Sensory, Motor, and Psychosocial Characteristics of Individuals With Chronic Neck Pain: A Case Control Study
Abstract Objective Given the complex and unclear etiology of neck pain, it is important to understand the differences in central sensitization as well as psychosocial factors in individuals with chronic neck pain and healthy controls. The purpose of this study was to benchmark differences in central...
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| Veröffentlicht in: | PTJ: Physical Therapy & Rehabilitation Journal 2021-07, Vol.101 (7), p.1 |
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| container_title | PTJ: Physical Therapy & Rehabilitation Journal |
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| creator | Rampazo, Érika Patrícia da Silva, Viviane Ribeiro de Andrade, Ana Laura Martins Back, Cláudio Gregório Nuernberg Madeleine, Pascal Arendt-Nielsen, Lars Liebano, Richard Eloin |
| description | Abstract
Objective
Given the complex and unclear etiology of neck pain, it is important to understand the differences in central sensitization as well as psychosocial factors in individuals with chronic neck pain and healthy controls. The purpose of this study was to benchmark differences in central sensitization, psychosocial factors, and range of motion between people with nonspecific chronic neck pain and healthy controls and to analyze the correlation between pain intensity, neck disability, and psychosocial factors in people with chronic neck pain.
Methods
Thirty individuals with chronic neck pain and 30 healthy controls were included in this case–control study. Outcome measures were as follows: central sensitization (pressure pain threshold, temporal summation, and conditioned pain modulation), psychosocial factors (depressive symptoms, pain catastrophizing, and quality of life), and active cervical range of motion.
Results
People with neck pain had lower local pressure pain threshold, a decrease in conditioned pain modulation, more depressive symptoms, greater pain catastrophizing, lower quality of life, and reduced range of motion for neck rotation compared with healthy controls. In people with neck pain, moderate correlations were observed between pain intensity and quality of life (ρ = −0.479), disability and pain catastrophizing (ρ = 0.379), and disability and quality of life (ρ = −0.456).
Conclusion
People with neck pain have local hyperalgesia, impaired conditioning pain modulation, depressive symptoms, pain catastrophizing, low quality of life, and reduced active range of motion during neck rotation, which should be taken into account during assessment and treatment.
Impact
This study shows that important outcomes, such as central sensitization and psychosocial factors, should be considered during assessment and treatment of individuals with nonspecific chronic neck pain. In addition, pain intensity and neck disability are correlated with psychosocial factors. |
| doi_str_mv | 10.1093/ptj/pzab104 |
| format | Article |
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Objective
Given the complex and unclear etiology of neck pain, it is important to understand the differences in central sensitization as well as psychosocial factors in individuals with chronic neck pain and healthy controls. The purpose of this study was to benchmark differences in central sensitization, psychosocial factors, and range of motion between people with nonspecific chronic neck pain and healthy controls and to analyze the correlation between pain intensity, neck disability, and psychosocial factors in people with chronic neck pain.
Methods
Thirty individuals with chronic neck pain and 30 healthy controls were included in this case–control study. Outcome measures were as follows: central sensitization (pressure pain threshold, temporal summation, and conditioned pain modulation), psychosocial factors (depressive symptoms, pain catastrophizing, and quality of life), and active cervical range of motion.
Results
People with neck pain had lower local pressure pain threshold, a decrease in conditioned pain modulation, more depressive symptoms, greater pain catastrophizing, lower quality of life, and reduced range of motion for neck rotation compared with healthy controls. In people with neck pain, moderate correlations were observed between pain intensity and quality of life (ρ = −0.479), disability and pain catastrophizing (ρ = 0.379), and disability and quality of life (ρ = −0.456).
Conclusion
People with neck pain have local hyperalgesia, impaired conditioning pain modulation, depressive symptoms, pain catastrophizing, low quality of life, and reduced active range of motion during neck rotation, which should be taken into account during assessment and treatment.
