scholarly journals A Correlation Analysis of Neck Pain, Neck Disability Index and Fear-avoidance Beliefs in Patients with Neck Pain Caused by Traffic Accidents

2015 ◽  
Vol 32 (1) ◽  
pp. 109-118 ◽  
Author(s):  
Cho In Lee ◽  
Jae Soo Kim ◽  
Yun Kyu Lee ◽  
Seong Chul Lim ◽  
Tae Young Jung ◽  
...  
Keyword(s):  
Correlation Analysis ◽  
Neck Pain ◽  
Traffic Accidents ◽  
Neck Disability Index ◽  
Fear Avoidance ◽  
Fear Avoidance Beliefs ◽  
Neck Disability

Cultural adaptation, validity and reliability of the Turkish version of the Örebro Musculoskeletal Pain Questionnaire in acute and subacute neck pain

2021 ◽  
Vol 28 (10) ◽  
pp. 1-12
Author(s):  
Şule Şimşek ◽  
Nesrin Yağcı ◽  
Hande Şenol
Keyword(s):  
Neck Pain ◽  
Musculoskeletal Pain ◽  
Intraclass Correlation ◽  
Neck Disability Index ◽  
Fear Avoidance ◽  
Validity And Reliability ◽  
Pain Questionnaire ◽  
Örebro Musculoskeletal Pain Questionnaire ◽  
Neck Disability ◽  
Test Retest Reliability

Background/aims The Örebro Musculoskeletal Pain Questionnaire is categorised as a ‘yellow flag’ pain-associated psychological distress screening tool, which predicts long-term disability. The aim of this study was to assess the validity and reliability of the Turkish translation of the Örebro Musculoskeletal Pain Questionnaire in patients with acute and subacute neck pain. Methods The test–retest reliability and internal consistency were assessed with the intraclass correlation coefficient and Cronbach's α. Construct validity was assessed with a visual analogue scale, the Neck Disability Index and the Fear Avoidance Belief Questionnaire. Results Cronbach's α value was found to be 0.790, test–retest reliability was 0.99. The intraclass correlation coefficient was 0.999 (95% confidence interval: 0.998–0.999; P=0.000). The Örebro Musculoskeletal Pain Questionnaire showed a moderate positive correlation with the Neck Disability Index (r=0.544; P=0.0001), a weak correlation with the Fear Avoidance Belief Questionnaire (r=0.264; P=0.0001) but no correlation with the visual analogue scale. Conclusions The Turkish version of the Örebro Musculoskeletal Pain Questionnaire is a valid, reliable and acceptable screening tool in patients with acute and subacute neck pain.

scholarly journals Συγκριτική μελέτη προγραμμάτων θεραπευτικής άσκησης σε ασθενείς με χρόνιο αυχενικό πόνο

2010 ◽  
Author(s):  
Βικτωρία Μισαηλίδου
Keyword(s):  
Range Of Motion ◽  
Health Survey ◽  
Short Form ◽  
Neck Disability Index ◽  
Mcgill Pain Questionnaire ◽  
Fear Avoidance ◽  
Fear Avoidance Beliefs ◽  
Sf 36 ◽  
Neck Disability ◽  
Fear Avoidance Beliefs Questionnaire

