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Pain, Fear of Movement, Neck Awareness and Upper Extremity Functionality in Chronic Neck Pain

Investigation of Parameters Related to Pain Catastrophizing, Fear of Movement, Neck Awareness and Upper Extremity Functionality in Individuals With Chronic Neck Pain - a Cross-sectional Study

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT07247214
Enrollment
114
Registered
2025-11-25
Start date
2025-07-20
Completion date
2025-10-20
Last updated
2025-11-25

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Chronic Neck Pain

Keywords

Chronic neck Pain, pain catastrophizing, kinesiophobia, neck awareness, functionality

Brief summary

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.

Detailed description

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.

Interventions

None listed

Sponsors

Hasan Kalyoncu University
Lead SponsorOTHER

Study design

Observational model
OTHER
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes

Inclusion criteria

* Individuals who have had neck pain for 3 months or longer * Those with no neurological findings * Those who agree to participate in the study

Exclusion criteria

* Individuals with a history of fractures * Those who have had cervical surgery * Individuals who provide incomplete data * Individuals who are inadequately literate in Turkish

Design outcomes

Primary

MeasureTime frameDescription
Pain Catastrophizingthrough study completion, an average of 3 monthsThe 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
Kinesiophobiathrough study completion, an average of 3 monthsThe 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.
Neck awarenessthrough study completion, an average of 3 monthsThe 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.
Upper extremity functionthrough study completion, an average of 3 monthsThe 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.

Secondary

MeasureTime frameDescription
The painthrough study completion, an average of 3 monthsThe 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.

Countries

Turkey (Türkiye)

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026