{"title":"Association Between Motor Imagery Ability and Pain, Functional Status, Neck Awareness, and Depression in Individuals with Chronic Neck Pain.","authors":"Tuğba Dere, Göker Yurdakul, Saltuk Buğra Kılınç, İpek Alemdaroğlu-Gürbüz","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Pain-related symptoms are thought to affect motor imagery abilities adversely.</p><p><strong>Primer study objective: </strong>The study aimed to examine motor imagery ability and its association with pain, functional status, neck awareness, and depression in individuals with chronic neck pain.</p><p><strong>Design and setting: </strong>A cross-sectional study, single-center.</p><p><strong>Participants: </strong>60 individuals with chronic neck pain, aged between 18 and 65 years, were recruited.</p><p><strong>Intervention: </strong>Demographic data was recorded, pain and disability were evaluated using the Visual Analogue Scale and Neck Disability Index, motor imagery ability using Kinesthetic and Visual Imagery Questionnaire-20, and mental chronometry. Grip strength, cervical muscle endurance, upper limbs' functionality, neck awareness, and depression levels were assessed using a hydraulic hand dynamometer, cervical muscle endurance tests, Upper Extremity Functional Index-15, Fremantle Neck Awareness Questionnaire, and Beck Depression Inventory, respectively.</p><p><strong>Primary outcome measures: </strong>Motor imagery ability, neck pain, functional status, neck awareness, and depression levels.</p><p><strong>Results: </strong>Of the 60 individuals (mean age 51.60 ± 11.70 years), 83% (n = 50) were female. The Kinesthetic and Visual Imagery Questionnaire-20 score (mean 68.62 ± 27.02) was weakly correlated with Visual Analogue Scale-night (r = 0.332), duration of pain (r = -0.264), cervical extensor muscle endurance (r = -0.270) and Fremantle Neck Awareness Questionnaire (r = -0.295) (P < .05). Weak to moderate correlations were found between the individuals' mental chronometry task scores and Neck Disability Index, Fremantle Neck Awareness Questionnaire, Beck Depression Inventory, and grip strength (P < .05). The regression analysis indicates that motor imagery ability can explain pain intensity, cervical extensor endurance, neck awareness, and depression level (P < .05).</p><p><strong>Conclusion: </strong>Individuals with chronic neck pain showed an impaired motor imagery ability which was associated with pain, functional status, neck awareness, and depression levels. Thus improving motor imagery ability may contribute to better functional outcomes and psychosocial status in these individuals.</p><p><strong>Clinical trial number: </strong>NCT06502236.</p>","PeriodicalId":7571,"journal":{"name":"Alternative therapies in health and medicine","volume":" ","pages":"23-29"},"PeriodicalIF":1.9000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Alternative therapies in health and medicine","FirstCategoryId":"3","ListUrlMain":"","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"INTEGRATIVE & COMPLEMENTARY MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Pain-related symptoms are thought to affect motor imagery abilities adversely.
Primer study objective: The study aimed to examine motor imagery ability and its association with pain, functional status, neck awareness, and depression in individuals with chronic neck pain.
Design and setting: A cross-sectional study, single-center.
Participants: 60 individuals with chronic neck pain, aged between 18 and 65 years, were recruited.
Intervention: Demographic data was recorded, pain and disability were evaluated using the Visual Analogue Scale and Neck Disability Index, motor imagery ability using Kinesthetic and Visual Imagery Questionnaire-20, and mental chronometry. Grip strength, cervical muscle endurance, upper limbs' functionality, neck awareness, and depression levels were assessed using a hydraulic hand dynamometer, cervical muscle endurance tests, Upper Extremity Functional Index-15, Fremantle Neck Awareness Questionnaire, and Beck Depression Inventory, respectively.
Primary outcome measures: Motor imagery ability, neck pain, functional status, neck awareness, and depression levels.
Results: Of the 60 individuals (mean age 51.60 ± 11.70 years), 83% (n = 50) were female. The Kinesthetic and Visual Imagery Questionnaire-20 score (mean 68.62 ± 27.02) was weakly correlated with Visual Analogue Scale-night (r = 0.332), duration of pain (r = -0.264), cervical extensor muscle endurance (r = -0.270) and Fremantle Neck Awareness Questionnaire (r = -0.295) (P < .05). Weak to moderate correlations were found between the individuals' mental chronometry task scores and Neck Disability Index, Fremantle Neck Awareness Questionnaire, Beck Depression Inventory, and grip strength (P < .05). The regression analysis indicates that motor imagery ability can explain pain intensity, cervical extensor endurance, neck awareness, and depression level (P < .05).
Conclusion: Individuals with chronic neck pain showed an impaired motor imagery ability which was associated with pain, functional status, neck awareness, and depression levels. Thus improving motor imagery ability may contribute to better functional outcomes and psychosocial status in these individuals.
期刊介绍：
Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field.
Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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