Research Article
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Year 2025, Volume: 3 Issue: 2, 60 - 68, 30.04.2025

Abstract

Project Number

2

References

  • 1. Kazeminasab S, Nejadghaderi SA, Amiri P, Pourfathi H, Araj-Khodaei M, Sullman MJM, et al. Neck pain: global epidemiology, trends and risk factors. BMC musculoskeletal disorders. 2022;23(1):26.
  • 2. Lundwall A, Ryman A, Bjarnegård Sellius A, Mannerkorpi K. Pain requires processing - How the experience of pain is influenced by Basic Body Awareness Therapy in patients with long-term pain. Journal of bodywork and movement therapies. 2019;23(4):701-7.
  • 3. Sarig Bahat H, Weiss PL, Sprecher E, Krasovsky A, Laufer Y. Do neck kinematics correlate with pain intensity, neck disability or with fear of motion? Manual therapy. 2014;19(3):252-8.
  • 4. Elbinoune I, Amine B, Shyen S, Gueddari S, Abouqal R, Hajjaj-Hassouni N. Chronic neck pain and anxiety-depression: prevalence and associated risk factors. The Pan African medical journal. 2016;24:89.
  • 5. Luque-Suarez A, Martinez-Calderon J, Falla D. Role of kinesiophobia on pain, disability and quality of life in people suffering from chronic musculoskeletal pain: a systematic review. British journal of sports medicine. 2019;53(9):554-9.
  • 6. Yamashita Y, Nishigami T, Mibu A, Tanaka K, Wand BM, Catley MJ, et al. Development and Psychometric Testing of the Japanese Version of the Fremantle Neck Awareness Questionnaire: A Cross-Sectional Study. Journal of pain research. 2021;14:311-24.
  • 7. Moreira C, Bassi AR, Brandão MP, Silva AG. Do patients with chronic neck pain have distorted body image and tactile dysfunction? European Journal of Physiotherapy. 2017;19:215 - 21.
  • 8. Dimitriadis Z, Kapreli E, Strimpakos N, Oldham J. Do psychological states associate with pain and disability in chronic neck pain patients? Journal of back and musculoskeletal rehabilitation. 2015;28(4):797-802.
  • 9. Beltran-Alacreu H, López-de-Uralde-Villanueva I, Calvo-Lobo C, Fernández-Carnero J, La Touche R. Clinical features of patients with chronic non-specific neck pain per disability level: A novel observational study. Revista da Associacao Medica Brasileira (1992). 2018;64(8):700-9.
  • 10. Daffner SD, Hilibrand AS, Hanscom BS, Brislin BT, Vaccaro AR, Albert TJ. Impact of neck and arm pain on overall health status. Spine. 2003;28(17):2030-5.
  • 11. Lin RF, Chang JJ, Lu YM, Huang MH, Lue YJ. Correlations between quality of life and psychological factors in patients with chronic neck pain. The Kaohsiung journal of medical sciences. 2010;26(1):13-20.
  • 12. Vernon H. The Neck Disability Index: state-of-the-art, 1991-2008. Journal of manipulative and physiological therapeutics. 2008;31(7):491-502.
  • 13. Ghamkhar L, Kahlaee AH, Nourbakhsh MR, Ahmadi A, Arab AM. Relationship Between Proprioception and Endurance Functionality of the Cervical Flexor Muscles in Chronic Neck Pain and Asymptomatic Participants. Journal of manipulative and physiological therapeutics. 2018;41(2):129-36.
  • 14. Onan D, Gokmen D, Ulger O. The Fremantle Neck Awareness Questionnaire in Chronic Neck Pain Patients: Turkish Version, Validity and Reliability Study. Spine. 2020;45(3):E163-e9.
  • 15. Karcioglu O, Topacoglu H, Dikme O, Dikme O. A systematic review of the pain scales in adults: Which to use? The American journal of emergency medicine. 2018;36(4):707-14.
  • 16. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta psychiatrica Scandinavica. 1983;67(6):361-70.
  • 17. Aydemir O. Hastane anksiyete ve depresyon olcegi Turkce formunun gecerlilik ve guvenilirligi. Turk Psikiyatri Derg. 1997;8:187-280.
  • 18. Yilmaz ÖT, Yakut Y, Uygur F, Uluğ N. Tampa Kinezyofobi Ölçeği’nin Türkçe versiyonu ve test-tekrar test güvenirliği. Fizyoterapi Rehabilitasyon. 2011;22(1):44-9.
  • 19. Demirbüken İ, Özgül B, Kuru Çolak T, Aydoğdu O, Sarı Z, Yurdalan SU. Kinesiophobia in relation to physical activity in chronic neck pain. Journal of back and musculoskeletal rehabilitation. 2016;29(1):41-7.