Σκοπός της παρούσας ερευνητικής μελέτης ήταν να διερευνηθεί η επίδραση τριών προγραμμάτων θεραπευτικής άσκησης στην αίσθηση πόνου, στη λειτουργική ικανότητα, στην αποφυγή λόγω φόβου, στην ποιότητα ζωής, στο εύρος κίνησης της αυχενικής μοίρας της Σ.Σ., στην αντοχή των καμπτήρων και εκτεινόντων μυών της αυχενικής μοίρας της Σ.Σ. και στην αναπνευστική λειτουργία σε ασθενείς με χρόνιο αυχενικό πόνο. Στην έρευνα έλαβαν μέρος 60 ασθενείς με χρόνιο αυχενικό πόνο οι οποίοι χωρίστηκαν σε τρεις ομάδες των 20 ατόμων. Στην πρώτη ομάδα έγινε αξιολόγηση και εφαρμόστηκε θεραπεία σύμφωνα με τις αρχές της μεθόδου McKenzie, στη δεύτερη ομάδα έγινε αξιολόγηση και εφαρμόστηκε θεραπεία με ένα εξελικτικό πρόγραμμα ασκήσεων διάτασης, ενδυνάμωσης, αντοχής και ιδιοδεκτικότητας και στην τρίτη ομάδα έγινε εφαρμογή αναπνευστικών ασκήσεων και τεχνικών χαλάρωσης. Όλοι οι συμμετέχοντες έλαβαν 12 συνεδρίες σε διάστημα 4-6 εβδομάδων ενώ οι μετρήσεις πραγματοποιήθηκαν πριν από την έναρξη και μετά την ολοκλήρωση της θεραπευτικής παρέμβασης. Για την αξιολόγηση της αίσθησης πόνου χρησιμοποιήθηκε το ερωτηματολόγιο McGill Pain Questionnaire – short form (SF-MPQ), της λειτουργικής ικανότητας το Neck Disability Index (NDI), της αποφυγής λόγω φόβου το Fear Avoidance Beliefs Questionnaire (FABQ) και για την ποιότητα ζωής το SF-36 Health Survey. Το εύρος κίνησης μετρήθηκε με ειδικό γωνιόμετρο κεφαλής Cervical Range of Motion Instrument(CROM), η αντοχή των καμπτήρων και εκτεινόντων μυών με χρονόμετρο χειρός και η αναπνευστική λειτουργία με φορητό σπιρόμετρο. Σύμφωνα με τα αποτελέσματα διαπιστώθηκε στατιστικά σημαντική βελτίωση στην αίσθηση πόνου, στη λειτουργική ικανότητα, στην αποφυγή λόγω φόβου, στην ποιότητα ζωής, στο εύρος κίνησης της αυχενικής μοίρας της Σ.Σ., στην αντοχή των καμπτήρων και εκτεινόντων μυών της αυχενικής μοίρας της Σ.Σ. και στην αναπνευστική λειτουργία μετά την εφαρμογή των θεραπευτικών προγραμμάτων και στις τρεις πειραματικές ομάδες με διαφοροποιήσεις στα ποσοστά βελτίωσης της κάθε ομάδας. Η ομάδα McKenzie, παρουσίασε τη μεγαλύτερη βελτίωση στον πόνο, στη λειτουργική ικανότητα , στην έκταση της αυχενικής μοίρας και στην αντοχή των καμπτήρων και εκτεινόντων μυών του αυχένα. Η ομάδα ενδυνάμωσης παρουσίασε τη μεγαλύτερη βελτίωση στην αποφυγή λόγω φόβου, στην ποιότητα ζωής, και στην κάμψη και στροφές της αυχενικής μοίρας ενώ η ομάδα των αναπνευστικών ασκήσεων παρουσίασε τη μεγαλύτερη βελτίωση στην αναπνευστική λειτουργία. Όλα τα θεραπευτικά προγράμματα είχαν θετικά αποτελέσματα αλλά κάποια κλινικά χαρακτηριστικά των ασθενών φαίνεται ότι ανταποκρίνονται καλύτερα σε συγκεκριμένους τύπους θεραπείας. Προτείνεται έρευνα που να ταξινομεί τους ασθενείς με χρόνιο αυχενικό πόνο σε υποομάδες με κοινά κλινικά χαρακτηριστικά με σκοπό να διερευνηθεί αν η ταξινόμηση αυτή βοηθάει στην βελτίωση του θεραπευτικού αποτελέσματος.

scholarly journals Effects of Virtual Reality versus Exercise on Pain, Functional, Somatosensory and Psychosocial Outcomes in Patients with Non-specific Chronic Neck Pain: A Randomized Clinical Trial

2020 ◽  
Vol 17 (16) ◽  
pp. 5950 ◽  
Author(s):  
David Tejera ◽  
Hector Beltran-Alacreu ◽  
Roberto Cano-de-la-Cuerda ◽  
Jose Vicente Leon Hernández ◽  
Aitor Martín-Pintado-Zugasti ◽  
...  
Keyword(s):  
Neck Pain ◽  
Pain Intensity ◽  
Pain Catastrophizing ◽  
Chronic Neck Pain ◽  
Time Factor ◽  
Fear Avoidance ◽  
Fear Avoidance Beliefs ◽  
Time Interaction ◽  
Group Time ◽  
Neck Disability