Impact
This study shows that important outcomes, such as central sensitization and psychosocial factors, should be considered during assessment and treatment of individuals with nonspecific chronic neck pain. In addition, pain intensity and neck disability are correlated with psychosocial factors.</description><identifier>ISSN: 0031-9023</identifier><identifier>EISSN: 1538-6724</identifier><identifier>DOI: 10.1093/ptj/pzab104</identifier><identifier>PMID: 33774667</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Chronic pain ; Diagnosis ; Neck pain ; Psychological aspects ; Social aspects</subject><ispartof>PTJ: Physical Therapy & Rehabilitation Journal, 2021-07, Vol.101 (7), p.1</ispartof><rights>The Author(s) 2021. Published by Oxford University Press on behalf of the American Physical Therapy Association. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com 2021</rights><rights>The Author(s) 2021. Published by Oxford University Press on behalf of the American Physical Therapy Association. All rights reserved. For permissions, please email: journals.permissions@oup.com.</rights><rights>COPYRIGHT 2021 Oxford University Press</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c602t-f3bf5a83f117499e09864776d51f730c06e7243d10c301697232639264f87f6f3</citedby><cites>FETCH-LOGICAL-c602t-f3bf5a83f117499e09864776d51f730c06e7243d10c301697232639264f87f6f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,1579,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33774667$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rampazo, Érika Patrícia</creatorcontrib><creatorcontrib>da Silva, Viviane Ribeiro</creatorcontrib><creatorcontrib>de Andrade, Ana Laura Martins</creatorcontrib><creatorcontrib>Back, Cláudio Gregório Nuernberg</creatorcontrib><creatorcontrib>Madeleine, Pascal</creatorcontrib><creatorcontrib>Arendt-Nielsen, Lars</creatorcontrib><creatorcontrib>Liebano, Richard Eloin</creatorcontrib><title>Sensory, Motor, and Psychosocial Characteristics of Individuals With Chronic Neck Pain: A Case Control Study</title><title>PTJ: Physical Therapy & Rehabilitation Journal</title><addtitle>Phys Ther</addtitle><description>Abstract
Objective
Given the complex and unclear etiology of neck pain, it is important to understand the differences in central sensitization as well as psychosocial factors in individuals with chronic neck pain and healthy controls. The purpose of this study was to benchmark differences in central sensitization, psychosocial factors, and range of motion between people with nonspecific chronic neck pain and healthy controls and to analyze the correlation between pain intensity, neck disability, and psychosocial factors in people with chronic neck pain.
Methods
Thirty individuals with chronic neck pain and 30 healthy controls were included in this case–control study. Outcome measures were as follows: central sensitization (pressure pain threshold, temporal summation, and conditioned pain modulation), psychosocial factors (depressive symptoms, pain catastrophizing, and quality of life), and active cervical range of motion.
Results
People with neck pain had lower local pressure pain threshold, a decrease in conditioned pain modulation, more depressive symptoms, greater pain catastrophizing, lower quality of life, and reduced range of motion for neck rotation compared with healthy controls. In people with neck pain, moderate correlations were observed between pain intensity and quality of life (ρ = −0.479), disability and pain catastrophizing (ρ = 0.379), and disability and quality of life (ρ = −0.456).
Conclusion
People with neck pain have local hyperalgesia, impaired conditioning pain modulation, depressive symptoms, pain catastrophizing, low quality of life, and reduced active range of motion during neck rotation, which should be taken into account during assessment and treatment.
Impact
This study shows that important outcomes, such as central sensitization and psychosocial factors, should be considered during assessment and treatment of individuals with nonspecific chronic neck pain. In addition, pain intensity and neck disability are correlated with psychosocial factors.</description><subject>Chronic pain</subject><subject>Diagnosis</subject><subject>Neck pain</subject><subject>Psychological aspects</subject><subject>Social aspects</subject><issn>0031-9023</issn><issn>1538-6724</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kctrGzEQxkVoSJy0p96LTiUQrzNayZK3N7PkYcjDkJYeF1kr1UrX0lbSBpy_Pgp2egwzMDD8vnnwIfSVwIRARS_69HTRv8gVAXaARmRKZwUXJfuERgCUFBWU9BidxPgEAESw6ggdUyoE41yMUPeoXfRhO8Z3PvkwxtK1eBm3au2jV1Z2uF7LIFXSwcZkVcTe4IVr7bNtB9lF_NumdWaCd1bhe63-4qW07gee41pGjWvvUvAdfkxDu_2MDk3W6C_7eop-XV3-rG-K24frRT2_LRSHMhWGrsxUzqghb-dWGqoZZ0LwdkqMoKCA6_wfbQkoCoRXoqQlp1XJmZkJww09RWe7uX3w_wYdU7OxUemuk077ITblFHhOymhGJzv0j-x0Y53xKX-bo9Ubq7zTxub-PC_hhAEjWXC-E6jgYwzaNH2wGxm2DYHmzY8m-9Hs_cj0t_0lw2qj2__suwEZ-L4D_NB_OOkVB1mSbg</recordid><startdate>20210701</startdate><enddate>20210701</enddate><creator>Rampazo, Érika Patrícia</creator><creator>da Silva, Viviane