  • 20. Gunay Ucurum S. The relationship between pain severity, kinesiophobia, and quality of life in patients with non-specific chronic neck pain. Journal of back and musculoskeletal rehabilitation. 2019;32(5):677-83.
  • 21. Wand BM, Catley MJ, Rabey MI, O'Sullivan PB, O'Connell NE, Smith AJ. Disrupted Self-Perception in People With Chronic Low Back Pain. Further Evaluation of the Fremantle Back Awareness Questionnaire. The journal of pain. 2016;17(9):1001-12.
  • 22. Revel M, Andre-Deshays C, Minguet M. Cervicocephalic kinesthetic sensibility in patients with cervical pain. Archives of physical medicine and rehabilitation. 1991;72(5):288-91.
  • 23. Civelek FÖ, Nacır B, Erdem HR. Servikal Omurganın Sensorimotor Kontroldeki Önemi ve Boyun Hastalıklarına Bağlı Sensorimotor Bozukluklarının Klinik Değerlendirme Yöntemleri. Journal of Physical Medicine & Rehabilitation Sciences/Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi. 2017;20(1).
  • 24. Shields SA, Mallory ME, Simon A. The Body Awareness Questionnaire: Reliability and Validity. Journal of Personality Assessment. 1989;53(4):802-15.
  • 25. Karaca S, Bayar B. Turkish version of body awareness questionnaire: validity and reliability study. Türk Fizyoterapi ve Rehabilitasyon Dergisi. 2021;32(1):44-50.
  • 26. Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. Journal of manipulative and physiological therapeutics. 1991;14(7):409-15.
  • 27. Küçükdeveci AA, Yavuzer G, Elhan AH, Sonel B, Tennant A. Adaptation of the Functional Independence Measure for use in Turkey. Clinical rehabilitation. 2001;15(3):311-9.
  • 28. Wiklund I. The Nottingham Health Profile--a measure of health-related quality of life. Scandinavian journal of primary health care Supplement. 1990;1:15-8.
  • 29. Alpar R. Spor, Sağlık ve Eğitim Bilimlerinden Örneklerle Uygulamalı İstatistik ve Geçerlik-Güvenirlik. Ankara: Detay Yayıncılık; 2016.
  • 30. James WP. WHO recognition of the global obesity epidemic. International journal of obesity (2005). 2008;32 Suppl 7:S120-6.
  • 31. Luo X, Edwards CL, Richardson W, Hey L. Relationships of clinical, psychologic, and individual factors with the functional status of neck pain patients. Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research. 2004;7(1):61-9.
  • 32. Paksaichol A, Janwantanakul P, Purepong N, Pensri P, van der Beek AJ. Office workers' risk factors for the development of non-specific neck pain: a systematic review of prospective cohort studies. Occupational and environmental medicine. 2012;69(9):610-8.
  • 33. Mäntyselkä P, Lupsakko T, Kautiainen H, Vanhala M. Neck-shoulder pain and depressive symptoms: a cohort study with a 7-year follow-up. European journal of pain (London, England). 2010;14(2):189-93.
  • 34. Asiri F, Reddy RS, Tedla JS, MA AL, Alshahrani MS, Govindappa SC, et al. Kinesiophobia and its correlations with pain, proprioception, and functional performance among individuals with chronic neck pain. PloS one. 2021;16(7):e0254262.
  • 35. Şimşek Ş. YN, Oymak Soysal A. N. , Kaş Özdemir A. , Bergin M. Kronik Boyun Ağrısı Olan Bireylerde Ağrı, Fonksiyonel Durum ve Boyun Farkındalığı Arasındaki İlişki. Türk Fizyoterapi ve Rehabilitasyon Dergisi. 2022;33(2):106-13.
  • 36. 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 medicine (Malden, Mass). 2018;19(10):2077-88.
  • 37. Courtois I, Cools F, Calsius J. Effectiveness of body awareness interventions in fibromyalgia and chronic fatigue syndrome: a systematic review and meta-analysis. Journal of bodywork and movement therapies. 2015;19(1):35-56.
  • 38. 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 and therapy. 2021;10(1):143-64.
  • 39. de Vries J, Ischebeck BK, Voogt LP, van der Geest JN, Janssen M, Frens MA, et al. Joint position sense error in people with neck pain: A systematic review. Manual therapy. 2015;20(6):736-44.
  • 40. Erden A, Altuğ F, Cavlak U. Investigation of relationship between body awareness, pain, emotional status and quality of life with healty people. South Clin Ist Euras. 2013;24(3):145-50.

