Investigation of Relationships Between Pain Intensity, Cervical Muscle Strength, Proprioception and Balance in Individuals with Chronic Neck Pain

Year 2024, , 1 - 10, 15.01.2024

Hikmet Kocaman , Nazım Tolgahan Yıldız , Mehmet Canlı , Halil Alkan

https://doi.org/10.30720/ered.1327626

Cited By: 1

Abstract

Purpose: The aim of the study was to examine the relationships between pain intensity, cervical muscle strength, proprioception, and balance in individuals with chronic neck pain (CNP).
Material and Methods: The study included 45 individuals with CNP and 46 healthy individuals without neck pain. Neck pain intensity at rest and during activity was assessed by a visual analog scale in the CNP group, cervical flexor and extensor muscle strength was assessed by an isometric dynamometer, cervical proprioception was assessed by cervical joint position error test, and static and dynamic balance was assessed by Biodex balance system in both groups.
Results: Compared with healthy individuals, individuals with CNP had lower cervical flexor and extensor muscle strength, worse cervical proprioception, and worse static and dynamic balance (p<0.05). In individuals with CNP, pain intensity was associated with cervical muscle strength, cervical proprioception, and static-dynamic balance (p<0.05). In addition, cervical proprioception was associated with cervical muscle strength and static-dynamic balance in individuals with CNP (p<0.05).
Discussion: Cervical muscle strength, proprioception, and balance may weaken with increasing pain intensity in CNP, and the weakening of proprioception may negatively affect balance.

Keywords

Chronic neck pain, Muscle strength, Proprioception, Balance

Kronik Boyun Ağrısı Olan Bireylerde Ağrı Şiddeti, Servikal Kas Kuvveti, Propriosepsiyon ve Denge Arasındaki İlişkilerin İncelenmesi

Abstract

Amaç: Çalışmanın amacı, kronik boyun ağrısı (KBA) olan bireylerde ağrı şiddeti, servikal kas kuvveti, propriosepsiyon ve denge arasındaki ilişkileri incelemekti.
Gereç Yöntem: Çalışmaya 45 KBA’lı birey ve 46 boyun ağrısı olmayan sağlıklı birey dahil edildi. KBA’lı bireylerde istirahat ve aktivite sırasındaki boyun ağrısı şiddetleri görsel analog skala ile, her iki gruptaki bireylerin servikal fleksör ve ekstansör kas kuvveti izometrik dinamometre ile, servikal bölge propriosepsiyon duyusu servikal eklem pozisyon hata testi ile ve statik ve dinamik denge Biodex denge sistemi ile değerlendirildi.
Sonuçlar: Sağlıklı bireylerle karşılaştırıldığında KBA’lı bireylerin servikal fleksör ve ekstansör kas kuvvetlerinin daha düşük, servikal bölge propriosepsiyonunun ve statik ve dinamik dengelerinin daha kötü olduğu bulundu (p<0,05). KBA’lı bireylerde, ağrı şiddeti ile, servikal kas kuvvetleri, servikal bölge propriosepsiyonu ve statik-dinamik denge ilişkiliydi (p<0,05). Ayrıca, KBA’lı bireylerde, servikal bölge propriosepsiyonu, servikal kas kuvvetleri ve statik-dinamik denge ile ilişkiliydi (p<0,05).
Tartışma: KBA’da ağrı şiddetinin artmasıyla servikal kas kuvveti, propriosepsiyon ve denge zayıflayabilir, propriosepsiyonun zayıflaması dengeyi olumsuz etkileyebilir.

Keywords

Kronik boyun ağrısı, Kas kuvveti, Propriosepsiyon, Denge

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