Background: Virtual reality (VR) applied to patients with neck pain is a promising intervention to produce positive effects when used alone or combined with exercise. Therefore, the objective of this manuscript is to compare the effects of VR versus exercise treatment on pain intensity, conditioned pain modulation (CPM), temporal summation (TS) and functional and somatosensory outcomes in patients with non-specific chronic neck pain (NS-CNP). Methods: A single-blinded, randomized clinical trial was carried out. A total sample of 44 patients with NS-CNP was randomized into a VR treatment group or neck exercises group. The intervention consisted of two treatment sessions per week, for four weeks and eight sessions. Four measurement moments (at baseline, immediately, 1 month, and 3 months after intervention) were considered. Pain intensity, CPM, TS, functional and somatosensory outcomes were measured. Results: Statistically significant differences were revealed for time factor (F = 16.40, p < 0.01, ηp2 = 0.28) and group*time interaction for kinesiophobia (F = 3.89, p = 0.01, ηp2 = 0.08) showing post-hoc differences in favor of the VR group at 3 months (p < 0.05, d = 0.65). Significant effects were shown for time factor (p < 0.05) but not for the group*time interaction (p > 0.05) for pain intensity, rotation range of motion (ROM), Neck Disability Index, pain catastrophizing, fear-avoidance beliefs, left side pressure pain threshold (PPT) and anxiety. Statistically significant differences were not found for time factor (p > 0.05) and neither in group*time interaction (p > 0.05) for CPM, TS, right side PPT, flexo-extension and lateral-flexion ROM. Conclusions: Kinesiophobia was the only outcome that showed differences between VR and exercise at 3 months. Nevertheless, pain intensity, CPM, TS, ROM, neck disability, pain catastrophizing, fear-avoidance beliefs, PPT and anxiety did not show differences between both interventions.

A Novel Virtual Reality Technique (Cervigame®) Compared to Conventional Proprioceptive Training to Treat Neck Pain: A Randomized Controlled Trial

2019 ◽  
Vol 9 (3Jun) ◽  
Author(s):  
I Rezaei ◽  
M Razeghi ◽  
S Ebrahimi ◽  
S Kayedi ◽  
A Rezaeian Zadeh
Keyword(s):  
Virtual Reality ◽  
Visual Analogue Scale ◽  
Neck Pain ◽  
Analogue Scale ◽  
Controlled Trial ◽  
Neck Disability Index ◽  
Repeated Measure ◽  
Balance Test ◽  
Proprioceptive Training ◽  
Neck Disability

Background: Despite the potential benefits of virtual reality technology in physical rehabilitation, only a few studies have evaluated the efficacy of this type of treatment in patients with neck pain.Objective: The aim of this study was to compare the effects of virtual reality training (VRT) versus conventional proprioceptive training (CPT) in patients with neck pain.Methods: Forty four participants with nonspecific chronic neck pain were randomly assigned to VRT or CPT in this assessor-blinded clinical trial. A novel videogame called Cervigame® was designed for VRT. It comprises of 50 stages divided into unidirectional and two-directional stages ordered from easy to hard. CPT consisted of eye-follow, gaze stability, eye-head coordination and position and movement sense training. Both groups completed 8 training sessions over 4 weeks. Visual analogue scale score, neck disability index and Y-balance test results were recorded at baseline, immediately after and 5 weeks post-intervention. Mixed repeated measure ANOVA was used to analyze differences between mean values for each variable at an alpha level of 0.05.Results: There were significant improvements in all variables in both groups immediately after and 5 weeks after the intervention. Greater improvements were observed in the visual analogue scale and neck disability index scores in VRT group, and the results for all directions in Y-balance test were similar in both groups. No side effects were reported.Conclusion: Improvements in neck pain and disability were greater in VRT than CPT group. Cervigame® is a potentially practical tool for rehabilitation in patients with neck pain.

