Examining Mental Fatigue, Body Awareness, and Mindfulness in People With Chronic Neck Pain
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 66
- 试验地点
- 1
- 主要终点
- Mental Fatigue
研究概览
简要总结
The primary aim of the study was to examine the difference between mental fatigue, in-body, out-of-body and mindfulness parameters in people with chronic neck pain compared to a healthy control group, and to analyze the relationships between mental fatigue and neck disability level and awareness levels, and between awareness levels and neck disability level and quality of life.
The secondary aim was to examine the relationships between pain intensity, frequency, duration, pain self-efficacy, physical condition, anxiety and depression, mental fatigue and awareness levels in people with chronic neck pain.
详细描述
Neck pain is a prevalent musculoskeletal issue that can cause significant disability. Individuals with neck pain may experience changes in muscle structure and behavior, as well as sensory-perceptual-motor issues such as decreased proprioception and related neuromuscular changes. Additionally, neck pain can lead to psychological problems such as anxiety and depression.Although some awareness parameters have been evaluated in studies on neck pain in the literature and it has been shown that chronic pain is associated with impaired body awareness and that this impairment contributes to and/or maintains chronic pain, no study has been found to examine all awareness parameters in detail. Another cause that compromises the accuracy of information contributing to body awareness is mental fatigue. Mental fatigue can negatively affect a person's level of perception. In one study, it was stated that mental fatigue was a determinant of neck disability, but studies on this subject were found to be very insufficient. Therefore, the aim of this study was to examine the sub-parameters of awareness and mental fatigue in people with chronic neck pain, to compare them with healthy people and to examine the relationship between the parameters evaluated.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Having chronic neck pain for at least 3 months.
- •Being between 18 and 65 years of age.
- •Scoring 5 and above on the Neck Disability Questionnaire.
- •Scoring 24 and above on the Mini Mental State Examination.
- •To be able to read and write.
- •Being volunteer to participate in the study.
- •Study Group
排除标准
- •Participation in any physical therapy program in the last 3 months.
- •Having the following problems:
- •Radiculopathy, myleopathy (motor and sensory loss) and other neurological diseases.
- •Inflammatory diseases (rheumatoid arthritis, etc.).
- •History of malignancy.
- •Congenital spinal cord anomaly and congenital spinal deformities.
- •Spinal pathologies, traumatic medulla spinalis injury and other medulla spinalis pathologies.
- •Vestibular disorders.
- •Diagnosed psychiatric illnesses such as bipolar disorder, psychotic illnesses and panic attacks.
- •Vision problems that do not fully recover despite vision aids (glasses, etc.).
- •Pregnancy status
- •Control Group Inclusion Criteria:
- •Age between 18 and 65 years.
- •Scoring 24 and above on the Mini Mental State Examination.
- •To be able to read and write.
- •Volunteering to participate in the study.
- •Control Group Exclusion Criteria:
- •Having chronic pain in the spine, especially in the neck.
- •Exclusion criteria for the study group
结局指标
主要结局
Mental Fatigue
时间窗: 2024 may- 2024 July
The Mental Fatigue Scale (MFS) will be used to assess mental fatigue. It includes questions about general fatigue, lack of initiative, mental fatigue, concentration difficulties, memory problems, slowness of thinking, sensitivity to stress, increased tendency to be emotional, irritability, sensitivity to light and noise, decreased or increased sleep. It has a 7-point Likert-type scale and is scored from 0 to 3. A rating of 0 indicates normal functioning, 1 indicates mild problem, 2 indicates significant problem and 3 indicates maximum problem. According to the total score, 0-10= no mental fatigue problem, 10.5-14.5= mild mental fatigue, 15-20= quite serious mental fatigue, ≥ 20.5= serious mental fatigue.
interoception
时间窗: 2024 may- 2024 July
For the sense of interoception, the Multidimensional Assessment of Interoceptive Awareness Scale, which assesses interoceptive body awareness, will be used.
extroception
时间窗: 2024 may- 2024 July
The sense of extroception will be evaluated with the right-left hand confusion test.
Neck Disability
时间窗: 2024 may- 2024 July
Neck disability index will be used to assess this parameter. The questionnaire contains 10 questions related to different activities. Each question is scored between 0 and 5. The level of disability is determined according to the total score obtained from the questionnaire. 0-4 = no disability, 5-14 = mild disability, 15-24 = moderate disability, 25- 34 = severe disability, 35 and above = total disability.
weight transfer awareness
时间窗: 2024 may- 2024 July
Two scales were used to assess weight transfer awareness. Results will be recorded in kg.
General Body Awareness
时间窗: 2024 may- 2024 July
General body awareness of individuals will be assessed with the Body Awareness Questionnaire (BAQ).
General health questionnaire
时间窗: 2024 may - 2024 July
The SF-12, which is more practical and shorter than the SF-36 but contains the same sub-dimensions as the SF-36, will be used to assess quality of life. SF-12 consists of 8 sub-dimensions and 12 items including physical functioning (2 items), physical role, body pain, general health, energy, social functioning, emotional role and mental health. The questionnaire scoring is calculated under the headings of physical and mental health, which are the two main components of general health.
neck awareness
时间窗: 2024 may- 2024 July
Individuals' neck awareness will be assessed with the Fremantle Neck Awareness Questionnaire (FreBFA).
mindfulness
时间窗: 2024 may- 2024 July
Short Form of the Five Facet Mindfulness Questionnaire (FFMQ - Short Form) will be used to assess people's mindfulness
proprioception
时间窗: 2024 may- 2024 July
The Cervical Range of Motion (CROM) device is used to assess proprioception. The device assesses proprioception in 6 different directions of the neck.
verticality
时间窗: 2024 may- 2024 July
The bucket test will be used to assess subjective visual verticality, which is one of the sub-dimensions of verticality perception.
次要结局
- Posture Assesment(2024 may- 2024 July)
- Weight transfer(2024 may- 2024 July)
- Pain Assessment(2024 may- 2024 July)
- Anxiety and Depression(2024 may- 2024 July)
- Range of motion(2024 may- 2024 July)
- Pain self efficacy(2024 may- 2024 July)
研究者
Selenay Aydogdu
principal Investigator
Hacettepe University