Original articlePsychometric Properties of the Fear-Avoidance Beliefs Questionnaire and Tampa Scale of Kinesiophobia in Patients With Shoulder Pain
Section snippets
Subjects
Subjects included in this preplanned secondary analysis were consecutive patients with a primary report of mechanical shoulder pain referred to physical therapy at 1 of 7 outpatient physical therapy clinics who agreed to participate in a prospective single-group cohort trial.58 The specific aim of this trial was to investigate the effects of cervicothoracic manipulation on patients with shoulder pain, with a secondary aim of investigating the presence of fear-avoidance beliefs in this
Results
Eighty consecutive patients with shoulder pain were enrolled in the study. PCA for the FABQ identified a 4-factor solution with a cumulative response variance of 73.5% (table 1). Eigenvalues of the individual factors were 5.8 (36.0% variance), 2.5 (15.9%), 2.2 (13.5%), and 1.3 (8.1%), respectively. Items loading less than .50 were not retained on the individual factors, so item loading ranged from .52 to .90 after orthogonal rotation with 2 items cross-loaded (2 and 12). In the exploratory
Discussion
Current evidence demonstrates that a large percentage of patients with shoulder pain will progress to chronicity, and this group will be responsible for a significant proportion of the health care costs for this condition.79, 80, 81 Fear-avoidance behaviors have been identified as contributing to the development of chronic symptoms in patients with musculoskeletal disorders.18, 19, 32, 33, 82, 83, 84 Pain-related fear plays a role in shoulder disability.30, 34, 38, 39, 40, 56 We believe that
Conclusions
The results of the current study support the measurement of pain-related fear in shoulder pain using a modified FABQ over the TSK-11. We presented shoulder-specific factor solutions and scoring of these measures. Our findings provide additional evidence that pain-related fear should be considered when assessing patients with shoulder pain. Although definitive conclusions cannot be made from these data, FABQ demonstrated an association with shoulder pain and disability in comparison with the
Acknowledgments
We thank Kristin Carpenter, PT, DPT, Melanie Bieniek, PT, DPT, Scott Burns, PT, DPT, Mike Keirns, PT, PhD, Amy Garrigues, PT, DPT, Paul Glynn, PT, DPT, John Groves, PT, DPT, Tim Mondale, PT, DPT, and Emilio “Louie” Puentedura, PT, DPT, for their assistance with data collection.
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2022, FootCitation Excerpt :Therefore, clinicians and researchers can continue to utilize the ankle-specific FABQ in both clinical and research settings involving the CAI population. In addition to our psychometric exploration for an ankle-specific version of the FABQ, previous research has also modified the instrument for populations with musculoskeletal health conditions of the shoulder [25,26] and knee [17]. Mintken et al. [25] examined the psychometric properties of the FABQ after modification for patients with shoulder pain.
Supported by the American Academy of Orthopaedic Manual Physical Therapists and Cardon Rehabilitation (grant no. _____).
This study is registered at www.clinicaltrials.gov: Identifier: NCT00835302.
No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.
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