Our study aims to investigate the parameters related to pain catastrophizing, fear of movement, neck awareness and upper extremity functionality in individuals with chronic neck pain - a cross-sectional study.
Chronic neck pain (CNP) is a common musculoskeletal problem that persists for more than three months and negatively affects an individual's daily activities. Neck pain is a complex condition that occurs through the interaction of many factors. Age, gender, history of neck pain, other musculoskeletal problems, postural weakness, the presence of repetitive trauma, and the individual's social and psychosocial status can all influence the onset and course of neck pain. In addition, chronic neck pain causes impairments in body awareness, affecting the perception of the cervical region, and this triggers the development of fear of movement (kinesiophobia). Kinesiophobia causes the individual to avoid movement due to pain and can also lead to a decrease in upper extremity functionality. While studies examining these variables separately are common in the literature, to our knowledge, there is no study that includes these parameters together. In this context, our study; It aims to investigate the parameters related to pain catastrophizing, fear of movement, neck awareness and upper extremity functionality in individuals with chronic neck pain - a cross-sectional study.
Study Type
OBSERVATIONAL
Enrollment
114
Hasan Kalyoncu University
Gaziantep, Turkey (Türkiye)
Pain Catastrophizing
The Pain Catastrophizing Scale (PCAT) will be used to assess pain catastrophizing. The PCAT, whose Turkish reliability and validity were established by Uğurlu et al., includes 13 situations describing different feelings and thoughts related to pain. Each situation is scored from 0 (never) to 4 (always). The total score ranges from 0 to 52 points. A higher total score indicates increased pain catastrophizing. According to the scale, individuals scoring 30 or higher are considered to have pain catastrophizing
Time frame: through study completion, an average of 3 months
Kinesiophobia
The Tampa Kinesiophobia Scale was used to assess fear of movement. The questionnaire, which will be used to measure individuals' perspectives on movement and their fear aspects, consists of 17 questions with total scores ranging from 17 to 68. Tampa scores greater than 37 indicate significant kinesiophobia.
Time frame: through study completion, an average of 3 months
Neck awareness
The Fremantle Neck Awareness Questionnaire was used to assess neck awareness. It is a simple Likert-type questionnaire (0 = I never feel like this, 1 = I rarely feel like this, 2 = I sometimes or some of the time feel like this, 3 = I often feel like this, 4 = I always or most of the time feel like this) that assesses individual perception. The questionnaire asks nine questions, including how individuals perceive their neck relative to their body and how they perceive their body position. A high score indicates poor awareness.
Time frame: through study completion, an average of 3 months
Upper extremity function
The Quick Questionnaire for Disabilities of the Arm, Shoulder, and Hand (Q-DASH) was used to assess individuals' upper extremity function. This 30-question questionnaire assesses an individual's ability to perform functional activities (21 items), pain (5 items), and psychosocial aspects of the disease (4 items). The total score ranges from 0 to 100, with higher scores indicating better outcomes.
Time frame: through study completion, an average of 3 months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
The pain
The short form of the McGill Pain Questionnaire (SF-MPQ) was used to assess pain. The main component of the SF-MPQ consists of 15 descriptors (11 sensory; 4 emotional) rated on an intensity scale as 0 = none, 1 = mild, 2 = moderate, or 3 = severe. Three pain scores are derived from the sum of the intensity rank values of the words selected for the sensory, emotional, and total descriptors. A higher score indicates a higher level of pain.
Time frame: through study completion, an average of 3 months
The pain
The Northwick Park Neck Pain Questionnaire was assessed. The Northwick Park Neck Pain Questionnaire is a multidimensional questionnaire consisting of nine items: neck pain intensity, sleep disturbance, numbness, duration of symptoms, and impairment in activities such as carrying heavy objects, reading and watching television, working, socializing, and driving. The driving item is optional. Each item has one question and five statements indicating increasing difficulty or pain. Responses to each question are scored from 0 to 4, with 4 representing the greatest impairment, and a total score is obtained by summing the scores for each of the nine items (possible scores: 0-36).
Time frame: through study completion, an average of 3 months