Association Between Pain Related Variables in Patients With Chronic Neck Pain
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Chronic Neck Pain
- Sponsor
- Hacettepe University
- Enrollment
- 46
- Locations
- 1
- Primary Endpoint
- pressure pain threshold
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
Chronic neck pain is a common problem among the general population. Patients with chronic neck pain used health care services twice as much as the population on average, mainly due to intense pain intensity. It is well-known that pain intensity depends on the association of pain processing in several levels of central pain processing.
Identifying the association between conditioned pain modulation, temporal summation, and somatosensory representation, all represent separate central pain processing, will provide an opportunity to develop treatment strategies.
Investigators
Kübra Canli
Principal investigator
Hacettepe University
Eligibility Criteria
Inclusion Criteria
- •pain in the back of the neck region
- •pain longer than 3 months
- •pain intensity at least 3 based on the visual analog scale
Exclusion Criteria
- •vertebra fracture
- •fibromyalgia
- •chronic fatigue syndrome
- •surgery to the neck or shoulder
- •radicular pain
- •neurologic deficit due to disk hernia
- •spinal stenosis
Outcomes
Primary Outcomes
pressure pain threshold
Time Frame: 'baseline'
The pressure pain threshold (PPTs) of the upper trapezius and dominant tibialis anterior muscles will be evaluated. For the upper trapezius muscle, assessment will be made approximately 5 to 8 cm superomedial to the superior angle of the scapula. For the tibialis anterior muscle, the assessment will be made muscle belly, which is approximately 2.5 cm lateral and 5 cm inferior to the tibial tubercle. Palpation during resisted active dorsiflexion ensured that the tibialis anterior muscle belly had been found. Pressure pain thresholds will assessed using a pressure algometer (Algometer) with a stimulation area of 1 cm2. The increment rate of pressure will be kept at approximately 1 kg/cm2/s. The first time the pressure perceived as pain will be recorded as a PPTs. Two PPT assessments with a 30 second will be completed, and the average was used for statistical analysis.
Secondary Outcomes
- temporal summation('baseline')
- conditioned pain modulation('baseline')
- tactile acuity('baseline')