Kinesiophobia, Pain and Disability in Chronic Neck Pain

Kinesiophobia As A Mediator Of The Association Between Pain Intensity And Disability In Chronic Neck Pain

Status

Recruiting

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT07525557

Enrollment

250

Registered

2026-04-13

Start date

2026-04-10

Completion date

2026-07-01

Last updated

2026-05-11

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

Conditions

Chronic Neck Pain

Keywords

Kinesiophobia, Chronic Pain, Musculoskeletal Pain, Disability Evaluation, Pain Measurement, Fear Avoidance, Neck Disability Index, Tampa Scale of Kinesiophobia

Brief summary

This study aims to investigate the mediating role of kinesiophobia in the relationship between pain intensity and disability in individuals with chronic neck pain. Chronic neck pain is a multidimensional clinical condition influenced not only by biological factors but also by psychological components such as fear of movement. Understanding the mechanisms underlying disability may contribute to more targeted rehabilitation strategies. Participants with chronic neck pain lasting at least three months will be assessed using validated self-report questionnaires measuring pain intensity, kinesiophobia, disability, and physical activity levels.

Detailed description

Chronic neck pain is a common musculoskeletal disorder associated with significant functional limitations and reduced quality of life. While pain intensity is considered an important determinant of disability, it does not fully explain variations in functional outcomes among individuals. Psychological factors, particularly kinesiophobia, may influence the relationship between pain and disability through fear-avoidance mechanisms. The purpose of this cross-sectional observational study is to examine whether kinesiophobia mediates the relationship between pain intensity and disability in individuals with chronic neck pain. Disability will be assessed in a multidimensional framework including neck-related and upper extremity functional limitations. Findings from this study may provide clinical implications for rehabilitation approaches targeting psychological components of chronic pain.

Interventions

None listed

Study design

Observational model

OTHER

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* Individuals aged 18 years or older * Presence of chronic neck pain lasting at least 3 months * Ability to understand and complete questionnaires * Voluntary participation

Exclusion criteria

* Acute neck pain (\< 3 months) * History of cervical spine surgery * Neurological disease or cervical radiculopathy * Inflammatory, neoplastic, or traumatic conditions affecting the neck * Cognitive impairment preventing questionnaire completion

Design outcomes

Primary

Measure	Time frame	Description
Pain-Related Disability	Single assessment (baseline)	Neck Disability Index (NDI)
Pain Intensity	Baseline	Numeric Pain Rating Scale (NPRS)
Kinesiophobia	Baseline	Tampa Scale of Kinesiophobia (TSK)
Deep cervical flexor muscle function	Baseline	Craniocervical Flexion Test'in Performance Index (CCFT-PI)
Physical Activity Level	Baseline	International Physical Activity Questionnaire-Short Form (IPAQ-SF)

Countries

Turkey (Türkiye)

Contacts

CONTACTMine PEKESEN KURTÇA, ASISTANT PROFESSOR, PhD

mine.pekesenkurtca@omu.edu.tr+903623121919

Outcome results