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Completed

NCT Number: NCT05750472

Left/Right Neck Judgment Performance in Individuals With Neck Pain

Neck pain is one of the leading causes of disability worldwide and ranks fourth among the pathologies that result in disability. Although neck pain can be attributed to traumatic or inflammatory disorders, the majority of neck pain has no discernible cause and is considered idiopathic. Neck pain that lasts longer than 3 months takes the form of chronic neck pain. Some problems such as changes in muscle behavior and decrease in proprioceptive sensory input are observed in individuals with chronic neck pain. The presence of such problems, especially the dysfunction of the deep cervical muscles and the inability of the proprioceptors to provide motor control, cause the position sense to be impaired in these individuals and the awareness of the neck of the individuals decreases.

The Left Right Judgment Task (LRJT) is a form of implicit motor imagery that involves determining as accurately and quickly as possible whether an image of a body part belongs to the left or right side. LRJT performance differences have been hypothesized to reflect changes in central nervous system functioning, errors in judgment, and changes in bodily representations. It has been shown that LRJT is a complex mental task that includes cognitive, sensory, motor and behavioral processes and can be associated with them.

Recent studies have revealed that neck pain causes proprioceptive disorder and that proprioceptive training should be done in these individuals. A study showed that there is a strong correlation between biasedness judgment accuracy and proprioception.

In this context, the investigators aimed to investigate the knowledge about the effect of individuals with neck pain on proprioception, cortical body diagram and pain.

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Key information

Conditions

Neck Pain Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Bahcesehir Universty

Istanbul, Besiktas, 34353, Turkey (Türkiye)

About this study

Method:

The demographic characteristics of individuals who come to the clinic with a complaint of neck pain and meet the inclusion criteria as directed by the doctor will be recorded. The level of neck involvement will be determined according to the Neck Paint Task Force. Functionality level of all participants will be evaluated by Neck Disability Index, pain intensity by Visual Analog Scale, fear of movement by Tampa Kinesiophobia Scale, body awareness by left/right neck rotation, judgment task performance and neck awareness by Fremantle Neck Awareness Questionnaire.

Left/right neck rotation decision task performance With the Recognise™ (http://www.nongroup.com/Recognise) application, the participant will be asked to do it on a single type tablet provided by the physiotherapist. After participants practice on 10 images before proceeding to the main tasks, 40 images will be displayed on the tablet screen in random order at five-second intervals. The participant will decide and answer as soon as possible whether the picture is right or left. The average percentage and reaction time of correctly identified images on both sides will then be calculated.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Individuals who do not experience neck or back pain that interferes with their normal activities, or pain responsible for disability.
  • No previous medical intervention or treatment for a neck problem.

Exclusion criteria

  • To have received treatment in the last 6 months
  • He had neck surgery
  • Suspicion of malignant or systemic disease
  • Neurological disease or injury
  • Vertigo, nausea, visual disturbances,

Treatment and study plan

Primary outcomes

  1. The Left Right Neck Judgment Task

    Time frame: First day

    RecogniseTM Hands is an app designed for both iPhone and iPad. As part of a graded motor imagery rehabilitation program, left/right hand discrimination measures decision-making accuracy.

    The Recognise™ (NOI, Adelaide, Australia) application used in individuals with neck pain to examine the applicability of left /right neck discrimination decision making in neck patients, and it was found to be appropriate. In this context, data will be collected through the Recognise™ (NOI, Adelaide, Australia) application in this study. Individuals will look at the pictures displayed on the online computer and respond to each picture by stating whether the head of the model in the picture is facing left or right relative to their shoulders. Participants are asked to respond as quickly as possible without guessing.

  2. Pain Intensity

    Time frame: First day

    Pain intensity of individuals will be evaluated subjectively with Visual Analog Scale. This scale consists of a 10 cm linear line. The starting point of the line is 0, no pain; endpoint of 10, the most severe pain encountered in life; 5 indicates moderate pain. Individuals will be asked to rate the severity of their pain numerically on the scale.

Secondary outcomes

  1. Kinesiophobia

    Time frame: First day

    Fear of movement will be evaluated with the Tampa kinesiophobia scale. Tampa kinesiophobia scale is a 17-item questionnaire developed by Koretal in 1991 for musculoskeletal pain. This scale includes the parameters of injury/re-injury and fear avoidance in related activities. Each question on this scale was scored as (1 = disagree, 4 = strongly agree). While scoring, items 4, 8, 12 and 16 are reversed and then the total score is obtained. The person gets a total score between 17-68.

Other outcomes

  1. Evaluation of Neck Disability

    Time frame: First day

    The effect of chronic neck pain on activities of daily living was evaluated with the Neck Disability Index. The index, which evaluates subjective symptoms and activities of daily living, consists of 10 sections (pain severity, personal care, lifting, reading, headache, concentration, work life, driving, sleep and leisure activities). There are 6 options for each section, ranging from 0 to 5 points. The total score ranges from 0 to 50 (0: no disability; 50: maximum disability), and an increase in the total score indicates an increase in disability. In the evaluation of our study, the percentage of each score was calculated by taking the percentage of each score in order to obtain an equal score distribution in case the patients did not answer some questions. 8 percent and six "no apologies" were accepted.

Sponsors and collaborators

Lead sponsor

Bahçeşehir University

Other

Registry information

Official study title

Neck Awareness, Cognitive Function and Left/Right Judgment Performance in Individuals With Neck Pain: A Cross-sectional Study

Important dates

Study start
2023
Primary completion
2023
Study completion
2023
First posted
Mar 1, 2023
Registry last updated
Jun 13, 2024

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

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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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