Cross-Cultural Adaptation and Psychometric Properties of the Spanish Version of the Tampa Scale for Kinesiophobia for Temporomandibular Disorders

Roy La Touche, Joaquín Pardo-Montero, Ferran Cuenca-Martínez, Corine M Visscher, Alba Paris-Alemany, Ibai López-de-Uralde-Villanueva, Roy La Touche, Joaquín Pardo-Montero, Ferran Cuenca-Martínez, Corine M Visscher, Alba Paris-Alemany, Ibai López-de-Uralde-Villanueva

Abstract

The aim was to perform a translation, cross-cultural adaptation, and psychometric evaluation of the Spanish version of the Tampa Scale of Kinesiophobia for Temporomandibular Disorders (TSK-TMD-S). The study sample included 110 patients with TMD. We translated and cross-culturally adapted the TSK-TMD-S using standard methodology and analysed its internal consistency, test-retest reliability, construct validity, floor and ceiling effects, and discriminant validity. Confirmatory factor analysis extracted two factors and 10 items deemed essential for the scale. The TSK-TMD-S demonstrated good internal consistency (Cronbach's α of 0.843, 0.938, and 0.885 for the entire scale, activity avoidance subscale, and somatic focus subscale, respectively; intraclass correlation coefficient, 0.81-0.9). No floor or ceiling effects were identified for this final version of the scale. The TSK-TMD-S total score showed moderate positive correlation with the craniofacial pain and disability inventory, visual analogue scale, general TSK and pain catastrophizing scale, and a moderate negative correlation with maximal mouth-opening. The receiver operating characteristic curve analysis showed that the subclassification employed for the TSK-TMD-S discriminates different kinesiophobia levels with a diagnostic accuracy between sufficient and good. The optimal cut-off point for considering kinesiophobia is 23 points. TSK-TMD-S appears to be a valid and reliable instrument for measuring kinesiophobia in patients with TMD.

Keywords: fear of movement; kinesiophobia; psychometric properties; temporomandibular disorders.

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure A1
Figure A1
Optimal cut-off point between levels of jaw kinesiophobia. The image shows a ROC (Receiver Operating Characteristic) curve that represents the sensitivity of a diagnostic test that produces continuous results, depending on false positives (complementary to specificity), for different cut-off points (image on the left), the image where the cut-off point at which the highest sensitivity and specificity is achieved (image in the middle) and finally, a subclinical and mild sample distribution graph (image on the right).
Figure A2
Figure A2
Optimal cut-off point between levels of jaw kinesiophobia. The image shows a ROC (Receiver Operating Characteristic) curve that represents the sensitivity of a diagnostic test that produces continuous results, depending on false positives (complementary to specificity), for different cut-off points (image on the left), the image where the cut-off point at which the highest sensitivity and specificity is achieved (image in the middle) and finally, a mild and moderate sample distribution graph (image on the right).
Figure A3
Figure A3
Optimal cut-off point between levels of jaw kinesiophobia. The image shows a ROC (Receiver Operating Characteristic) curve that represents the sensitivity of a diagnostic test that produces continuous results, depending on false positives (complementary to specificity), for different cut-off points (image on the left), the image where the cut-off point at which the highest sensitivity and specificity is achieved (image in the middle) and finally, a moderate and severe sample distribution graph (image on the right).
Figure 1
Figure 1
Structural equation modelling for the final Spanish version of the TSK-TMD.

