Cross-cultural Adaptation Of Simplified Chinese Version Of TSK/FABQ, And Its Clinical Application In The Assessment Of Fear Aviodance For Patients With Low Back Pain

【Objectives】1. The first introduction of the Chinese version of the TSK scale evaluate thedegenerative low back pain.2. The reliability and validity of FABQ, TSK Scale was evaluated, and Item-totalcorrelation was analysed for TSK and FABQ each scale item and the each total scalecorrelation coefficien.3. FABQ, TSK scale were significant to degeneration low back pain patient for treatmentand rehabilitation guidance.【Methods】1. Through the network literature retrieval English version of the TSK scale, the firstEnglish edition of the TSK was translated into Chinese in accordance with theinternational scale questionnaire debugging guide.Two mother-tongue as a professor ofthe Chinese translation, one of which was a proficient English spine surgeons, anotherwas proficient in English and have knowledge of psychology experts. Finally spinesurgeons, English teacher, English translators proofreaded for the terms of the scale,repeated as appropriate, made the language of the scale as far as possiblepopularization, and line with the language habits of the Chinese people.2. From October2011-February2012, conducting a questionnaire survey of102patients of the Second Military Medical University, Changhai Hospital, outpatient andinpatient wards, including65cases of male and37females, with orthopedicprofessionals in the survey processgiven to interpret the contents of the questionnaires.The reference scale has the SF-12, ODI, VAS and FABQ, TSK.3. Statistical Analysis：FABQ and TSK reliability analysis, Cronbach ’ s alpha coefficientand intraclass correlation coefficients (ICC) were evaluated as FABQ and TSK scaleinternal consistency and test-retest reliability, Bland-Altman chart on twomeasurement TSK total score difference and two measurements of the FABQ totaldifference analyse the consistency. Validity analysis, the correlation betweenFABQ,TSK and the VAS, ODI, SF-12eight-dimension was evaluated by the Pearsoncorrelation coefficient. FABQ and TSK scale item correlation analysis, Item-totalcorrelation was evaluated as TSK and FABQ each scale item and the each total scalecorrelation coefficien. 【Results】1. FABQ,FABQ physical part,FABQ working part and TSK questionnaire scale inreliability testing, its scale of internal consistency as measured by Cronbach ’ s alphavalues were0.888,0.827,0.874,0.778, with a high degree of satisfaction. FABQ andTSK scale, test-retest reliability of ICC were0.949,0.860, showing a goodreproducibility. TSK, FABQ Bland-Altman analysis diagram can be seen: the twoTSK measured the difference in score most were credible interval range, FABQ twomeasured total difference in confidence interval range, the conclusion was that TSKand FABQ have good consistency.2. On FABQ, TSK and VAS, ODI, SF-12eight dimensions related validity evaluationindex of Pearson’ s correlation coefficient (R), FABQ1, FABQ2, FABQ, TSK andVAS low back pain, leg pain, VAS ODI, SF eight dimensions (GH, PF, RP, RE, BP,VT, MH, SF) were low correlation.3. TSK each item of the correlation coefficients was0.095--0.660, FABQ each item ofthe correlation coefficients was0.392--0.786, all correlation coefficients werestatistically significant, it was said that FABQ，TSK of each item was diversity.【Conclusions】1. TSK reliability evaluation:The TSK scale internal consistency reliability detection measure Cronbach ’ s alpha0.778, this study measure the TSK Cronbach ’ s alpha value that was slightly below thevarious translations, so that the TSK scale has good reliability. FABQ scale in Cronbach ’s alpha value, the total scale of FABQ, physical scale FABQ1, working scale FABQ2internal consistency were0.888,0.827,0.874, which was close to various translationsFABQ of the internal consistency of the Cronbach ’ s alpha value, showing that FABQ,FABQ1, FABQ2reliability were satisfaction.TSK, FABQ test-retest reliability of ICCwere0.860,0.949, while TSK scale ICC values was close to other version TSK andFABQ slightly higher than the other versions of the ICC values. Showing that TSK scalehas satisfactory test-retest reliability and the FABQ scale has high test-retest reliability.Bland-Altman analysis, two of TSK and FABQ have good consistency.2. Validity evaluation:FABQ, TSK and VAS, ODI, SF-12eight dimensions related validity was found thatFABQ, TSK and VAS, ODI and SF-12belong to different constructs. Although there were related but had positively related, in the clinical evaluation of low back pain patients onlyassessments of pain and function was insufficient, it cannot render patients psychologicalstatus. So FABQ, TSK scale in the evaluation of degenerative low back and leg pain wasfeasible.3. FABQ and TSK scale item correlation:On TSK and FABQ each scale item and the each total scale correlationcoefficient,TSK each item of the correlation coefficients was0.095--0.660, FABQ eachitem of the correlation coefficients was0.392--0.786, all correlation coefficients werestatistically significant, it was said that FABQ，TSK of each item was diversity. Showingthat the TSK scale item1,2,6,7,9,10,11,14,15and TSK total score were closely related,which was a good item, while the3,4,5,8,12,16and TSK total score closely relateddegree was low and further testing was needde. The FABQ scale items1-15and FABQtotal score were closely related, which was a relatively good item. While item16andFABQ total score closely related degree was low, the need for further debugging.