{"title":"慢性颈痛患者的肌肉耐力及其与颈痛、残疾、颈部意识和运动恐惧症的关系。","authors":"Tuğba Dere, İpek Alemdaroğlu-Gürbüz","doi":"10.1080/08990220.2023.2186390","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Recent studies revealed the connection between the endurance of neck muscles and pain, neck awareness, and fear of movement in patients with chronic neck pain in literature.</p><p><strong>Objectives: </strong>To investigate the association between cervical, scapular, trunk, and upper extremity muscles' endurance and neck pain, disability, neck awareness, and kinesiophobia in patients with chronic neck pain.</p><p><strong>Design: </strong>Cross-sectional, observational study.</p><p><strong>Methods: </strong>Thirty-six patients with chronic neck pain (aged 18-65 years) were included in the study. Endurance tests were performed for 9 muscles/muscle groups in the cervical and scapular region, upper limb, and trunk. Pain severity, neck disability, neck awareness, and fear of movement were measured by Visual Analog Scale (VAS), Neck Disability Index (NDI), Fremantle Neck Awareness Questionnaire (FreNAQ), and Tampa Scale of Kinesiophobia (TSK), respectively.</p><p><strong>Results: </strong>Negative, weak-to-moderate relations were found between VAS (at rest and during activity) and the endurance of muscles evaluated in the cervical and scapular regions, upper extremity, and trunk as well as between NDI and endurance of the same muscles, similar to the relations between FreNAQ scores and the endurance of the cervical flexor, anterior trunk flexor, and upper extremity muscles (<i>p</i> < 0.05). No relation was found between the endurance of the muscles and TSK (<i>p</i> > 0.05).</p><p><strong>Conclusions: </strong>Since the decrease in upper extremity, scapular region, and trunk muscles' endurance may contribute to neck pain and disability, and decrease neck awareness in patients with chronic neck pain; the evaluation of muscular endurance of upper body and trunk should also be considered.</p><p><strong>Clinical trials: </strong>NCT05121467.</p>","PeriodicalId":49498,"journal":{"name":"Somatosensory and Motor Research","volume":" ","pages":"134-141"},"PeriodicalIF":1.3000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Muscular endurance and its association with neck pain, disability, neck awareness, and kinesiophobia in patients with chronic neck pain.\",\"authors\":\"Tuğba Dere, İpek Alemdaroğlu-Gürbüz\",\"doi\":\"10.1080/08990220.2023.2186390\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Recent studies revealed the connection between the endurance of neck muscles and pain, neck awareness, and fear of movement in patients with chronic neck pain in literature.</p><p><strong>Objectives: </strong>To investigate the association between cervical, scapular, trunk, and upper extremity muscles' endurance and neck pain, disability, neck awareness, and kinesiophobia in patients with chronic neck pain.</p><p><strong>Design: </strong>Cross-sectional, observational study.</p><p><strong>Methods: </strong>Thirty-six patients with chronic neck pain (aged 18-65 years) were included in the study. Endurance tests were performed for 9 muscles/muscle groups in the cervical and scapular region, upper limb, and trunk. Pain severity, neck disability, neck awareness, and fear of movement were measured by Visual Analog Scale (VAS), Neck Disability Index (NDI), Fremantle Neck Awareness Questionnaire (FreNAQ), and Tampa Scale of Kinesiophobia (TSK), respectively.</p><p><strong>Results: </strong>Negative, weak-to-moderate relations were found between VAS (at rest and during activity) and the endurance of muscles evaluated in the cervical and scapular regions, upper extremity, and trunk as well as between NDI and endurance of the same muscles, similar to the relations between FreNAQ scores and the endurance of the cervical flexor, anterior trunk flexor, and upper extremity muscles (<i>p</i> < 0.05). 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引用次数: 0
摘要
背景：最近的研究发现，慢性颈部疼痛患者的颈部肌肉耐力与疼痛、颈部意识和运动恐惧之间存在联系：最近的研究揭示了慢性颈痛患者颈部肌肉耐力与疼痛、颈部意识和运动恐惧之间的关系：调查慢性颈部疼痛患者颈部、肩胛、躯干和上肢肌肉耐力与颈部疼痛、残疾、颈部意识和运动恐惧之间的关系：设计：横断面观察研究：研究对象包括 36 名慢性颈部疼痛患者（18-65 岁）。对颈部和肩胛区、上肢和躯干的 9 块肌肉/肌肉群进行耐力测试。疼痛严重程度、颈部残疾、颈部意识和运动恐惧分别通过视觉模拟量表（VAS）、颈部残疾指数（NDI）、弗里曼特尔颈部意识问卷（FreNAQ）和坦帕运动恐惧量表（TSK）进行测量：结果：VAS（静息和活动时）与颈部和肩胛区、上肢和躯干肌肉耐力评估之间，以及 NDI 与相同肌肉耐力之间均存在弱到中等程度的负相关，这与 FreNAQ 分数与颈屈肌、躯干前屈肌和上肢肌肉耐力之间的关系相似（P P > 0.05）：结论：由于上肢、肩胛区和躯干肌肉耐力的下降可能会导致颈部疼痛和残疾，并降低慢性颈痛患者的颈部知觉，因此也应考虑评估上身和躯干的肌肉耐力：临床试验：NCT05121467。
Muscular endurance and its association with neck pain, disability, neck awareness, and kinesiophobia in patients with chronic neck pain.
Background: Recent studies revealed the connection between the endurance of neck muscles and pain, neck awareness, and fear of movement in patients with chronic neck pain in literature.
Objectives: To investigate the association between cervical, scapular, trunk, and upper extremity muscles' endurance and neck pain, disability, neck awareness, and kinesiophobia in patients with chronic neck pain.
Design: Cross-sectional, observational study.
Methods: Thirty-six patients with chronic neck pain (aged 18-65 years) were included in the study. Endurance tests were performed for 9 muscles/muscle groups in the cervical and scapular region, upper limb, and trunk. Pain severity, neck disability, neck awareness, and fear of movement were measured by Visual Analog Scale (VAS), Neck Disability Index (NDI), Fremantle Neck Awareness Questionnaire (FreNAQ), and Tampa Scale of Kinesiophobia (TSK), respectively.
Results: Negative, weak-to-moderate relations were found between VAS (at rest and during activity) and the endurance of muscles evaluated in the cervical and scapular regions, upper extremity, and trunk as well as between NDI and endurance of the same muscles, similar to the relations between FreNAQ scores and the endurance of the cervical flexor, anterior trunk flexor, and upper extremity muscles (p < 0.05). No relation was found between the endurance of the muscles and TSK (p > 0.05).
Conclusions: Since the decrease in upper extremity, scapular region, and trunk muscles' endurance may contribute to neck pain and disability, and decrease neck awareness in patients with chronic neck pain; the evaluation of muscular endurance of upper body and trunk should also be considered.
期刊介绍：
Somatosensory & Motor Research publishes original, high-quality papers that encompass the entire range of investigations related to the neural bases for somatic sensation, somatic motor function, somatic motor integration, and modeling thereof. Comprising anatomical, physiological, biochemical, pharmacological, behavioural, and psychophysical studies, Somatosensory & Motor Research covers all facets of the peripheral and central processes underlying cutaneous sensation, and includes studies relating to afferent and efferent mechanisms of deep structures (e.g., viscera, muscle). Studies of motor systems at all levels of the neuraxis are covered, but reports restricted to non-neural aspects of muscle generally would belong in other journals.
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