An Investigation of the Relationship Between Psychosocial Characteristics of the Individuals with Severe Non-Specific Chronic Neck Pain and Their Neck Awareness, Body Awareness, Neck Disability Status, and Life Quality

Year 2025, Volume: 3 Issue: 2, 60 - 68, 30.04.2025

Abstract

Purpose: Only a small number of studies provide a comprehensive assessment of the factors involved in severe non-specific neck pain. The purpose of the present study was to investigate the relationship between the psychosocial characteristics of the individuals with severe non-specific neck pain and their neck awareness, body awareness, neck disability status and life quality.
Methods: Thirty individuals (mean age = 40.47±7.16) with severe non-specific neck pain participated in the study. The severity of pain, psychosocial characteristics, kinesiophobia, neck and body awareness, neck disability and quality of life were measured by Numeric Rating Scale (NRS), Hospital Anxiety and Depression Scale (HADS), Tampa Scale for Kinesiophobia (TSK), Fremantle Neck Awareness Questionnaire (FreNAQ), Cervical Joint Position Error (CJPE) test, Body Awareness Questionnaire (BAQ), Neck Disability Index (NDI), and Nottingham Health Profile (NHP), respectively.
Results: Significant correlations were detected between anxiety and depression levels and NHP and emotional reaction (p<0.05). In addition, significant correlations were found between the fear of movement and pain severity, neck awareness, overall NHP score, NHP-emotional reaction, and NHP-social isolation (p<0.05).
Conclusion: In individuals with severe non-specific chronic neck pain, a high fear of movement negatively affected neck awareness, quality of life, social participation, and emotional state.

Supporting Institution

There is no supporting ınstitution.

