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Neck PainNCT06434688

Body Awareness and Mental Fatigue in Neck Pain

An observational study of Neck Pain and Mental Fatigue, run by Hacettepe University at 1 site in Turkey (Türkiye).

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The primary aim of the study was to examine the difference between mental fatigue, in-body, out-of-body and mindfulness parameters in people with chronic neck pain compared to a healthy control group, and to analyze the relationships between mental fatigue and neck disability level and awareness levels, and between… Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Neck Pain, Mental Fatigue, Mindfulness
What is being tested?
Mental Fatigue:, Body Awareness: and Neck Disability Level
How many people
66 participants
Where
1 siteTurkey (Türkiye)
Study dates
27 May 2024to 30 Sep 2024
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: individuals with neck pain and healthy individuals without neck pain

Study Group Inclusion Criteria:

  • Having chronic neck pain for at least 3 months.
  • Being between 18 and 65 years of age.
  • Scoring 5 and above on the Neck Disability Questionnaire.
  • Scoring 24 and above on the Mini Mental State Examination.
  • To be able to read and write.
  • Being volunteer to participate in the study.

Study Group Exclusion Criteria:

  • Participation in any physical therapy program in the last 3 months.
  • Having the following problems:
  • Radiculopathy, myleopathy (motor and sensory loss) and other neurological diseases.
  • Inflammatory diseases (rheumatoid arthritis, etc.).
  • History of malignancy.
  • Congenital spinal cord anomaly and congenital spinal deformities.
  • Spinal pathologies, traumatic medulla spinalis injury and other medulla spinalis pathologies.
  • Vestibular disorders.
  • Diagnosed psychiatric illnesses such as bipolar disorder, psychotic illnesses and panic attacks.
  • Vision problems that do not fully recover despite vision aids (glasses, etc.).
  • Pregnancy status

Control Group Inclusion Criteria:

  • Age between 18 and 65 years.
  • Scoring 24 and above on the Mini Mental State Examination.
  • To be able to read and write.
  • Volunteering to participate in the study.

Control Group Exclusion Criteria:

  • Having chronic pain in the spine, especially in the neck.
  • Exclusion criteria for the study group

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Hacettepe University

    Ankara, Sıhhiye, 06100

    Selenay Aydoğdu, 1, 5312723599 ext. +90, selenay.aydgd@gmail.com

    Nezire Köse, 2, 3052525 ext. 0312, nkose@hacettepe.edu.tr

Other trials in Turkey (Türkiye)

About this study

Official title: Examining Mental Fatigue, Body Awareness, and Mindfulness in People With Chronic Neck Pain

The primary aim of the study was to examine the difference between mental fatigue, in-body, out-of-body and mindfulness parameters in people with chronic neck pain compared to a healthy control group, and to analyze the relationships between mental fatigue and neck disability level and awareness levels, and between awareness levels and neck disability level and quality of life.

The secondary aim was to examine the relationships between pain intensity, frequency, duration, pain self-efficacy, physical condition, anxiety and depression, mental fatigue and awareness levels in people with chronic neck pain.

Read the detailed description

Neck pain is a prevalent musculoskeletal issue that can cause significant disability. Individuals with neck pain may experience changes in muscle structure and behavior, as well as sensory-perceptual-motor issues such as decreased proprioception and related neuromuscular changes. Additionally, neck pain can lead to psychological problems such as anxiety and depression.Although some awareness parameters have been evaluated in studies on neck pain in the literature and it has been shown that chronic pain is associated with impaired body awareness and that this impairment contributes to and/or maintains chronic pain, no study has been found to examine all awareness parameters in detail. Another cause that compromises the accuracy of information contributing to body awareness is mental fatigue. Mental fatigue can negatively affect a person's level of perception. In one study, it was stated that mental fatigue was a determinant of neck disability, but studies on this subject were found to be very insufficient. Therefore, the aim of this study was to examine the sub-parameters of awareness and mental fatigue in people with chronic neck pain, to compare them with healthy people and to examine the relationship between the parameters evaluated.

Being tested
Mental Fatigue:, Body Awareness:, Neck Disability Level, Quality Of Life, Pain Assessment:
Keywords
mental fatigue, Mindfulness, Interoception, Proprioception
Medical subject headings
Neck Pain, Mental Fatigue

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Mental Fatigue:Other

    The Mental Fatigue Scale (MFS) will be used to assess mental fatigue.

  • Body Awareness:Other

    Individuals' general body awareness will be assessed with the Body Awareness Questionnaire (BAQ).

    Neck awareness of individuals will be assessed with the Fremantle Neck Awareness Questionnaire (FreBFA).

    Short Form of the Five Facet Mindfulness Questionnaire (FFMQ - Short Form) will be used to assess people's mindfulness.

    • In-body awareness:

    For the sense of interoception, the Multidimensional Assessment of Interoceptive Awareness Scale, which assesses interoceptive body awareness, will be used.

    To evaluate proprioception, a Cervical Range of Motion (CROM) device is used.

    The bucket test will be used to assess subjective visual verticality, which is one of the sub-dimensions of verticality perception.

    Two scales will be used to assess people's awareness of weight transfer symmetry.

    • Out of Body Awareness:

    "Right-Left Confusion Hand Test" will be used to evaluate the mental rotation skill within the scope of the sense of extroception.

  • Neck Disability LevelOther

    Neck disability index will be used to assess this parameter.

  • Quality Of LifeOther

    SF-12 will be used to assess quality of life.