References

    1. McNeill C., Mohl N.D., Rugh J.D., Tanaka T.T. Temporomandibular Disorders: Diagnosis, Management, Education, and Research. J. Am. Dent. Assoc. 1990;120:253–263. doi: 10.14219/jada.archive.1990.0049.
    1. Fricton J. Temporomandibular disorders: A human systems approach. J. Calif. Dent. Assoc. 2014;42:523–533.
    1. Slade G., Bair E., Greenspan J.D., Dubner R., Fillingim R.B., Diatchenko L., Maixner W., Knott C., Ohrbach R., Dubner R. Signs and Symptoms of First-Onset TMD and Sociodemographic Predictors of Its Development: The OPPERA Prospective Cohort Study. J. Pain. 2013;14:T20–T32. doi: 10.1016/j.jpain.2013.07.014.
    1. Schiffman E., Ohrbach R., Truelove E., Look J., Anderson G., Goulet J.-P., List T., Svensson P., Gonzalez Y., Lobbezoo F., et al. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: Recommendations of the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Group. J. Oral Facial Pain Headache. 2014;28:6–27. doi: 10.11607/jop.1151.
    1. Schiffman E., Ohrbach R., List T., Anderson G., Jensen R., John M.T., Nixdorf D.R., Goulet J.-P., Kang W., Truelove E., et al. Diagnostic criteria for headache attributed to temporomandibular disorders. Cephalalgia. 2012;32:683–692. doi: 10.1177/0333102412446312.
    1. Fillingim R.B., Ohrbach R., Greenspan J.D., Knott C., Diatchenko L., Dubner R., Bair E., Baraian C., Mack N., Slade G.D., et al. Psychological Factors Associated With Development of TMD: The OPPERA Prospective Cohort Study. J. Pain. 2013;14:T75–T90. doi: 10.1016/j.jpain.2013.06.009.
    1. Dworkin S.F., LeResche L. Research diagnostic criteria for temporomandibular disorders: Review, criteria, examinations and specifications, critique. J. Craniomandib. Disord. Facial Oral Pain. 1992;6:301–355.
    1. Knapik A., Saulicz E., Gnat R. Kinesiophobia-Introducing a New Diagnostic Tool. J. Hum. Kinet. 2011;28:25–31. doi: 10.2478/v10078-011-0019-8.
    1. Staddon J.E.R., Cerutti D.T. Operant conditioning. Annu. Rev. Psychol. 2008;3:2318. doi: 10.4249/scholarpedia.2318.
    1. Tkachuk G.A., Harris C.A. Psychometric Properties of the Tampa Scale for Kinesiophobia-11 (TSK-11) J. Pain. 2012;13:970–977. doi: 10.1016/j.jpain.2012.07.001.
    1. Gómez-Pérez L., López-Martínez A.E., Ruíz-Párraga G.T. Psychometric Properties of the Spanish Version of the Tampa Scale for Kinesiophobia (TSK) J. Pain. 2011;12:425–435. doi: 10.1016/j.jpain.2010.08.004.
    1. Vlaeyen J.W.S., Kole-Snijders A.M., Boeren R.G., Van Eek H. Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance. Pain. 1995;62:363–372. doi: 10.1016/0304-3959(94)00279-N.
    1. Askary-Ashtiani A., Takamjani E.E., Torkaman G., Amiri M., Mousavi S.J. Reliability and Validity of the Persian Versions of the Fear Avoidance Beliefs Questionnaire and Tampa Scale of Kinesiophobia in Patients With Neck Pain. Spine. 2014;39:E1095–E1102. doi: 10.1097/BRS.0000000000000438.
    1. Wong W.S., Kwok H., Luk K., Chow Y., Mak K., Tam B., Wong E., Fielding R. Fear of movement/(re)injury in Chinese patients with chronic pain: Factorial validity of the Chinese version of the Tampa Scale for Kinesiophobia. J. Rehabil. Med. 2010;42:620–629. doi: 10.2340/16501977-0575.
    1. Bunzli S., Smith A., Watkins R., Schutze R., O’Sullivan P. What Do People Who Score Highly on the Tampa Scale of Kinesiophobia Really Believe? A Mixed Methods Investigation in People With Chronic Nonspecific Low Back Pain. Clin. J. Pain. 2015;31:621–632. doi: 10.1097/AJP.0000000000000143.
    1. Gil-Martínez A., Grande-Alonso M., López-De-Uralde-Villanueva I., López-López A., Fernández-Carnero J., La Touche R. Chronic Temporomandibular Disorders: Disability, pain intensity and fear of movement. J. Headache Pain. 2016;17:1–9. doi: 10.1186/s10194-016-0690-1.
    1. Heuts P.H.T.G., Vlaeyen J.W.S., Roelofs J., De Bie R.A., Aretz K., Van Weel C., Van Schayck O.C. Pain-related fear and daily functioning in patients with osteoarthritis. Pain. 2004;110:228–235. doi: 10.1016/j.pain.2004.03.035.
