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TSK
Tampa Scale of Kinesiophobia
1.
Please type your name. Surname, First Name
*
2.
This is a list of phrases which other patients have used to express how the view their condition. Please select the number that best describes how you feel about each statement.
(Required.)
strongly disagree 1
disagree 2
agree 3
strongly agree 4
1. I’m afraid that I might injury myself if I exercise
strongly disagree 1
disagree 2
agree 3
strongly agree 4
2. If I were to try to overcome it, my pain would increase
strongly disagree 1
disagree 2
agree 3
strongly agree 4
3. My body is telling me I have something dangerously wrong
strongly disagree 1
disagree 2
agree 3
strongly agree 4
4. My pain would probably be relieved if I were to exercise
strongly disagree 1
disagree 2
agree 3
strongly agree 4
5. People aren’t taking my medical condition seriously enough
strongly disagree 1
disagree 2
agree 3
strongly agree 4
6. My accident has put my body at risk for the rest of my life
strongly disagree 1
disagree 2
agree 3
strongly agree 4
7. Pain always means I have injured my body
strongly disagree 1
disagree 2
agree 3
strongly agree 4
8. Just because something aggravates my pain does not mean it is dangerous
strongly disagree 1
disagree 2
agree 3
strongly agree 4
9. I am afraid that I might injure myself accidentally
strongly disagree 1
disagree 2
agree 3
strongly agree 4
10. Simply being careful that I do not make any unnecessary movements is the safest thing I can do to prevent my pain from worsening
strongly disagree 1
disagree 2
agree 3
strongly agree 4
11. I wouldn’t have this much pain if there weren’t something potentially dangerous going on in my body
strongly disagree 1
disagree 2
agree 3
strongly agree 4
12. Although my condition is painful, I would be better off if I were physically active
strongly disagree 1
disagree 2
agree 3
strongly agree 4
13. Pain lets me know when to stop exercising so that I don’t injure myself
strongly disagree 1
disagree 2
agree 3
strongly agree 4
14. It’s really not safe for a person with a condition like mine to be physically active
strongly disagree 1
disagree 2
agree 3
strongly agree 4
15. I can’t do all the things normal people do because it’s too easy for me to get injured
strongly disagree 1
disagree 2
agree 3
strongly agree 4
16. Even though something is causing me a lot of pain, I don’t think it’s actually dangerous
strongly disagree 1
disagree 2
agree 3
strongly agree 4
17. No one should have to exercise when he/she is in pain
strongly disagree 1
disagree 2
agree 3
strongly agree 4
3.
I
nterp
retation of scores (for office use only)
TOTAL SCORE: add up the total scores - after inverting the values for questions 4, 8, 12, 16 (1=4, 2=3, 3=2, 4=1) = _______ MDC - not published SCORE RANGE = 0 (max disability) to 68 (no disability)
This questionnaire is taken from: Pain, Fear of movement/(re) injury in chronic low back pain and its relation to behavioral performance, 62, Vlaeyen, J., Kole-Snijders A., Boeren R., van Eek H., 371, 1995