AB1446-HPR Investigation the effect of kinesophobia and neck disability levels on the neck awareness in chronic neck pain patients: pilot study
Authors: D Onan, O. ULGER
Journal: Annals of the Rheumatic Diseases (2018)

<h3>Background</h3> Chronic neck pain can cause patients to limit their activities due to kinesophobia. Patients may experience more disability during rest because of staying in the same position while restricting their activities, lacking exercise and muscles spasms. For these reasons, they may not be aware of many factors related to the position, movement, and shape of their necks. <h3>Objectives</h3> The aim of this study is to examine the effect of kinesophobia and neck disability levels on neck awareness in individuals with chronic neck pain. <h3>Methods</h3> Forty-two patients who have chronic neck pain and aged 18–65 years were participated in this study. The demographic characteristics of the patients were recorded, kinesiophobia levels with Tampa Kinesiophobia Scale (TKS), neck disability level with Neck Disability Index (NDI) and neck awareness with Fremantle Neck Awareness Questionnaire (FNAQ) were evaluated. Correlation analysis were performed with Pearson correlation coefficients for parametric conditions and the Spearman correlation coefficients for nonparametric conditions. <h3>Results</h3> The mean age of the patients participating in the study was 42,4±13,47 years (7 men and 36 women). There was a moderate statistically significant positive correlation (r=0.462, p&lt;0.01, p=0.002) between FNAQ and NDI, indicating that individuals with chronic neck pain had kinesophobia reduced neck awareness. It was found that there was a very good relationship between FNAQ and NDI (r=0,602, p&lt;0,001) and neck awareness decreased as the neck disability level increased. There was a moderately significant relationship between TKS and NDI (r=0,567, p&lt;0,001), levels of kinesophobia increased as neck disability increased. <h3>Conclusions</h3> It has been shown that the high level of kinesophobia and neck disability results in a negative effect on neck awareness and that these three variables are interrelated as a result of our work on neck awareness, which has been rarely studied in the literature. Therefore, increasing the activity and movement will reduce the level of neck disability and increase awareness. For this reason, patients with chronic neck pain need to be directed in terms of activity and movement. <h3>References</h3> [1] Hudes, K. (2011) The Tampa Scale of Kinesiophobia and neck pain, disability and range of motion: a narrative review of the literature. The Journal of the Canadian Chiropractic Association, 55 (3), 222–232. [2] Nederhand, M.J., Ijzerman, M.J., Hermens, H.J., Turk, D.C.,Zilvold, G. (2004) Predictive value of fear avoidance in developing chronic neck pain disability: consequences for clinical decision making. Arch Phys Med Rehabil, 85 (3), 496–501. [3] Dragesund, T., Ljunggren, A.E., Kvåle, A.,Strand, L.I. (2010) Body Awareness Rating Questionnaire–Development of a self-administered questionnaire for patients with long-lasting musculoskeletal and psychosomatic disorders. Advances in Physiotherapy, 12 (2), 87–94. <h3>Disclosure of Interest</h3> None declared