Ribeiro</creator><creator>de Andrade, Ana Laura Martins</creator><creator>Back, Cláudio Gregório Nuernberg</creator><creator>Madeleine, Pascal</creator><creator>Arendt-Nielsen, Lars</creator><creator>Liebano, Richard Eloin</creator><general>Oxford University Press</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IAO</scope><scope>7X8</scope></search><sort><creationdate>20210701</creationdate><title>Sensory, Motor, and Psychosocial Characteristics of Individuals With Chronic Neck Pain: A Case Control Study</title><author>Rampazo, Érika Patrícia ; da Silva, Viviane Ribeiro ; de Andrade, Ana Laura Martins ; Back, Cláudio Gregório Nuernberg ; Madeleine, Pascal ; Arendt-Nielsen, Lars ; Liebano, Richard Eloin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c602t-f3bf5a83f117499e09864776d51f730c06e7243d10c301697232639264f87f6f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Chronic pain</topic><topic>Diagnosis</topic><topic>Neck pain</topic><topic>Psychological aspects</topic><topic>Social aspects</topic><toplevel>online_resources</toplevel><creatorcontrib>Rampazo, Érika Patrícia</creatorcontrib><creatorcontrib>da Silva, Viviane Ribeiro</creatorcontrib><creatorcontrib>de Andrade, Ana Laura Martins</creatorcontrib><creatorcontrib>Back, Cláudio Gregório Nuernberg</creatorcontrib><creatorcontrib>Madeleine, Pascal</creatorcontrib><creatorcontrib>Arendt-Nielsen, Lars</creatorcontrib><creatorcontrib>Liebano, Richard Eloin</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale Academic OneFile</collection><collection>MEDLINE - Academic</collection><jtitle>PTJ: Physical Therapy & Rehabilitation Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rampazo, Érika Patrícia</au><au>da Silva, Viviane Ribeiro</au><au>de Andrade, Ana Laura Martins</au><au>Back, Cláudio Gregório Nuernberg</au><au>Madeleine, Pascal</au><au>Arendt-Nielsen, Lars</au><au>Liebano, Richard Eloin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sensory, Motor, and Psychosocial Characteristics of Individuals With Chronic Neck Pain: A Case Control Study</atitle><jtitle>PTJ: Physical Therapy & Rehabilitation Journal</jtitle><addtitle>Phys Ther</addtitle><date>2021-07-01</date><risdate>2021</risdate><volume>101</volume><issue>7</issue><spage>1</spage><pages>1-</pages><issn>0031-9023</issn><eissn>1538-6724</eissn><abstract>Abstract
Objective
Given the complex and unclear etiology of neck pain, it is important to understand the differences in central sensitization as well as psychosocial factors in individuals with chronic neck pain and healthy controls. The purpose of this study was to benchmark differences in central sensitization, psychosocial factors, and range of motion between people with nonspecific chronic neck pain and healthy controls and to analyze the correlation between pain intensity, neck disability, and psychosocial factors in people with chronic neck pain.
Methods
Thirty individuals with chronic neck pain and 30 healthy controls were included in this case–control study. Outcome measures were as follows: central sensitization (pressure pain threshold, temporal summation, and conditioned pain modulation), psychosocial factors (depressive symptoms, pain catastrophizing, and quality of life), and active cervical range of motion.
Results
People with neck pain had lower local pressure pain threshold, a decrease in conditioned pain modulation, more depressive symptoms, greater pain catastrophizing, lower quality of life, and reduced range of motion for neck rotation compared with healthy controls. In people with neck pain, moderate correlations were observed between pain intensity and quality of life (ρ = −0.479), disability and pain catastrophizing (ρ = 0.379), and disability and quality of life (ρ = −0.456).
Conclusion
People with neck pain have local hyperalgesia, impaired conditioning pain modulation, depressive symptoms, pain catastrophizing, low quality of life, and reduced active range of motion during neck rotation, which should be taken into account during assessment and treatment.
Impact
This study shows that important outcomes, such as central sensitization and psychosocial factors, should be considered during assessment and treatment of individuals with nonspecific chronic neck pain. In addition, pain intensity and neck disability are correlated with psychosocial factors.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>33774667</pmid><doi>10.1093/ptj/pzab104</doi><oa>free_for_read</oa></addata></record> |
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| ispartof | PTJ: Physical Therapy & Rehabilitation Journal, 2021-07, Vol.101 (7), p.1 |
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| language | eng |
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| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
| subjects | Chronic pain Diagnosis Neck pain Psychological aspects Social aspects |
| title | Sensory, Motor, and Psychosocial Characteristics of Individuals With Chronic Neck Pain: A Case Control Study |
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