Project Number

2

References

  • 1. Kazeminasab S, Nejadghaderi SA, Amiri P, Pourfathi H, Araj-Khodaei M, Sullman MJM, et al. Neck pain: global epidemiology, trends and risk factors. BMC musculoskeletal disorders. 2022;23(1):26.
  • 2. Lundwall A, Ryman A, Bjarnegård Sellius A, Mannerkorpi K. Pain requires processing - How the experience of pain is influenced by Basic Body Awareness Therapy in patients with long-term pain. Journal of bodywork and movement therapies. 2019;23(4):701-7.
  • 3. Sarig Bahat H, Weiss PL, Sprecher E, Krasovsky A, Laufer Y. Do neck kinematics correlate with pain intensity, neck disability or with fear of motion? Manual therapy. 2014;19(3):252-8.
  • 4. Elbinoune I, Amine B, Shyen S, Gueddari S, Abouqal R, Hajjaj-Hassouni N. Chronic neck pain and anxiety-depression: prevalence and associated risk factors. The Pan African medical journal. 2016;24:89.
  • 5. Luque-Suarez A, Martinez-Calderon J, Falla D. Role of kinesiophobia on pain, disability and quality of life in people suffering from chronic musculoskeletal pain: a systematic review. British journal of sports medicine. 2019;53(9):554-9.
  • 6. Yamashita Y, Nishigami T, Mibu A, Tanaka K, Wand BM, Catley MJ, et al. Development and Psychometric Testing of the Japanese Version of the Fremantle Neck Awareness Questionnaire: A Cross-Sectional Study. Journal of pain research. 2021;14:311-24.
  • 7. Moreira C, Bassi AR, Brandão MP, Silva AG. Do patients with chronic neck pain have distorted body image and tactile dysfunction? European Journal of Physiotherapy. 2017;19:215 - 21.
  • 8. Dimitriadis Z, Kapreli E, Strimpakos N, Oldham J. Do psychological states associate with pain and disability in chronic neck pain patients? Journal of back and musculoskeletal rehabilitation. 2015;28(4):797-802.
  • 9. Beltran-Alacreu H, López-de-Uralde-Villanueva I, Calvo-Lobo C, Fernández-Carnero J, La Touche R. Clinical features of patients with chronic non-specific neck pain per disability level: A novel observational study. Revista da Associacao Medica Brasileira (1992). 2018;64(8):700-9.
  • 10. Daffner SD, Hilibrand AS, Hanscom BS, Brislin BT, Vaccaro AR, Albert TJ. Impact of neck and arm pain on overall health status. Spine. 2003;28(17):2030-5.
  • 11. Lin RF, Chang JJ, Lu YM, Huang MH, Lue YJ. Correlations between quality of life and psychological factors in patients with chronic neck pain. The Kaohsiung journal of medical sciences. 2010;26(1):13-20.
  • 12. Vernon H. The Neck Disability Index: state-of-the-art, 1991-2008. Journal of manipulative and physiological therapeutics. 2008;31(7):491-502.
  • 13. Ghamkhar L, Kahlaee AH, Nourbakhsh MR, Ahmadi A, Arab AM. Relationship Between Proprioception and Endurance Functionality of the Cervical Flexor Muscles in Chronic Neck Pain and Asymptomatic Participants. Journal of manipulative and physiological therapeutics. 2018;41(2):129-36.
  • 14. Onan D, Gokmen D, Ulger O. The Fremantle Neck Awareness Questionnaire in Chronic Neck Pain Patients: Turkish Version, Validity and Reliability Study. Spine. 2020;45(3):E163-e9.
  • 15. Karcioglu O, Topacoglu H, Dikme O, Dikme O. A systematic review of the pain scales in adults: Which to use? The American journal of emergency medicine. 2018;36(4):707-14.
  • 16. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta psychiatrica Scandinavica. 1983;67(6):361-70.
  • 17. Aydemir O. Hastane anksiyete ve depresyon olcegi Turkce formunun gecerlilik ve guvenilirligi. Turk Psikiyatri Derg. 1997;8:187-280.
  • 18. Yilmaz ÖT, Yakut Y, Uygur F, Uluğ N. Tampa Kinezyofobi Ölçeği’nin Türkçe versiyonu ve test-tekrar test güvenirliği. Fizyoterapi Rehabilitasyon. 2011;22(1):44-9.
  • 19. Demirbüken İ, Özgül B, Kuru Çolak T, Aydoğdu O, Sarı Z, Yurdalan SU. Kinesiophobia in relation to physical activity in chronic neck pain. Journal of back and musculoskeletal rehabilitation. 2016;29(1):41-7.
  • 20. Gunay Ucurum S. The relationship between pain severity, kinesiophobia, and quality of life in patients with non-specific chronic neck pain. Journal of back and musculoskeletal rehabilitation. 2019;32(5):677-83.
  • 21. Wand BM, Catley MJ, Rabey MI, O'Sullivan PB, O'Connell NE, Smith AJ. Disrupted Self-Perception in People With Chronic Low Back Pain. Further Evaluation of the Fremantle Back Awareness Questionnaire. The journal of pain. 2016;17(9):1001-12.
