In Chronic Neck Pain; Kinesiophobia, Neck Awareness Examination of Cognitive and Cognitive Functions at Different Levels of Functionality
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 106
- 试验地点
- 1
- 主要终点
- kinesiophobia
研究概览
简要总结
Chronic neck pain is a common problem in our society. With the Neck Disability Index, we can classify the functional status of individuals with chronic neck pain as "no restriction, mildly limited, moderately limited, severely restricted, completely limited". In this study, the difference between cognitive functions, kinesiophobia and neck awareness between those who have a functional status according to the Neck Disability Index and those whose functional status is "slightly limited-moderately restricted" and those who are "severely limited-totally limited" will be investigated with questionnaires and evaluations. The study will provide information about whether there is a difference between individuals with chronic neck pain regarding cognitive functions, kinesiophobia and neck awareness according to their functional status. Thus, it will contribute to the literature to provide clinicians with awareness about the functionality levels in chronic neck pain and to consider individuals within this framework.
详细描述
Neck pain is a health problem that individuals experience at least once in their lives and that happens to approximately 43% of individuals. Neck pain is the most common chronic pain after chronic low back pain. Situations such as physical strains during any activity, staying in a static posture for a long time, using an inappropriate bag or carrying a weight that forces the individual can affect the structures such as joints, discs, ligaments, and muscles in the cervical region and cause pain. It should not be forgotten that the symptoms seen in individuals with neck pain can be seen to go away on their own within a few weeks, and up to 30% of them can become chronic. Considering that neck pain can become chronic, it will be understood that the physiological and psychological effects of this chronic neck pain on individuals must be evaluated. For this reason, it would be appropriate to evaluate not only the pain but also the functional status in accordance with the biopsychosocial model with special approaches for individuals suffering from chronic neck pain.
Chronic neck pain negatively affects the daily living activities of individuals and causes disability as well as functional limitations. The fact that deaths from neck pain are very rare in general ensures that the main goal of treatment is to improve functional status. For an appropriate and effective treatment planning for individuals, it is necessary to analyze the current functional status of the individual well and to understand which factors affect their functional status.
Recent studies have shown that pain and disability are directly proportional to the increase in degeneration in individuals with chronic neck pain. It was concluded that this ratio was accompanied by physical activities and general health status.
Long sitting times, working conditions, unconscious use of technology, which we often encounter in our daily lives, cause individuals to be physically inactive and lead a sedentary life. In addition, postural problems, decrease in muscle quantity and strength, obesity, chronic diseases, and diseases such as cancer can negatively affect our health in our future lives. These conditions negatively affect the physical health of the society and may also lead to regression in cognitive functions. Psychological variables were also associated with neck pain from the initial stage of neck pain to its chronic stages. Cognitive factors, depression, anxiety and related emotional states are associated with pain and disability and are determinant risk factors for chronic neck pain and disability. Sebastian et al. emphasize that it is important to evaluate certain cognitive abilities at all ages, not just in childhood or old age, in order to observe changes that occur throughout life.
In a study examining the relationship between pain, quality of life and kinesiophobia in nonspecific chronic neck pain, it was determined that patients with chronic neck pain had kinesiophobia. At the end of a study by Demirbüken et al., it was seen that 80.2% of the individuals participating in the study had a high level of fear of movement.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 40 Years 至 59 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •A score of 24 or higher on the Standardized Minimental Test.
- •Having chronic neck pain problem for the last 6 months.
- •Being between the ages of 40-
- •Volunteer to participate in the study.
- •To be able to read and write.
排除标准
- •To have a score of 0-4 from the Neck Disability Questionnaire.
- •Having undergone musculoskeletal surgery.
- •Having a rheumatic or neurological disease.
- •pregnancy status
- •Having a congenital musculoskeletal disorder.
- •The presence of trauma, infectious pathology or scoliosis affecting the spine.
- •Any visual impairment.
结局指标
主要结局
kinesiophobia
时间窗: 8 week
Tampa Kinesiophobia Scale will be used to measure fear of movement (kinesiophobia). The purpose of developing this scale is to distinguish patients with normal response and high fear of movement. There are 17 questions in the scale and a 4-point Likert scoring is used. After the 4th, 8th, 12th and 16th items are reversed in scoring, a total score is calculated and a minimum of 17 and a maximum of 68 points are obtained. The higher the score on the scale, the greater the fear of movement.
cognitive functions
时间窗: 8 week
Stroop TBAG test will be applied to evaluate cognitive functions. Stroop TBAG Test; It is designed to measure the perceptual setup, the ability to adjust itself to the desired demand under the influence of distraction, the ability to rule out a habitual behavioral movement, and the focusing skills of individuals. The test consists of 5 separate parts in total. The patient reads the words written in black on the first sheet of paper. The patient reads the words written in color on the second sheet of paper. The patient tells the colors of the circle shapes on the third sheet of paper. The patient simply says the color of the fourth sheet without reading the unrelated words written in color. The patient correctly tells the color of the words printed in a different color from his own color on the fifth paper.
Neck Disability Index
时间窗: 8 week
The Neck Disability Questionnaire consists of 10 questions related to pain intensity, personal care, lifting, reading, concentration, headache, working, driving, sleeping and recreational activities. There are 6 options for each question, ranging from 0 to 5 points. 0 points means no restrictions, 50 points means full apology. A score of 0-4 means no restriction, a score of 5-14 means mildly restricted, a score of 15-24 moderately restricted, 25-34 severely restricted, and 35 and above means completely restricted.
neck awareness
时间窗: 8 week
The Fremantle Neck Awareness Questionnaire will be used to measure the neck awareness of the individuals participating in the study. The questionnaire asks individuals 9 questions such as how they perceive their neck relative to their body, how they perceive their body position. Likert type assessing individual-specific altered perception (0 = Never/Never feel this way, 1 = I rarely feel this way, 2 = Sometimes, or sometimes I feel this way, 3 = I feel this way often, 4 = I feel this way all or most of the time) it is a simple survey.
次要结局
未报告次要终点
研究者
Yunus Ozkaya
Physiotherapist
Mustafa Kemal University