    1. Visscher C., Ohrbach R., Van Wijk A.J., Wilkosz M., Naeije M. The Tampa Scale for Kinesiophobia for Temporomandibular Disorders (TSK-TMD) Pain. 2010;150:492–500. doi: 10.1016/j.pain.2010.06.002.
    1. Von Piekartz H., Schwiddessen J., Reineke L., Armijo-Olivio S., Bevilaqua-Grossi D., Biasotto-Gonzalez D.A., Carvalho G., Chaput E., Cox E., Fernández-De-Las-Peñas C., et al. International consensus on the most useful assessments used by physical therapists to evaluate patients with temporomandibular disorders: A Delphi study. J. Oral Rehabil. 2020;47:685–702. doi: 10.1111/joor.12959.
    1. He S., Wang J., Ji P. Validation of the Tampa Scale for Kinesiophobia for Temporomandibular Disorders (TSK-TMD) in patients with painful TMD. J. Headache Pain. 2016;17:109. doi: 10.1186/s10194-016-0706-x.
    1. Park I.H., Jang J.H., Chung J.W. Reliability of the Korean Version of Tampa Scale for Kinesiophobia for Temporomandibular Disorders. J. Oral Med. Pain. 2018;43:34–40.
    1. Wild D.J., Grove A., Martin M., Eremenco S., McElroy S., Verjee-Lorenz A., Erikson P. Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) Measures: Report of the ISPOR Task Force for Translation and Cultural Adaptation. Value Heal. 2005;8:94–104. doi: 10.1111/j.1524-4733.2005.04054.x.
    1. Tabachnick B.G., Fidell L.S. Using Multivariate Statistics. 6th ed. Pearson; Boston, MA, USA: 2013.
    1. Aiken L.R. Three Coefficients for Analyzing the Reliability and Validity of Ratings. Educ. Psychol. Meas. 1985;45:131–142. doi: 10.1177/0013164485451012.
    1. Penfield R.D., Giacobbi J.P.R. Applying a Score Confidence Interval to Aiken’s Item Content-Relevance Index. Meas. Phys. Educ. Exerc. Sci. 2004;8:213–225. doi: 10.1207/s15327841mpee0804_3.
    1. Gorsuch R.L. Factor Analysis. 2nd ed. Lawrence Earlbaum; Hillsdale, NJ, USA: 1983.
    1. Hair J.F., Anderson R.E., Tatham R.L., Black W.C. Análisis Multivariante. Pearson; Madrid, Spain: 2004.
    1. Kline P. An Easy Guide to Factor Analysis. Routledge; London, UK: 1994.
    1. De Winter J., Dodou D., Wieringa P.A. Exploratory Factor Analysis With Small Sample Sizes. Multivar. Behav. Res. 2009;44:147–181. doi: 10.1080/00273170902794206.
    1. Ferguson E., Cox T. Exploratory factor analysis: A users’ guide. Int. J. Sel. Assess. 1993;1:84–94. doi: 10.1111/j.1468-2389.1993.tb00092.x.
    1. Horn J.L. A rationale and test for the number of factors in factor analysis. Psychometrika. 1965;30:179–185. doi: 10.1007/BF02289447.
    1. O’Connor B.P. SPSS and SAS programs for determining the number of components using parallel analysis and Velicer’s MAP test. Behav. Res. Methods Instrum. Comput. 2000;32:396–402. doi: 10.3758/BF03200807.
    1. Costello A.B., Osborne J.W. Best practices in exploratory factor analysis: Four recommendations for getting the most from your analysis. Pract. Assess. Res. Eval. 2005;10:1–9.
    1. Hu L.T., Bentler P.M. Fit indices in covariance structure modeling: Sensitivity to underparameterized model misspecification. Psychol. Methods. 1998;3:424. doi: 10.1037/1082-989X.3.4.424.
    1. Brown T.A. Confirmatory Factor Analysis for Applied Research. 2nd ed. The Guilford Press; New York, NY, USA: 2015. Methodology in the social sciences.
    1. Kline P. The Handbook of Psychological Testing. 2nd ed. Routledge; London, UK: 1999.
    1. Terwee C.B., Bot S.D., De Boer M.R., Van Der Windt D.A., Knol D.L., Dekker J., Bouter L.M., De Vet H.C.W. Quality criteria were proposed for measurement properties of health status questionnaires. J. Clin. Epidemiol. 2007;60:34–42. doi: 10.1016/j.jclinepi.2006.03.012.
    1. Mokkink L.B., Terwee C.B., Patrick D.L., Alonso J., Stratford P.W., Knol D.L., Bouter L., De Vet H.C.W. The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient-reported outcomes. J. Clin. Epidemiol. 2010;63:737–745. doi: 10.1016/j.jclinepi.2010.02.006.
    1. Haley S.M., Fragala-Pinkham M.A. Interpreting Change Scores of Tests and Measures Used in Physical Therapy. Phys. Ther. 2006;86:735–743. doi: 10.1093/ptj/86.5.735.