Translation, cross-cultural adaptation and psychometric evaluation of the Thai version of the fear-avoidance beliefs questionnaire in patients with non-specific neck pain

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Taweewat Wiangkham ◽  
Nattawan Phungwattanakul ◽  
Patcharin Tedsombun ◽  
Isara Kongmee ◽  
Wanisara Suwanmongkhon ◽  
...  
Keyword(s):  
Physical Activity ◽  
Factor Analysis ◽  
Neck Pain ◽  
Psychometric Evaluation ◽  
Cross Cultural ◽  
Fear Avoidance ◽  
Retest Reliability ◽  
Fear Avoidance Beliefs ◽  
Test Retest Reliability ◽  
Fear Avoidance Beliefs Questionnaire

AbstractObjectivesFear-avoidance beliefs questionnaire (FABQ) is a self-report, valid and reliable questionnaire to quantify fear and avoidance beliefs related to physical activity and work. Furthermore, it can be used to predict prolong disability in patients with non-specific neck pain. Although it was originally developed to manage patients with low back pain, it has also been studied in individuals with neck pain. This questionnaire was translated into several languages following reports of potential benefits in patients with neck pain. Recently, Thai neck clinical trials, international multi-centre trials and data sharing are growing throughout the world but no validated Thai version of the FABQ is available for clinical and research uses. Our objectives were to translate and cross-culturally adapt the FABQ into Thai version and evaluate its psychometric properties in Thai patients with non-specific neck pain.MethodsCross-cultural translation and adaptation of the FABQ were conducted according to standard guidelines. A total of 129 participants with non-specific neck pain were invited to complete the Thai versions of the FABQ (FABQ-TH), neck disability index and visual analogue scale for pain intensity. Psychometric evaluation included exploratory factor analysis, internal consistency, test-retest reliability, agreement, and convergent validity. Thirty participants completed the FABQ-TH twice with a 48-h interval between tests to assess the test-retest reliability.ResultsFactor analysis identified four components for the FABQ-TH (66.69% of the total variance). The intraclass correlation coefficient of test-retest reliability was excellent for the total score (0.986), work attitudes (0.995), physical activity attitudes (0.958), physical activity experiences (0.927), and expected recovery (0.984). Cronbach’s alpha for internal consistency was excellent (range 0.87–0.88) for all items. The minimal detectable change of the FABQ-TH was 5.85. The FABQ-TH correlated to its subscales (range 0.470–0.936), indicating the strongest association with work attitude. The weakest correlation was observed between the FABQ-TH and disability (rs=0.206, p=0.01). Missing data and significant floor or ceiling effects were not found.ConclusionsThe Thai version of the FABQ for non-specific neck pain was successfully adapted. It is a valid and reliable instrument to quantify fear and avoidance beliefs among patients with non-specific neck pain who speak and read Thai.

Granisetron vs. lidocaine injection to trigger points in the management of myofascial pain syndrome: a double-blind randomized clinical trial

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Zahra Rezasoltani ◽  
Hanna Ehyaie ◽  
Reza Kazempour Mofrad ◽  
Fatemeh Vashaei ◽  
Reza Mohtasham ◽  
...  
Keyword(s):  
Neck Pain ◽  
Myofascial Pain ◽  
Neck Disability Index ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Trigger Points ◽  
Double Blind ◽  
Upper Trapezius ◽  
Disability Scale ◽  
Neck Disability

Abstract Objectives Granisetron and lidocaine injections have been used for the management of myofascial pain syndrome. This study was aimed to compare the efficacy of granisetron and lidocaine injections to trigger points of upper trapezius in the management of myofascial pain syndrome. Methods We performed a double-blind randomized clinical trial in an outpatient clinic of physical medicine and rehabilitation at a teaching hospital. A total of 40 patients aged ≥18 with neck pain due to myofascial pain syndrome were included. They had pain for at least one month with the intensity of at least 30 mm on a 100 mm visual analog scale. Each participant received a single dose of 1 mL lidocaine 2% or 1 mg (in 1 mL) granisetron. The solutions were injected into a maximum of three trigger points of the upper trapezius. We instructed all patients to remain active while avoiding strenuous activity for three or four days, and to perform stretch exercise and massage of their upper trapezius muscles. We assessed the patients before the interventions, and one month and three months post-injection. The primary outcome was the Neck Disability Index and the secondary outcome was the Neck Pain and Disability Scale. Results Both interventions were successful in reducing neck pain and disability (all p-values <0.001). However, the neck pain and disability responded more favorably to lidocaine than granisetron (p=0.001 for Neck Disability Index, and p=0.006 for Neck Pain and Disability Scale). No significant side-effect was recognized for both groups. Conclusions Both lidocaine and granisetron injections to trigger points are effective and safe for the management of the syndrome and the benefits remain at least for three months. However, lidocaine is more effective in reducing pain and disability. The injections are well-tolerated, although a transient pain at the site of injections is a common complaint. One mL of lidocaine 2% is more effective than 1 mg (in 1 mL) granisetron for injecting into the trigger points of the upper trapezius in myofascial pain syndrome.

