Halil E Akkurt, Savaş Karpuz, Ramazan Yılmaz, Fatih Güreş, Seda Ç Güreş, Kemal Erol, Halim Yılmaz
{"title":"慢性颈部疼痛的疼痛类型对疼痛强度和生活质量的影响。","authors":"Halil E Akkurt, Savaş Karpuz, Ramazan Yılmaz, Fatih Güreş, Seda Ç Güreş, Kemal Erol, Halim Yılmaz","doi":"10.15537/smj.2025.46.6.20240394","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To determine the prevalence of different pain mechanisms, including nociplastic pain, and the effects of these pain mechanisms on disability, pain intensity and quality of life in patients with chronic neck pain.</p><p><strong>Methods: </strong>Between November 2022 and January 2023, 200 patients (mean age: 56.54±12.08 years) with chronic neck pain were included in the study. Neuropathic pain was identified by the painDETECT scale. Clinical criteria and a grading system were used to identify nociplastic pain affecting the musculoskeletal system. Pain intensity was as assessed using the visual analog scale, the pain catastrophizing by the pain catastrophizing scale, the disability status by the neck disability index (NDI), and the quality of life by the 36-item short form survey.</p><p><strong>Results: </strong>A total of 53 (26.5%) participants had nociceptive pain, 29 (14.5%) had possible neuropathic pain, 22 (11%) had neuropathic pain, 35 (17.5%) had possible nociplastic pain, and 61 (30.5%) had probable nociplastic pain. Visual analog scale and NDI scores were higher in patients with neuropathic pain or nociplastic pain than in those with nociceptive pain (<i>p</i><0.00).</p><p><strong>Conclusion: </strong>This study demonstrates that nociplastic pain is present in individuals with chronic neck pain and may be linked to meaningful differences in pain severity, functional impairment, and overall quality of life.<b>ClinicalTrials.gov Reg. No.: NCT05581446</b>.</p>","PeriodicalId":21453,"journal":{"name":"Saudi Medical Journal","volume":"46 6","pages":"695-701"},"PeriodicalIF":1.5000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12199641/pdf/","citationCount":"0","resultStr":"{\"title\":\"The effects of pain types on pain intensity and quality of life according to the mechanism in chronic neck pain.\",\"authors\":\"Halil E Akkurt, Savaş Karpuz, Ramazan Yılmaz, Fatih Güreş, Seda Ç Güreş, Kemal Erol, Halim Yılmaz\",\"doi\":\"10.15537/smj.2025.46.6.20240394\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>To determine the prevalence of different pain mechanisms, including nociplastic pain, and the effects of these pain mechanisms on disability, pain intensity and quality of life in patients with chronic neck pain.</p><p><strong>Methods: </strong>Between November 2022 and January 2023, 200 patients (mean age: 56.54±12.08 years) with chronic neck pain were included in the study. Neuropathic pain was identified by the painDETECT scale. Clinical criteria and a grading system were used to identify nociplastic pain affecting the musculoskeletal system. Pain intensity was as assessed using the visual analog scale, the pain catastrophizing by the pain catastrophizing scale, the disability status by the neck disability index (NDI), and the quality of life by the 36-item short form survey.</p><p><strong>Results: </strong>A total of 53 (26.5%) participants had nociceptive pain, 29 (14.5%) had possible neuropathic pain, 22 (11%) had neuropathic pain, 35 (17.5%) had possible nociplastic pain, and 61 (30.5%) had probable nociplastic pain. Visual analog scale and NDI scores were higher in patients with neuropathic pain or nociplastic pain than in those with nociceptive pain (<i>p</i><0.00).</p><p><strong>Conclusion: </strong>This study demonstrates that nociplastic pain is present in individuals with chronic neck pain and may be linked to meaningful differences in pain severity, functional impairment, and overall quality of life.<b>ClinicalTrials.gov Reg. 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The effects of pain types on pain intensity and quality of life according to the mechanism in chronic neck pain.
Objectives: To determine the prevalence of different pain mechanisms, including nociplastic pain, and the effects of these pain mechanisms on disability, pain intensity and quality of life in patients with chronic neck pain.
Methods: Between November 2022 and January 2023, 200 patients (mean age: 56.54±12.08 years) with chronic neck pain were included in the study. Neuropathic pain was identified by the painDETECT scale. Clinical criteria and a grading system were used to identify nociplastic pain affecting the musculoskeletal system. Pain intensity was as assessed using the visual analog scale, the pain catastrophizing by the pain catastrophizing scale, the disability status by the neck disability index (NDI), and the quality of life by the 36-item short form survey.
Results: A total of 53 (26.5%) participants had nociceptive pain, 29 (14.5%) had possible neuropathic pain, 22 (11%) had neuropathic pain, 35 (17.5%) had possible nociplastic pain, and 61 (30.5%) had probable nociplastic pain. Visual analog scale and NDI scores were higher in patients with neuropathic pain or nociplastic pain than in those with nociceptive pain (p<0.00).
Conclusion: This study demonstrates that nociplastic pain is present in individuals with chronic neck pain and may be linked to meaningful differences in pain severity, functional impairment, and overall quality of life.ClinicalTrials.gov Reg. No.: NCT05581446.
期刊介绍:
The Saudi Medical Journal is a monthly peer-reviewed medical journal. It is an open access journal, with content released under a Creative Commons attribution-noncommercial license.
The journal publishes original research articles, review articles, Systematic Reviews, Case Reports, Brief Communication, Brief Report, Clinical Note, Clinical Image, Editorials, Book Reviews, Correspondence, and Student Corner.