Proprioceptive Puzzle: Effects on Quantitative Sensory Tests and Body Awareness
NCT ID: NCT06559397
Last Updated: 2025-11-25
Study Results
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Basic Information
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COMPLETED
60 participants
OBSERVATIONAL
2024-09-01
2025-02-01
Brief Summary
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Aim: This prospective cross-sectional study aims to investigate the impact of cervical proprioceptive error on body awareness, pressure pain threshold, pressure pain tolerance, conditioned pain modulation, and temporal summation in healthy young individuals.
Methods: In asymptomatic participants, cervical proprioception will be assessed using the 'head position error test' in both right and left rotation directions with the CROM device. Participants will be then divided into two groups based on the presence of proprioceptive deviation (\>5°). Body awareness will beassessed using the 'Body Awareness Questionnaire,' while pressure pain threshold, pain tolerance, and temporal summation will be measured bilaterally with an algometer device (2 cm lateral to the C2 and C7 spinal processes, midpoint of the upper part of the trapezius, and over the temporomandibular joint) in both groups. Subsequently, the two groups will be compared using independent samples t-tests.
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Detailed Description
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Despite these findings, there is a gap in the literature regarding the specific impact of cervical proprioception on body awareness and pain-related parameters in healthy individuals. Body awareness, or the conscious perception of body position and movement, is essential for efficient motor control and overall well-being. Additionally, understanding how proprioceptive errors in the cervical region might influence pain perception could provide insights into mechanisms underlying chronic pain conditions.
The primary aim of this prospective cross-sectional study is to investigate the impact of cervical proprioceptive error on body awareness, pressure pain threshold, pressure pain tolerance, conditioned pain modulation, and temporal summation in asymptomatic young individuals.
Conditions
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Study Design
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OTHER
CROSS_SECTIONAL
Study Groups
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Proprioceptive deficit positive group
This group consists of young participants who exhibit a proprioceptive error in their cervical proprioception test. Proprioceptive error refers to an inaccurate perception of the head's position in space. In this study, participants with a deviation greater than 5 degrees during the test will be classified into this group.
Assessment of cervical proprioception
Cervical proprioception will be assessed using the 'head position error test' in both right and left rotation directions with the CROM device. Participants will be then divided into two groups based on the presence of proprioceptive errors (\>5°).
Proprioceptive deficit negative goup
This group includes young participants who do not show any proprioceptive error in the cervical proprioception test. These participants accurately perceive the position of their head and thus do not have a proprioceptive deficit (less than 5 degrees)
Assessment of cervical proprioception
Cervical proprioception will be assessed using the 'head position error test' in both right and left rotation directions with the CROM device. Participants will be then divided into two groups based on the presence of proprioceptive errors (\>5°).
Interventions
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Assessment of cervical proprioception
Cervical proprioception will be assessed using the 'head position error test' in both right and left rotation directions with the CROM device. Participants will be then divided into two groups based on the presence of proprioceptive errors (\>5°).
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* Chronic pain conditions or diagnosed musculoskeletal disorders
* Previous neck or spine surgeries
* Neurological or psychiatric conditions affecting proprioception or pain perception
* Use of medications influencing pain sensitivity or proprioception
* Pregnancy
18 Years
25 Years
ALL
Yes
Sponsors
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Nagihan Acet
OTHER
Responsible Party
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Nagihan Acet
Asst. Prof.
Principal Investigators
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Nagihan Acet
Role: PRINCIPAL_INVESTIGATOR
Atılım University
Locations
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Atılım University
Ankara, Ankara, Turkey (Türkiye)
Countries
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References
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Revel M, Andre-Deshays C, Minguet M. Cervicocephalic kinesthetic sensibility in patients with cervical pain. Arch Phys Med Rehabil. 1991 Apr;72(5):288-91.
Kulkarni V, Chandy MJ, Babu KS. Quantitative study of muscle spindles in suboccipital muscles of human foetuses. Neurol India. 2001 Dec;49(4):355-9.
Peng B, Yang L, Li Y, Liu T, Liu Y. Cervical Proprioception Impairment in Neck Pain-Pathophysiology, Clinical Evaluation, and Management: A Narrative Review. Pain Ther. 2021 Jun;10(1):143-164. doi: 10.1007/s40122-020-00230-z. Epub 2021 Jan 12.
Mehling WE, Gopisetty V, Daubenmier J, Price CJ, Hecht FM, Stewart A. Body awareness: construct and self-report measures. PLoS One. 2009;4(5):e5614. doi: 10.1371/journal.pone.0005614. Epub 2009 May 19.
Yang J, Lee B, Kim C. Changes in proprioception and pain in patients with neck pain after upper thoracic manipulation. J Phys Ther Sci. 2015 Mar;27(3):795-8. doi: 10.1589/jpts.27.795. Epub 2015 Mar 31.
Law EY, Chiu TT. Measurement of cervical range of motion (CROM) by electronic CROM goniometer: a test of reliability and validity. J Back Musculoskelet Rehabil. 2013;26(2):141-8. doi: 10.3233/BMR-2012-00358.
Walton DM, Macdermid JC, Nielson W, Teasell RW, Chiasson M, Brown L. Reliability, standard error, and minimum detectable change of clinical pressure pain threshold testing in people with and without acute neck pain. J Orthop Sports Phys Ther. 2011 Sep;41(9):644-50. doi: 10.2519/jospt.2011.3666. Epub 2011 Sep 1.
Karaca, S. (2017). Vücut Farkındalığı Anketinin Türkçe uyarlaması: Geçerlik ve güvenirlik çalışması (Yayınlanmamış yüksek lisans tezi). Muğla Sıtkı Koçman Üniversitesi Sağlık Bilimleri Enstitüsü, Muğla.
Heisler AC, Song J, Dunlop DD, Wohlfahrt A, Bingham CO III, Bolster MB, Clauw DJ, Marder W, Phillips K, Neogi T, Lee YC. Association of Pain Centralization and Patient-Reported Pain in Active Rheumatoid Arthritis. Arthritis Care Res (Hoboken). 2020 Aug;72(8):1122-1129. doi: 10.1002/acr.23994. Epub 2020 Jul 21.
Acet N, Begen S. The proprioceptive puzzle: An observational study investigating the effects of cervical proprioceptive errors on quantitative sensory testing and body awareness in young individuals. PLoS One. 2025 Apr 21;20(4):e0321645. doi: 10.1371/journal.pone.0321645. eCollection 2025.
Other Identifiers
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AtılımU-2
Identifier Type: -
Identifier Source: org_study_id
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