  • 22. Revel M, Andre-Deshays C, Minguet M. Cervicocephalic kinesthetic sensibility in patients with cervical pain. Archives of physical medicine and rehabilitation. 1991;72(5):288-91.
  • 23. Civelek FÖ, Nacır B, Erdem HR. Servikal Omurganın Sensorimotor Kontroldeki Önemi ve Boyun Hastalıklarına Bağlı Sensorimotor Bozukluklarının Klinik Değerlendirme Yöntemleri. Journal of Physical Medicine & Rehabilitation Sciences/Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi. 2017;20(1).
  • 24. Shields SA, Mallory ME, Simon A. The Body Awareness Questionnaire: Reliability and Validity. Journal of Personality Assessment. 1989;53(4):802-15.
  • 25. Karaca S, Bayar B. Turkish version of body awareness questionnaire: validity and reliability study. Türk Fizyoterapi ve Rehabilitasyon Dergisi. 2021;32(1):44-50.
  • 26. Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. Journal of manipulative and physiological therapeutics. 1991;14(7):409-15.
  • 27. Küçükdeveci AA, Yavuzer G, Elhan AH, Sonel B, Tennant A. Adaptation of the Functional Independence Measure for use in Turkey. Clinical rehabilitation. 2001;15(3):311-9.
  • 28. Wiklund I. The Nottingham Health Profile--a measure of health-related quality of life. Scandinavian journal of primary health care Supplement. 1990;1:15-8.
  • 29. Alpar R. Spor, Sağlık ve Eğitim Bilimlerinden Örneklerle Uygulamalı İstatistik ve Geçerlik-Güvenirlik. Ankara: Detay Yayıncılık; 2016.
  • 30. James WP. WHO recognition of the global obesity epidemic. International journal of obesity (2005). 2008;32 Suppl 7:S120-6.
  • 31. Luo X, Edwards CL, Richardson W, Hey L. Relationships of clinical, psychologic, and individual factors with the functional status of neck pain patients. Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research. 2004;7(1):61-9.
  • 32. Paksaichol A, Janwantanakul P, Purepong N, Pensri P, van der Beek AJ. Office workers' risk factors for the development of non-specific neck pain: a systematic review of prospective cohort studies. Occupational and environmental medicine. 2012;69(9):610-8.
  • 33. Mäntyselkä P, Lupsakko T, Kautiainen H, Vanhala M. Neck-shoulder pain and depressive symptoms: a cohort study with a 7-year follow-up. European journal of pain (London, England). 2010;14(2):189-93.
  • 34. Asiri F, Reddy RS, Tedla JS, MA AL, Alshahrani MS, Govindappa SC, et al. Kinesiophobia and its correlations with pain, proprioception, and functional performance among individuals with chronic neck pain. PloS one. 2021;16(7):e0254262.
  • 35. Şimşek Ş. YN, Oymak Soysal A. N. , Kaş Özdemir A. , Bergin M. Kronik Boyun Ağrısı Olan Bireylerde Ağrı, Fonksiyonel Durum ve Boyun Farkındalığı Arasındaki İlişki. Türk Fizyoterapi ve Rehabilitasyon Dergisi. 2022;33(2):106-13.
  • 36. 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 medicine (Malden, Mass). 2018;19(10):2077-88.
  • 37. Courtois I, Cools F, Calsius J. Effectiveness of body awareness interventions in fibromyalgia and chronic fatigue syndrome: a systematic review and meta-analysis. Journal of bodywork and movement therapies. 2015;19(1):35-56.
  • 38. 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 and therapy. 2021;10(1):143-64.
  • 39. de Vries J, Ischebeck BK, Voogt LP, van der Geest JN, Janssen M, Frens MA, et al. Joint position sense error in people with neck pain: A systematic review. Manual therapy. 2015;20(6):736-44.
  • 40. Erden A, Altuğ F, Cavlak U. Investigation of relationship between body awareness, pain, emotional status and quality of life with healty people. South Clin Ist Euras. 2013;24(3):145-50.
There are 40 citations in total.

Details

Primary Language English
Subjects Physiotherapy
Journal Section Research Articles
Authors

Makbule Özel 0000-0002-8308-4013

İpek Gürbüz 0000-0001-5556-6608

Öznur Tunca Yılmaz 0000-0002-0855-9541

Project Number 2
Publication Date April 30, 2025
Submission Date January 11, 2025
Acceptance Date January 29, 2025
Published in Issue Year 2025 Volume: 3 Issue: 2

Cite

Vancouver Özel M, Gürbüz İ, Tunca Yılmaz Ö. An Investigation of the Relationship Between Psychosocial Characteristics of the Individuals with Severe Non-Specific Chronic Neck Pain and Their Neck Awareness, Body Awareness, Neck Disability Status, and Life Quality. JHUPTR. 2025;3(2):60-8.