Body Awareness and Mental Fatigue in Neck Pain

N/ANot Yet RecruitingNCT06434688

Hacettepe University66 enrolled

Overview

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.

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.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Neck Pain Mental Fatigue

Interventions

Mental Fatigue:OTHER

The Mental Fatigue Scale (MFS) will be used to assess mental fatigue.

Body Awareness:OTHER

Individuals' general body awareness will be assessed with the Body Awareness Questionnaire (BAQ). Neck awareness of individuals will be assessed with the Fremantle Neck Awareness Questionnaire (FreBFA). Short Form of the Five Facet Mindfulness Questionnaire (FFMQ - Short Form) will be used to assess people's mindfulness. \- In-body awareness: For the sense of interoception, the Multidimensional Assessment of Interoceptive Awareness Scale, which assesses interoceptive body awareness, will be used. To evaluate proprioception, a Cervical Range of Motion (CROM) device is used. The bucket test will be used to assess subjective visual verticality, which is one of the sub-dimensions of verticality perception. Two scales will be used to assess people's awareness of weight transfer symmetry. \- Out of Body Awareness: "Right-Left Confusion Hand Test" will be used to evaluate the mental rotation skill within the scope of the sense of extroception.

Neck Disability LevelOTHER

Neck disability index will be used to assess this parameter.

Quality Of LifeOTHER

SF-12 will be used to assess quality of life.

Pain Assessment:OTHER

Pain intensity will be assessed by Visual Analog Scale (VAS). In addition, pain duration and pain frequency will be questioned. The Pain Self-Efficacy Questionnaire will be used to assess the confidence of people with chronic pain to perform certain tasks and behaviors despite their pain.

Physical Condition:OTHER

Normal range of motion of the cervical region will be evaluated with the "Cervical Range of Motion" device. New York Posture Rating Scale will be used to evaluate posture. Symmetry of weight transfer to both lower extremities of the individuals in standing upright position will be evaluated.

Anxiety and Depression:OTHER

Beck Depression and Beck Anxiety scales will be used to assess depression and anxiety.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 YearsHealthy volunteers:

Medical Language ↔ Plain English

Study Group Inclusion Criteria: * 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 Exclusion Criteria: * 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

Outcomes

Primary Outcomes

Mental Fatigue

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.