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NCT Number: NCT07525557

Kinesiophobia, Pain and Disability in Chronic Neck Pain

This study aims to investigate the mediating role of kinesiophobia in the relationship between pain intensity and disability in individuals with chronic neck pain. Chronic neck pain is a multidimensional clinical condition influenced not only by biological factors but also by psychological components such as fear of movement. Understanding the mechanisms underlying disability may contribute to more targeted rehabilitation strategies. Participants with chronic neck pain lasting at least three months will be assessed using validated self-report questionnaires measuring pain intensity, kinesiophobia, disability, and physical activity levels.

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Key information

Conditions

Chronic Neck Pain Anxiety Disorders Chronic Pain Kinesiophobia Mental Disorders Muscular Diseases Musculoskeletal Diseases Musculoskeletal Pain Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Phobic Disorders Signs and Symptoms

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Samsun Romatem Physical Therapy and Rehabilitation Hospital

Samsun, 55080, Turkey (Türkiye)

Location status: Recruiting

About this study

Chronic neck pain is a common musculoskeletal disorder associated with significant functional limitations and reduced quality of life. While pain intensity is considered an important determinant of disability, it does not fully explain variations in functional outcomes among individuals. Psychological factors, particularly kinesiophobia, may influence the relationship between pain and disability through fear-avoidance mechanisms.

The purpose of this cross-sectional observational study is to examine whether kinesiophobia mediates the relationship between pain intensity and disability in individuals with chronic neck pain. Disability will be assessed in a multidimensional framework including neck-related and upper extremity functional limitations. Findings from this study may provide clinical implications for rehabilitation approaches targeting psychological components of chronic pain.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Individuals aged 18 years or older
  • Presence of chronic neck pain lasting at least 3 months
  • Ability to understand and complete questionnaires
  • Voluntary participation

Exclusion criteria

  • Acute neck pain (< 3 months)
  • History of cervical spine surgery
  • Neurological disease or cervical radiculopathy
  • Inflammatory, neoplastic, or traumatic conditions affecting the neck
  • Cognitive impairment preventing questionnaire completion

Treatment and study plan

Primary outcomes

  1. Pain-Related Disability

    Time frame: Single assessment (baseline)

    Neck Disability Index (NDI)

  2. Pain Intensity

    Time frame: Baseline

    Numeric Pain Rating Scale (NPRS)

  3. Kinesiophobia

    Time frame: Baseline

    Tampa Scale of Kinesiophobia (TSK)

  4. Deep cervical flexor muscle function

    Time frame: Baseline

    Craniocervical Flexion Test'in Performance Index (CCFT-PI)

  5. Physical Activity Level

    Time frame: Baseline

    International Physical Activity Questionnaire-Short Form (IPAQ-SF)

Study contacts

Contact information is provided by the study sponsor or research team.

Mine PEKESEN KURTÇA, ASISTANT PROFESSOR, PhD

CONTACT

[email protected]

+903623121919

Sponsors and collaborators

Lead sponsor

Ondokuz Mayıs University

Other

Registry information

Official study title

Kinesiophobia As A Mediator Of The Association Between Pain Intensity And Disability In Chronic Neck Pain

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Apr 13, 2026
Registry last updated
May 11, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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