    1. La Touche R., Pardo-Montero J., Gil-Martínez A., Paris-Alemany A., Angulo-Díaz-Parreño S., Suárez-Falcón J.C., Lara-Lara M., Fernández-Carnero J. Craniofacial pain and disability inventory (CF-PDI): Development and psychometric validation of a new questionnaire. Pain Physician. 2014;17:95–108.
    1. Garcia-Campayo J., Rodero B., Alda M., Sobradiel N., Montero J., Moreno S. Validación de la versión española de la escala de la catastrofización ante el dolor (Pain Catastrophizing Scale) en la fibromialgia. Med. Clin. (Barc) 2008;131:487–492. doi: 10.1157/13127277.
    1. Jensen M.P., Turner J.A., Romano J.M., Fisher L.D. Comparative reliability and validity of chronic pain intensity measures. Pain. 1999;83:157–162. doi: 10.1016/S0304-3959(99)00101-3.
    1. Beltran-Alacreu H., López-De-Uralde-Villanueva I., Paris-Alemany A., Angulo-Diaz-Parreño S., La Touche R. Intra-rater and Inter-rater Reliability of Mandibular Range of Motion Measures Considering a Neutral Craniocervical Position. J. Phys. Ther. Sci. 2014;26:915–920. doi: 10.1589/jpts.26.915.
    1. Šimundić A.-M. Measures of Diagnostic Accuracy: Basic Definitions. EJIFCC. 2009;19:203–211.
    1. Boehning D., Böhning W., Holling H. Revisiting youden’s index as a useful measure of the misclassification error in meta-analysis of diagnostic studies. Stat. Methods Med. Res. 2008;17:543–554. doi: 10.1177/0962280207081867.
    1. Aguiar A.S., Bataglion C., Grossi D.B., Visscher C.M., Chaves T.C. Cross-cultural adaptation, reliability and construct validity of The Tampa Scale for Kinesiophobia for Temporomandibular Disorders (TSK/TMD-Br) into Brazilian Portuguese. J. Oral Rehabil. 2017;44:500–510. doi: 10.1111/joor.12515.
    1. Uritani D., Kawakami T., Okazawa N., Kirita T. Development of the Japanese Version of the Tampa Scale for Kinesiophobia for Temporomandibular Disorders. Jpn. J. Orofac. Pain. 2017;10:1–7.
    1. Izquierdo I., Olea J., Abad F.J. El análisis factorial exploratorio en estudios de validación: Usos y recomendaciones. Psicothema. 2014;26:395–400.
    1. Goubert L., Crombez G., Van Damme S., Vlaeyen J.W.S., Bijttebier P., Roelofs J. Confirmatory Factor Analysis of the Tampa Scale for Kinesiophobia: Invariant Two-Factor Model Across Low Back Pain Patients and Fibromyalgia Patients. Clin. J. Pain. 2004;20:103–110. doi: 10.1097/00002508-200403000-00007.
    1. Roelofs J., Sluiter J.K., Frings-Dresen M.H., Goossens M.E.J.B., Thibault P., Boersma K., Vlaeyen J.W.S. Fear of movement and (re)injury in chronic musculoskeletal pain: Evidence for an invariant two-factor model of the Tampa Scale for Kinesiophobia across pain diagnoses and Dutch, Swedish, and Canadian samples. Pain. 2007;131:181–190. doi: 10.1016/j.pain.2007.01.008.
    1. Nijs J., De Meirleir K., Duquet W. Kinesiophobia in chronic fatigue syndrome: Assessment and associations with disability. Arch. Phys. Med. Rehabil. 2004;85:1586–1592. doi: 10.1016/j.apmr.2003.12.033.
    1. López-De-Uralde-Villanueva I., Beltran-Alacreu H., Paris-Alemany A., Angulo-Díaz-Parreño S., La Touche R. Relationships between craniocervical posture and pain-related disability in patients with cervico-craniofacial pain. J. Pain Res. 2015;8:449–458.
    1. Roelofs J., Goubert L., Peters M.L., Vlaeyen J.W.S., Crombez G. The Tampa Scale for Kinesiophobia: Further examination of psychometric properties in patients with chronic low back pain and fibromyalgia. Eur. J. Pain. 2004;8:495–502. doi: 10.1016/j.ejpain.2003.11.016.
    1. Houben R.M., Leeuw M., Vlaeyen J.W.S., Goubert L., Picavet H.S.J. Fear of Movement/Injury in the General Population: Factor Structure and Psychometric Properties of an Adapted Version of the Tampa Scale for Kinesiophobia. J. Behav. Med. 2005;28:415–424. doi: 10.1007/s10865-005-9011-x.
    1. Lira M.R., Da Silva R.R.L., Bataglion C., Aguiar A.D.S., Greghi S.M., Chaves T.C. Multiple diagnoses, increased kinesiophobia? Patients with high kinesiophobia levels showed a greater number of temporomandibular disorder diagnoses. Musculoskelet. Sci. Pract. 2019;44:102054. doi: 10.1016/j.msksp.2019.102054.

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