Correlation of Central Sensitization With Pain, Pain Catastrophizing, Disability, Sleep Quality, and Jaw Function in Patients With Chronic Neck Pain: A Retrospective, Cross-Sectional Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 84
- 试验地点
- 1
- 主要终点
- Central Sensitization Inventory (CSI)
研究概览
简要总结
This study is a retrospective, cross-sectional observational study that assesses the correlations among central sensitization, pain, psychosocial factors, and temporomandibular function in patients with chronic neck pain. It underscores the importance of the biopsychosocial model in clinical practice and aims to improve understanding of central mechanisms in treatment planning. treatment planning.
详细描述
Chronic neck pain is a widespread health issue globally that negatively impacts quality of life. In some patients, pain cannot be explained solely by tissue damage; increased sensitivity of the central nervous system (central sensitization) may contribute to the persistence of pain.
The aim of this study is to explore the relationship between the level of central sensitization and the following parameters in individuals with chronic neck pain:
- Pain intensity
- Pressure pain threshold
- Pain catastrophizing level
- Neck-related disability
- Sleep quality
- Jaw function
The study has a retrospective, cross-sectional design. Records of patients previously evaluated in the clinic will be analyzed. No new interventions will be conducted on participants. The study is observational in nature.
This research aims to:
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •- Patients aged 18-60 years
- •Patients with neck pain lasting at least 3 months.
- •Patients with a pain intensity of 4 or higher on the Visual Analog Scale (VAS).
- •Patients with a Pain Catastrophizing Scale (PCS) score greater than
- •Patients with a Central Sensitization Inventory (CSI) score greater than
- •Patients who have not received physiotherapy or manual therapy in the past 3 months.
排除标准
- •- Individuals with a history of neck or spinal surgery.
- •Patients with a history of whiplash injury or fracture.
- •Individuals with unstable neurological findings.
- •Presence of cervical pathology such as herniation or nerve root compression.
- •Regular use of analgesic or anti-inflammatory medications.
结局指标
主要结局
Central Sensitization Inventory (CSI)
时间窗: At baseline (single time-point assessment)
Central sensitization was assessed using the CSI, a tool applicable in cases of chronic pain. The CSI has two parts. Part A evaluates symptoms and is scored from 0 to 100; higher scores reflect greater central sensitization. A score of 30 or higher suggests the presence of central sensitization. Part B asks if the individual has ever been diagnosed with any central sensitization syndromes.
Visual Analog Scale (VAS)
时间窗: At baseline
Pain intensity will be assessed using the Visual Analog Scale (VAS). The VAS is commonly employed in clinical practice because it is simple to use and consistent. The scale ranges from 0 to 10, where "0" indicates no pain and "10" signifies the worst possible pain. Patients are informed that pain severity increases from 0 to 10 and are asked to mark the number that best reflects their pain level.
次要结局
- Pittsburgh Sleep Quality Index (PSQI)(At baseline (single time-point assessment))
- Pain Catastrophizing Scale (PCS)(At baseline (single time-point assessment))
- Neck Disability Index(At baseline (single time-point assessment))
- Jaw Functional Limitation Scale-20 (JFLS-20)(At baseline)
- Assessment of Pressure Pain Threshold(At baseline)
研究者
Süreyya DAMAR ÖRENLER
PT, Phd
Turkoglu Dr. Kemal Beyazit State Hospital