Chronic Neck Pain
Conditions
Brief summary
The aim of this study is to compare the effects of single-session motor imagery and motor control exercises on pain, pressure pain threshold, cervical proprioception, and motor imagery in individuals with chronic neck pain.
Interventions
A single session of motor imagery exercise will be performed according to the PETTLEP model.
A single session of motor control exercise will be performed a
Sponsors
Study design
Eligibility
Inclusion criteria
* Neck pain lasting at least 12 weeks, * VAS score of at least 3 cm, * Standardized Mini Mental Test score of at least 24.
Exclusion criteria
* History of cervical surgery, * neurological deficit, * malignancy, * rheumatic diseases, * having received physical therapy for the neck region within the last 3 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Severity | Baseline and immediately post-intervention | The rest, activity and night pains of the participants will be evaluated with a 10 cm Visual Analog Scale before the treatment and at the end of the application. "0" means no pain, "10" means excruciating pain. Results will be recorded in cm. |
| Pressure Pain Threshold | Baseline and immediately post-intervention | Pressure Pain Threshold will be assessed using a digital pressure algometer. The algometer probe (1 cm²) will be applied perpendicularly to the skin surface over predetermined anatomical points. Pressure will be increased at a constant rate of approximately 1 kg/cm² per second. Participants will be instructed to indicate the moment when the sensation of pressure first becomes painful. The value at this point will be recorded as the PPT (kg/cm²). |
| Cervical proprioception | Baseline and immediately post-intervention | Cervical proprioception will be evaluated using the CROM Device. The assessment will be performed by measuring joint position sense (JPS) error. Participants will be seated in an upright position with feet flat on the floor. The CROM device will be securely positioned on the participant's head according to the manufacturer's guidelines. A target position (e.g., 30° cervical rotation or flexion) will be demonstrated by the examiner. Participants will be asked to actively move their head to the target position, hold it for 3 seconds, return to the neutral position, and then attempt to reposition their head to the same target position with eyes closed. |
| Motor Imagery | Baseline and immediately post-intervention | Motor imagery ability will be assessed using the Movement Imagery Questionnaire 3 (MIQ-3). The questionnaire consists of items assessing visual imagery (clarity of the image) and kinesthetic imagery (intensity of the sensation). Each item is scored on a 7-point scale (1 = very hard to imagine, 7 = very easy to imagine). Subscale scores (visual and kinesthetic) and a total score will be calculated. Higher scores indicate better motor imagery ability. |
Countries
Turkey (Türkiye)