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Original report

Validation of a questionnaire to detect kinesiophobia (fear of movement) in patients with coronary artery disease

doi: 10.2340/16501977-0942

Open access


OBJECTIVE: To investigate the validity and reliability of the Tampa Scale for Kinesiophobia Heart (TSK-SV Heart), a brief questionnaire to detect kinesiophobia (fear of movement) in patients with coronary artery disease.
DESIGN: Methodological research (cross-sectional study).
SUBJECTS: A total of 332 patients, mean age 65 years (standard deviation 9.1) diagnosed with coronary artery disease at a university hospital were included in the study.
METHODS: The psychometric properties of the TSK-SV Heart were tested. The tests of validity comprised face, content, and construct validity. The reliability tests included composite reliability, internal consistency and stability over time.
RESULTS: In terms of reliability, the TSK-SV Heart was found to be stable over time (intra-class correlation coefficient 0.83) and internally consistent (Cronbach’s alpha 0.78). Confirmatory factor analysis provided acceptable fit for a hypothesized 4-factor model with inclusion of a method factor.
CONCLUSION: These results provide support for the reliability of the TSK-SV Heart. The questionnaire appears to be valid for use in patients with coronary artery disease. However, some items require further investigation due to low influence on some sub-dimensions of the test. The sub-dimensions of kinesiophobia require future research concerning their implications for the target group.


Maria Bäck, Bengt Jansson, Åsa Cider, Johan Herlitz, Mari Lundberg


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    Appendix I. Tampa Scale for Kinesiophobia Heart


    I am afraid that I might injure myself during physical activity/exercising.


    If I tried to be physically active/exercise my heart problem would increase.


    My body is telling me that I have something seriously wrong.


    My heart problem would probably be relieved if I was physically active/exercised.


    People are not taking my medical condition seriously enough.


    My heart problem has weakened me physically for the rest of my life.


    In general, heart problem is always due to body injury.


    Just because something causes discomfort in my chest does not mean that it is dangerous.


    I am afraid that I might injure myself accidentally.


    By being careful with unnecessary movements I can prevent my heart problems from worsening.


    I would not have my heart problems if there was not something dangerous going on in my body.


    Even if I have a heart problem I would manage better if I was physically active/exercised.


    My heart problem tells me when I should stop being physically active/exercising, so that I do not injure myself.


    It is really not safe for a person in my condition to be physically active/exercise.


    I cannot do the same things as others because there is a too big risk that I will get heart problems.


    Even though something causes me a lot of heart problems, I do not think it is actually dangerous.


    No one should have to be physically active/exercise when he/she has heart problems.

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Volume 44, Issue 4

DOI: 10.2340/16501977-0942

Pages: 363-369

View at PubMed