coppice 1958 saat Ste Sand PCS COUNONA cierto, oe SecM) FL) ate Everyone experiences pau sutra cme potin ther ves, Such experiences may riude headaches, tooth pain, jint or muscle pain. People are often exposed to situations that may cause pain such as ines, injury, dental procedures or surgery \We are interested inthe types of thoughts and feelings that you have when you are in pain, Listed below are thirteen statements desorbing diffrent thoughis and feelings that may be associated with pain. Using the folowing scale, please indicate the degree to which you have these thoughts and feelings when you are experiencing pain. O-rotatal 1-toasightdewree 2-wamoderstedegiee 3—toagrestdagree 4—allthetime Wien Pmin pain 1L2] st wony st te ine show wether he psn wl end eal can't goon Ws tebe and ink never cng ot any ete. 1a and el ha it veins me ea ca san it anymore "heome tnd th te pin wil ge won, ep hnking ter pin evn, Tmioly wank sin ogo aay, Tanto toe ito of my ind {ep thnkng soot how much huts, ep tkng about ow badly I want th pin to top ‘There's nothing I can do to reduce the intensity ofthe pain, Es wonder whether someting ssriows may happen Total PTS 35Tampa Scale for Kinesiophobia (Miller , Kori and Todd 1991) 1 =strongly disagree 2= disagree 3=agree 4= strongly agree 1. Pm afraid that [might injury myself itl exercise | 1 | 2 | 3 | 2. IfI were to try to overcome it, my pain would T 27a ]4 increase 3. My body is telling me I have something T{21@|4 dangerously wrong Es 4 My pain would probably be relieved ffTwereto | 1 | (2) | 3 | 4 exercise 5. People aren*t taking my medical condition 1/@}3s|4 seriously enough 6. My accident has put my body atrisk forthe rest 1 | 2 4 cof my life 7._ Pain always means I have injured my bod: 1 2 3 (@ 8. Just because something aggravates my pain does | 1 | @) | 3 | 4 not mean itis dangerous 9. Tam afraid that I might injure myself 1[2 4 accidentally 10. Simply being careful that I do not make any 1 273 | unnecessary movements is the safest thing I can do to prevent my pain from worsening TI. Twouldn’t have this much pain if there werent | 1 | 2 | 3 [C4 something potentially dangerous going on in my bod 72. Although my condition is painful, I would be T|2 4 better off if| were physically active 13. Pain lets me know when to stop exercising s0 T/2/3 {4 that I don’t injure myself 14. It's really not safe for a person with acondition | 1 | 2 | (3) | 4 like mine to be physically active 15. T can’t do all the things normal people do T1219) 4 because it’s too easy for me to get injured ~ 16, Even though something is causing me alotof | 1 | 2)| 3 | 4 pain, I don’t think it's actually dangerous T7. No one should have to exercise when he/sheisin| 1 | 2 |G) | 4 pai C Reprinted from: Pain, Fear of movementire) injury in chronic low back pain and its relation to behavioral performance, 62, Viaeyen, J., Kole-Snijders A, Boeren R., van Eek H., 371, ‘Copyright (1995) with permission from Intemational Association forthe Study of Pain