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    • pp.52-61
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    • 2023
  • Objective: This study aimed to investigate the effect of a combined functional intervention program on the pain-related questionnaire, the erector spinae contractile properties, and trunk extensor strength of prime-aged females with non-specific chronic low back pain. Method: 16 (female: 16) prime-aged subjects (age: 60.88 ± 6.09 years, height: 158.16 ± 5.58 cm, weight: 59.05 ± 9.44 kg) participated in this study. Results: Except for Tampa Scale of Kinesiophobia all pain-related questionnaires revealed a significant decrease after the intervention program (p<.001). Tensiomyography of the erector spinae revealed a significant post-intervention program increase in the maximum radial displacement (p<.05) and velocity of contraction (p<.05), however, there wasn't a significant post-intervention program change in the contraction time. Additionally, Trunk extensor strength showed a significant increase post-intervention program (p<.001). Conclusion: Our results indicated that the combined functional intervention program positively changed pain-related questionnaires and reduced erector spinae muscle stiffness, increasing the velocity of erector spinae contraction. Additionally, improved the trunk extensor strength.

Regression Analysis of the Relationship Among the Level of Pain and Dysfunction and Psychosocial Factors in Patients With Chronic Back Pain (회귀분석을 이용한 만성요통환자의 통증 및 기능장애수준과 심리사회학적 요인의 상관성 연구)

  • Choi, Im-soon;Jang, Hyun-jeong;Kim, Suhn-yeop
    • Physical Therapy Korea
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    • v.23 no.1
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    • pp.38-45
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    • 2016
  • Background: Chronic back pain shows a high correlation with lumbar disability, physical disability for daily activities, and psychosocial factors, such as depression. Object: The purpose of this study was to examine the correlation of the level of pain and disability with psychosocial factors, which are potential disturbance variables, in patients with chronic lumbar pain. Method: The sample included 258 patients, who had complained of chronic lumbar pain for more than three months. The Quadruple Visual Analogue Scale was used to measure the level of pain, and a Korean version of Oswestry Disability Index was used to measure the level of disability. Psychosocial factors were measured using the Tampa scale for Kinesiophobia-11, Fear Avoidance Beliefs Questionnaire, and Pain Self-Efficacy Questionnaire. The collected data was analyzed using PASW 18.0, and an independent samples t-test was used to examine frequency, percentage, mean, and standard deviation of sociodemographic characteristics and major variables. Pearson's correlation coefficient was used to investigate the correlation between the level of pain and disability and psychosocial factors. Stepwise multiple regression analysis was done to determine the level of pain and psychosocial factors of functional disorder. The significance level was set at ${\alpha}=.05$. Result: There is a strong correlation between the level of pain and functional disorder and psychosocial factors in patients with chronic lumbar pain. The study also revealed that as the levels of pain and fear avoidance increase, pain self-efficacy decreases. Conclusion: The results suggest that negative perceptions towards pain, limitations of physical movement, and severe fear avoidance directly affect the decrease in pain self-efficacy. Therefore, it is recommended to test pain self-efficacy when measuring the level of pain and disability in patients with chronic low back pain.

Cross-cultural adaptation and validation of the Turkish Yellow Flag Questionnaire in patients with chronic musculoskeletal pain

  • Koc, Meltem;Bazancir, Zilan;Apaydin, Hakan;Talu, Burcu;Bayar, Kilichan
    • The Korean Journal of Pain
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    • v.34 no.4
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    • pp.501-508
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    • 2021
  • Background: Yellow flags are psychosocial factors shown to be indicative of long-term chronicity and disability. The purpose of the study was to evaluate the psychometric properties of the Turkish Yellow Flag Questionnaire (YFQ) in patients with chronic musculoskeletal pain (CMP). Methods: The cross-cultural adaptation was conducted with translation and back-translation of the original version. Reliability (internal consistency and test-retest) was examined for 231 patients with CMP. Construct validity was assessed by correlating the YFQ with the Hospital Anxiety and Depression Scale (HADS), Orebro Musculoskeletal Pain Questionnaire (OMPQ), and Tampa Kinesiophobia Scale (TKS). Factorial validity was examined with both exploratory and confirmatory factorial analysis. Results: The YFQ showed excellent test/retest reliability with an Intraclass correlation coefficient of 0.82. The internal consistency was moderate (Cronbach's alpha of 0.797). As a result of the exploratory factor analysis, there were 7 domains compatible with the original version. As a result of confirmatory factor analysis, the seven-factor structure of YFQ was confirmed. There was a statistically significant correlation between YFQ-total score and OMPQ (r = 0.57, P < 0.001), HADS-anxiety (r = 0.32, P < 0.001), HADS-depression (r = 0.44, P < 0.001), and TKS (r = 0.37, P < 0.001). Conclusions: This study's results provide considerable evidence that the Turkish version of the YFQ has appropriate psychometric properties, including test-retest reliability, internal consistency, construct validity and factorial validity. It can be used for evaluating psychosocial impact in patients with CMP.

Effects of Multimodal vs. Stabilization Exercises on Pain Intensity, Disability, and Pain-induced Fear in People with Chronic Low Back Pain: A Randomized Controlled Trial (만성요통 대상자의 통증 강도, 장애, 통증 관련 두려움에 대한 복합운동과 안정화운동의 효과 비교: 무작위 대조시험)

  • Won, Jong-Im
    • PNF and Movement
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    • v.20 no.2
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    • pp.203-214
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    • 2022
  • Purpose: We investigated the effects of multimodal vs. stabilization exercises on chronic low back pain. Methods: Study participants were randomly assigned to a multimodal exercise (n = 20) or a stabilization exercise group (n = 20). Participants in the multimodal exercise group performed stabilization, stretching, and endurance exercises, whereas those in the stabilization exercise group performed only stabilization exercises. Participants in both groups performed the exercises for 1 hour thrice a week for 5 weeks. The following outcomes were evaluated: pain intensity (numeric rating scale), disability (the Oswestry Disability Index [ODI] and the Roland-Morris Disability Questionnaire [RMDQ]), pain-induced fear (the Fear of Daily Activities Questionnaire [FDAQ], the Fear-Avoidance Belief Questionnaire [FABQ], and the Tampa scale for kinesiophobia-11 [TSK-11]). Outcome measures were evaluated at baseline and after intervention. Results: Significant post-intervention improvement was observed in pain intensity and the RMDQ and FDAQ scores in both groups (p < 0.01). The post-intervention ODI, FABQ, and TSK-11 scores were improved in the multimodal exercise group (p < 0.01). Additionally, significant differences were observed in pain intensity, as well as in the ODI, FDAQ, and FABQ scores in the multimodal exercise group compared with these findings in the stabilization exercise group (p < 0.01). Conclusion: The multimodal and stabilization exercise programs reduced pain intensity, disability, and pain-induced fear. Compared with stabilization exercises, multimodal exercises more effectively reduced pain intensity, disability, and pain-induced fear. This study highlights that musculoskeletal rehabilitation for people with chronic low back pain should include a multimodal exercise program.