Percorrer por autor "Correia, Pedro de Pezarat"
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- Are the cross-culturally adapted versions of the Tampa Scale for Kinesiophobia 11-item valid, reliable, and responsive? A COSMIN-informed systematic review of measurement propertiesPublication . Alpalhão, Vanessa; Vaz, João R.; Cordeiro, Nuno; Correia, Pedro de PezaratNumerous cultural adaptations of the Tampa Scale of Kinesiophobia 11-item version (TSK-11) scale have emerged since the original version was introduced. We conducted a (COnsensus-based Standards for the selection of health Measurement INstruments) COSMIN-informed systematic review of measurement properties to identify the cross-cultural adaptation of the TSK-11 and report, critically appraise, and systematize its measurement properties. Six databases were searched for studies published since 2005. Studies reporting on the measurement properties of culturally adapted versions of the TSK-11, published in English, Portuguese, and Spanish, were considered for inclusion. The results were synthesized by measurement properties and rated against the COSMIN criteria for good measurement properties. The quality of the evidence was assessed using the Grading of Recommendations, Assessment, Development, and Evaluation approach and presented in a summary of findings table. Twenty-three studies were included, and cultural adaptations for 15 languages were identified: English, Chinese, Cantonese, Swedish, German, Dutch, Arabic, Turkish, Danish, Spanish, Japanese, Brazilian Portuguese, Marathi, Thai, and Persian. There is “high” certainty in the evidence for “sufficient” criterion validity (TSK-17, r = .84) and “insufficient” measurement error (small detectable change range 5.6–6.16). “Moderate” certainty in the evidence for “sufficient” construct validity (87.8% of hypotheses confirmed), test-retest reliability (intraclass correlation coefficient2,1 = .747–.87), and “low” certainty in evidence for “sufficient” responsiveness. The numerous sources of heterogeneity prevent conclusions from being drawn regarding structural validity. Measurement error, responsiveness, and structural validity of the TSK-11 require further investigation. Clinicians should complement the use of TSK-11 with other instruments. Future studies on the structural validity of the questionnaire should standardize the data analysis methods.
- Mapping evidence on kinesiophobia after anterior cruciate ligament reconstruction: a scoping reviewPublication . Alpalhão, Vanessa; Cordeiro, Nuno; Vaz, João; Correia, Pedro de PezaratObjective: This review identified, synthesized, and mapped the scientific evidence on kinesiophobia, as assessed by the Tampa Scale of Kinesiophobia (TSK), in individuals following anterior cruciate ligament reconstruction (ACLR), to provide clinicians with a comprehensive evidence map. Introduction: Kinesiophobia can negatively impact rehabilitation and return-to-sport outcomes after ACLR. Despite its clinical relevance, the available evidence is fragmented, making it challenging for clinicians to find clear answers to their clinical questions and apply findings consistently in practice. Eligibility criteria: We considered studies that assessed kinesiophobia using the TSK in individuals of any age or sex following ACLR, regardless of sport participation or geographical setting. Included sources comprised peer-reviewed primary and secondary research. Methods: A comprehensive search was conducted in the PubMed, Scopus, Academic Search Ultimate (EBSCOhost), SPORTDiscus (EBSCOhost), CINAHL Plus (EBSCOhost), and MEDLINE (EBSCOhost) databases up to September 2025. Research alerts were then maintained throughout the review process to identify newly published studies. A framework synthesis approach was adopted, whereby studies were systematically charted across 10 thematic domains, reflecting how kinesiophobia has been investigated in ACLR. Results: A total of 145 studies were included in this review. Most were cross-sectional and conducted in high-income countries, while longitudinal studies were limited. Adolescents and females were underrepresented, and the sample sizes and participant characteristics varied widely. Kinesiophobia was examined in relation to personal, clinical, functional, and neurophysiological variables. Intervention studies were scarce but explored cognitive-behavioral, educational, physical, and multimodal strategies for managing kinesiophobia. Only 2 studies adapted the TSK specifically for ACLR. Conclusions: Clinicians now have access to a structured map of the evidence on kinesiophobia post-ACLR, which may inform clinical reflection. Future research should address methodological limitations and expand investigations in underrepresented populations and contexts.