Investigation of Related Factors in Patients With Non-Specific Neck Pain

Neck Disability Index was first defined in 1991. It assesses disability associated with neck pain.

The index consists of a total of 10 sections, evaluating pain and limitations in activities such as pain, personal care, and lifting, with scores ranging from 0 to 5 for each section. The total score ranges from a minimum of 0 to a maximum of 50. Based on the total score, the classifications are as follows:

0-4: No disability 5-14: Mild disability 15-24: Moderate disability 25-34: Severe disability 35 and above: Complete disability A validity and reliability study for the Turkish version is available.

The Migraine Disability Assessment Scale (MIDAS) is one of the most commonly used scales for measuring headache-related disability. It assesses migraine-related functional impairment in all activities over the past three months.

The questionnaire consists of five questions:

Questions 1, 3, and 5 evaluate the number of days lost due to headaches in the past three months in work or school, household chores, and leisure activities.

Questions 2 and 4 assess the number of days with reduced productivity at work and in household activities due to headaches.

The total score is obtained by summing the responses (number of days) for all five questions. The classification based on the total score is as follows:

0-5 points: Grade I (No or minimal disability) 6-10 points: Grade II (Mild disability) 11-20 points: Grade III (Moderate disability) 21 and above: Grade IV (Severe disability) The Turkish validity and reliability study was conducted.

The ındex was developed in 1974 and evaluates the overall functionality of the craniomandibular region along with TMJ function. It assesses five clinical findings, including:

• Mandibular range of motion 2. TMJ function 3. Pain during mandibular movements 4. TMJ pain on palpation 5. Muscle tenderness Each component is scored between 0 and 5.

• Assesses limitations in jaw movement, including maximum mouth opening, right and left lateral movements, and forward movement.
• component: Evaluates TMJ function by detecting deviations, sounds, and/or joint locking or blockages.
• component: Assesses the presence of pain during specific movements.
• component: Evaluates muscle pain in the chewing muscles.
• component: Assesses discomfort or pain in pre-articular TMJ region through palpation.

The total score is categorized as follows:

0 points: No signs or symptoms 1-4 points: Mild dysfunction 5-9 points: Moderate dysfunction 10-25 points: Severe dysfunction

The questionnaire, developed to assess general health status and health-related quality of life, consists of 36 questions and evaluates eight subscales:

Physical function Physical role Emotional role Energy (vitality) Mental health Social function Pain General health The obtained data are scored between 0 and 100 for each subscale, with higher scores indicating better health status and improved quality of life.

The Turkish validity and reliability study was conducted.

Beck Depression Inventory, developed in 1961, is a 21-item scale assessing depressive symptoms such as pessimism, feelings of failure, lack of satisfaction, guilt, restlessness, fatigue, decreased appetite, indecisiveness, sleep disturbances, and social withdrawal. The validity and reliability study for the Turkish version was conducted in 1988.

Each item is scored using a four-point Likert scale (0-3), reflecting self-reported experiences of depression-related behaviors. The total score ranges from 0 to 63, with higher scores indicating greater depression severity.

Score interpretation:

• Below 10: No or minimal depression
• 10-18: Mild to moderate depression
• 19-29: Moderate to severe depression
• 30-63: Severe depression

The questionnaire consists of seven questions.

• The first two questions assess vigorous activities
• The third and fourth questions assess moderate-intensity activities
• The fifth and sixth questions assess walking
• The seventh question assesses time spent sitting in the past seven days Based on participants' responses, metabolic equivalent (MET) values are calculated and multiplied by the duration (in minutes and days) to determine the weekly MET-minute score.

The MET values for different activity levels are:

• Light activities: 3.3 MET
• Moderate-intensity activities: 4.0 MET
• Vigorous activities: 8.0 MET

Physical activity levels are classified as follows based on total MET-minutes per week:

• Inactive: less than 600 MET-min per week
• Low physical activity level: between 600 and 3000 MET-min per week
• Adequate physical activity level (health-beneficial): more than 3000 MET-min per week.