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Cited by 20Fibromyalgia and Chronic Fatigue Syndrome ResearchMusculoskeletal pain and rehabilitationPsychometric Methodologies and Testing

Analysis of the measurement properties of the Brazilian-Portuguese version of the Tampa Scale for Kinesiophobia-11 in patients with fibromyalgia

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Salvador, Evany Maira Espirito Santo, Franco, Katherinne Ferro Moura, Miyamoto, Gisela Cristiane, Franco, Yuri Rafael dos Santos, Cabral, Cristina Maria Nunes·2021·Brazilian Journal of Physical Therapy
DOI 10.1016/j.bjpt.2020.05.004PMC PMC7990729
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Abstract

Objective To analyze the measurement properties of the Brazilian-Portuguese version of the Tampa Scale for Kinesiophobia-11 in patients with fibromyalgia. Methods Assessment was made at three time points: baseline (n=130) and 15 days (n=54) and eight weeks after baseline (n=51). Data collected at baseline were used to assess internal consistency, criterion and construct validity, and ceiling and floor effects. Data collected at baseline and 15 days after baseline were used to assess reliability and measurement error, and data collected before and after an eight-week exercise-based physical therapy intervention were used to assess interpretability of change scores. Results The Tampa Scale for Kinesiophobia-11 showed adequate internal consistency (Cronbach's alpha=0.77; alpha if item deleted: 0.74-0.77), substantial reliability (intraclass correlation coefficient 2,1=0.85; 95% confidence interval: 0.75, 0.90), good measurement error (standard error of measurement: 2.65 points), and a minimal detectable change (90% confidence) of 6.16 points. For validity, the Tampa Scale for Kinesiophobia-11 showed a positive and good correlation with the original Tampa Scale for Kinesiophobia (r=0.84, p<0.01), positive and moderate correlation with the Pain Catastrophizing Scale (r=0.55, p<0.01), positive and weak correlation with the Numerical Pain Rating Scale (r=0.25, p<0.01), positive and moderate correlation with the Beck Depression Inventory (r=0.39, p<0.01), and no correlation with the Patient-Specific Functional Scale (r=0.11, p=0.23). Kinesiophobia, pain, function, catastrophizing, and depression statistically improved after the eight-week intervention (p<0.01). Conclusion The Tampa Scale for Kinesiophobia-11 is consistent, reliable, and appropriate to assess fear of movement in patients with fibromyalgia in the clinical context. Responsiveness of the Tampa Scale for Kinesiophobia-11 should be tested in future studies.

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  • Kinesiophobia and pain catastrophizing are strongly associated with decreased physical performance, reduced postural control, and muscle weakness in fibromyalgia.

    “Kinesiophobia and pain catastrophizing are prevalent in FM and are strongly associated with decreased physical performance, reduced postural control, and muscle weakness,9,17,29”

    From A Review of Movement and Functional Impairments in Fibromyalgia: Implications for Targeted Treatment (2025) · cites this paper as [29]

    The Introduction says kinesiophobia is common in fibromyalgia and is linked to reduced physical activity and increased disability. The Results report a moderate correlation between kinesiophobia and pain catastrophizing, but no correlation with the study’s activity-specific function measure. Neither the Results nor the Discussion supports the claimed strong associations with decreased physical performance, reduced postural control, or muscle weakness; the paper also does not establish that pain catastrophizing is prevalent in fibromyalgia. (LLM, conf=0.87)

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  • Kinesiophobia and pain catastrophizing are prevalent in fibromyalgia.

    “Kinesiophobia and pain catastrophizing are prevalent in FM and are strongly associated with decreased physical performance, reduced postural control, and muscle weakness,9,17,29”

    From A Review of Movement and Functional Impairments in Fibromyalgia: Implications for Targeted Treatment (2025) · cites this paper as [29]

    The Introduction says kinesiophobia is commonly found in patients with fibromyalgia. The Results measure pain catastrophizing and report its correlation with kinesiophobia, but do not establish that pain catastrophizing is prevalent in fibromyalgia. No page numbers are provided in our copy. (LLM, conf=0.88)

    Experimental — accuracy not yet measured

  • Kinesiophobia was reported in patients with FM due to the association between pain, fatigue and movement, and was associated with reduced levels of physical activity, increased disability, and perpetuation of pain.

    “Kinesiophobia was reported in patients with FM due to the association between pain, fatigue and movement, and was associated with reduced levels of physical activity, increased disability, and perpetuation of pain.17,29,30”

    From A Review of Movement and Functional Impairments in Fibromyalgia: Implications for Targeted Treatment (2025) · cites this paper as [29]

  • Psychological factors contribute to decreased movement in patients with chronic musculoskeletal pain.

    “The influence of psychological factors is already well described in patients with chronic musculoskeletal pain contributing to decreased movement.10,29”

    From A Review of Movement and Functional Impairments in Fibromyalgia: Implications for Targeted Treatment (2025) · cites this paper as [29]

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Cited by

Sorted by citations

Authors
Salvador, E. M. E. S., Franco, K. F. M., Miyamoto, G. C., Franco, Y. R. D. S., & Cabral, C. M. N.
Affiliations
Universidade Cidade de São Paulo (BR)
Corresponding author
Cabral, Cristina Maria Nunes
ORCID
Venue
Brazilian Journal of Physical Therapy
Publisher
Elsevier BV
Published
2021-03
Volume
25
Issue
2
Pages
168-174
ISSN
1413-3555 (ISSN-L)
DOI
10.1016/j.bjpt.2020.05.004
PMC
PMC7990729
OpenAlex
W3029944930
Cited by
20
References
8
Citations by year
2026: 1 · 2025: 5 · 2024: 5 · 2023: 3 · 2022: 5 · 2021: 1
FWCI
1.64
Type
journal article
Language
en
Open access
Licence
Locations
  • Brazilian Journal of Physical Therapy (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
Keywords
kinesiophobia, fibromyalgia, Brazilian version, measurement properties, psychometric validation, pain catastrophizing, minimal detectable change, responsiveness, floor and ceiling effects
MeSH terms
Brazil, Cross-Cultural Comparison, Fear, Fibromyalgia, Humans, Movement, Pain, Phobic Disorders, Portugal, Psychometrics, Surveys and Questionnaires, Reproducibility of Results, Catastrophization

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