scholarly journals THU0453 THIRD OCCIPITAL NERVE RADIO-FREQUENCY UNDER FLUOROSCOPIC GUIDANCE IN MANAGEMENT OF CERVICOGENIC HEADACHE IN RHEUMATOID ARTHRITIS

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 463.2-464
Author(s):  
A. Alawamy ◽  
M. Hassanien ◽  
E. Talaat ◽  
E. Kamel
Keyword(s):  
Rheumatoid Arthritis ◽  
Cervical Spine ◽  
Neck Pain ◽  
Neck Disability Index ◽  
Cervicogenic Headache ◽  
Control Group ◽  
Fluoroscopic Guidance ◽  
Occipital Nerve ◽  
Nocturnal Pain ◽  
Neck Disability

Background:Rheumatoid arthritis is a common type of autoimmune arthritis characterized by chronic inflammation. Cervical spine is often affected specially in long lasting diseaseObjectives:Evaluate efficacy of Third occipital nerve Radiofrequency under fluoroscopic guidance to treat refractory cervicogenic headache in RA patients.Methods:The current study was revised and approved from the local ethical committee of Faculty of Medicine; Assiut University, then registered in the clinical trials under the number ofNCT03852355. Inclusion criteria included, Patients who fulfilled the American College of Rheumatology (ACR) (2010) criteria for RA and suffering from upper neck pain and/or headache due to bilateral 3rd occipital nerve involvement, excluding other local cervical spine pathologies was confirmed by MRI and previously failed conservative treatment for at least three months prior to enrollment. Sixty adult patients were randomly assigned to one of the two studied groups Group 1 (RF, n = 30), received bilateral Third occipital nerve Radiofrequency under fluoroscopic guidance or Group 2 (control group, n = 30), received oral prednisolone 10 mg/day. The two groups were then followed-up with neck disability index (NDI), nocturnal neck pain VAS score and headache score every two weeks for three months. Sleep disturbance, sleep disability index were reassessed six months post intervention. Post interventional assessment was done by pain physician who were kept blind to the grouping process.Results:Neck disability index (1ry outcome), Nocturnal pain VAS, and severity of headache showed significant differences during the whole post-interventional study period. The patients in RF group demonstrated significant improvement of pain in comparison to baseline value over the whole six months with p-value < 0.001 as regard to the fore-mentioned three parameters. On the other aspect, the control group patients showed significant improvement in comparison to its baseline value after the 2nd, 12th and 24th weeks only as follows: (0.001,0.003, 0.003 for the NDI) (p values of 0.02,0.01, 0.01 for the nocturnal pain VAS), (0.001 0.009, 0.005 for the headache VAS severity.Conclusion:Radiofrequency of 3rd occipital nerve is effective in treatment of refractory cervicogenic headache in RA.Disclosure of Interests: :None declared

scholarly journals Detecting relevant changes and responsiveness of Neck Pain and Disability Scale and Neck Disability Index

2012 ◽  
Vol 21 (12) ◽  
pp. 2550-2557 ◽  
Author(s):  
Wim Jorritsma ◽  
Pieter U. Dijkstra ◽  
Grietje E. de Vries ◽  
Jan H. B. Geertzen ◽  
Michiel F. Reneman
Keyword(s):  
Neck Pain ◽  
Neck Disability Index ◽  
Disability Scale ◽  
Neck Disability
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