Body Awareness and Mental Fatigue in Neck Pain

NCT ID: NCT06434688

Last Updated: 2024-05-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Total Enrollment

66 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-05-27

Study Completion Date

2024-09-30

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Neck Pain Mental Fatigue Mindfulness Awareness

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Individuals experiencing neck pain

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 Status Examination.
* Being able to read and write.
* Being willing 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 neurologic diseases.
* Inflammatory diseases
* 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 disorders such as bipolar disorder and panic attacks.
* Vision problems that do not improve despite vision aids.
* Pregnancy

Mental Fatigue:

Intervention Type OTHER

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

Body Awareness:

Intervention Type 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 Level

Intervention Type OTHER

Neck disability index will be used to assess this parameter.

Quality Of Life

Intervention Type OTHER

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

Pain Assessment:

Intervention Type 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:

Intervention Type 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:

Intervention Type OTHER

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

Healthy individuals without neck pain

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

Mental Fatigue:

Intervention Type OTHER

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

Body Awareness:

Intervention Type 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.

Quality Of Life

Intervention Type OTHER

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

Physical Condition:

Intervention Type 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:

Intervention Type OTHER

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

Interventions

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Mental Fatigue:

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

Intervention Type OTHER

Body Awareness:

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.

Intervention Type OTHER

Neck Disability Level

Neck disability index will be used to assess this parameter.

Intervention Type OTHER

Quality Of Life

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

Intervention Type OTHER

Pain Assessment:

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.

Intervention Type OTHER

Physical Condition:

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.

Intervention Type OTHER

Anxiety and Depression:

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

Intervention Type OTHER

Eligibility Criteria

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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.


* 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.

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


* Having chronic pain in the spine, especially in the neck.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Hacettepe University

OTHER

Sponsor Role lead

Responsible Party

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Selenay Aydogdu

principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Hacettepe University

Ankara, Sıhhiye, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Facility Contacts

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Selenay Aydoğdu, 1

Role: primary

5312723599 ext. +90

Nezire Köse, 2

Role: backup

3052525 ext. 0312

References

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Amiri Arimi S, Ghamkhar L, Kahlaee AH. The Relevance of Proprioception to Chronic Neck Pain: A Correlational Analysis of Flexor Muscle Size and Endurance, Clinical Neck Pain Characteristics, and Proprioception. Pain Med. 2018 Oct 1;19(10):2077-2088. doi: 10.1093/pm/pnx331.

Reference Type BACKGROUND
PMID: 29304254 (View on PubMed)

Dere T, Alemdaroglu-Gurbuz I. Muscular endurance and its association with neck pain, disability, neck awareness, and kinesiophobia in patients with chronic neck pain. Somatosens Mot Res. 2024 Sep;41(3):134-141. doi: 10.1080/08990220.2023.2186390. Epub 2023 Mar 10.

Reference Type BACKGROUND
PMID: 36897182 (View on PubMed)

Related Links

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https://pubmed.ncbi.nlm.nih.gov/29304254/

The Relevance of Proprioception to Chronic Neck Pain: A Correlational Analysis of Flexor Muscle Size and Endurance, Clinical Neck Pain Characteristics, and Proprioception

https://pubmed.ncbi.nlm.nih.gov/36897182/

Muscular endurance and its association with neck pain, disability, neck awareness, and kinesiophobia in patients with chronic neck pain

Other Identifiers

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10557444

Identifier Type: -

Identifier Source: org_study_id

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