  • Pain Assessment:Other

    Pain intensity will be assessed by Visual Analog Scale (VAS). In addition, pain duration and pain frequency will be questioned. The Pain Self-Efficacy Questionnaire will be used to assess the confidence of people with chronic pain to perform certain tasks and behaviors despite their pain.

  • Physical Condition:Other

    Normal range of motion of the cervical region will be evaluated with the "Cervical Range of Motion" device.

    New York Posture Rating Scale will be used to evaluate posture.

    Symmetry of weight transfer to both lower extremities of the individuals in standing upright position will be evaluated.

  • Anxiety and Depression:Other

    Beck Depression and Beck Anxiety scales will be used to assess depression and anxiety.

Study groups in NCT06434688
Study groupRoleWhat they receive
Individuals experiencing neck painStudy Group Inclusion Criteria: * Having chronic neck pain for at least 3 months. * Being between 18 and 65 years of age. * Scoring 5 and above on the Neck Disability Questionnaire. * Scoring 24 and above on the Mini Mental Status Examination. * Being able to read and write. * Being willing to participate in the study. Study Group Exclusion Criteria: * Participation in any physical therapy program in the last 3 months. * Having the following problems: * Radiculopathy, myleopathy (motor and sensory loss) and other neurologic diseases. * Inflammatory diseases * History of malignancy. * Congenital spinal cord anomaly and congenital spinal deformities * Spinal pathologies, traumatic medulla spinalis injury and other medulla spinalis pathologies. * Vestibular disorders. * Diagnosed psychiatric disorders such as bipolar disorder and panic attacks. * Vision problems that do not improve despite vision aids. * Pregnancy
Receives: Other: Mental Fatigue:; Other: Body Awareness:; Other: Neck Disability Level; Other: Quality Of Life; Other: Pain Assessment:; Other: Physical Condition:; Other: Anxiety and Depression:
Healthy individuals without neck painControl Group Inclusion Criteria: * Age between 18 and 65 years. * Scoring 24 and above on the Mini Mental State Examination. * To be able to read and write. * Volunteering to participate in the study. Control Group Exclusion Criteria: * Having chronic pain in the spine, especially in the neck. * Exclusion criteria for the study group
Receives: Other: Mental Fatigue:; Other: Body Awareness:; Other: Quality Of Life; Other: Physical Condition:; Other: Anxiety and Depression:

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Mental Fatigue

    The Mental Fatigue Scale (MFS) will be used to assess mental fatigue. It includes questions about general fatigue, lack of initiative, mental fatigue, concentration difficulties, memory problems, slowness of thinking, sensitivity to stress, increased tendency to be emotional, irritability, sensitivity to light and noise, decreased or increased sleep. It has a 7-point Likert-type scale and is scored from 0 to 3. A rating of 0 indicates normal functioning, 1 indicates mild problem, 2 indicates significant problem and 3 indicates maximum problem. According to the total score, 0-10= no mental fatigue problem, 10.5-14.5= mild mental fatigue, 15-20= quite serious mental fatigue, ≥ 20.5= serious mental fatigue.

    Measured: 2024 may- 2024 July

  2. General Body Awareness

    General body awareness of individuals will be assessed with the Body Awareness Questionnaire (BAQ).

    Measured: 2024 may- 2024 July

  3. Neck Disability

    Neck disability index will be used to assess this parameter. The questionnaire contains 10 questions related to different activities. Each question is scored between 0 and 5. The level of disability is determined according to the total score obtained from the questionnaire. 0-4 = no disability, 5-14 = mild disability, 15-24 = moderate disability, 25- 34 = severe disability, 35 and above = total disability.

    Measured: 2024 may- 2024 July

  4. General health questionnaire

    The SF-12, which is more practical and shorter than the SF-36 but contains the same sub-dimensions as the SF-36, will be used to assess quality of life. SF-12 consists of 8 sub-dimensions and 12 items including physical functioning (2 items), physical role, body pain, general health, energy, social functioning, emotional role and mental health. The questionnaire scoring is calculated under the headings of physical and mental health, which are the two main components of general health.

    Measured: 2024 may - 2024 July

  5. weight transfer awareness

    Two scales were used to assess weight transfer awareness. Results will be recorded in kg.

    Measured: 2024 may- 2024 July

  6. neck awareness

    Individuals' neck awareness will be assessed with the Fremantle Neck Awareness Questionnaire (FreBFA).

    Measured: 2024 may- 2024 July

  7. mindfulness

    Short Form of the Five Facet Mindfulness Questionnaire (FFMQ - Short Form) will be used to assess people's mindfulness

    Measured: 2024 may- 2024 July

  8. interoception

    For the sense of interoception, the Multidimensional Assessment of Interoceptive Awareness Scale, which assesses interoceptive body awareness, will be used.

    Measured: 2024 may- 2024 July

  9. proprioception

    The Cervical Range of Motion (CROM) device is used to assess proprioception. The device assesses proprioception in 6 different directions of the neck.

    Measured: 2024 may- 2024 July

  10. verticality

    The bucket test will be used to assess subjective visual verticality, which is one of the sub-dimensions of verticality perception.

    Measured: 2024 may- 2024 July

  11. extroception

    The sense of extroception will be evaluated with the right-left hand confusion test.

    Measured: 2024 may- 2024 July

Secondary outcomes (6)
  1. Pain Assessment

    Pain intensity will be assessed by Visual Analog Scale (VAS).0: I have no pain 10: I have unbearable pain In addition, pain duration and pain frequency will be questioned.

    Measured: 2024 may- 2024 July

  2. Pain self efficacy

    The Pain Self-Efficacy Questionnaire will be used to assess the confidence of people with chronic pain to perform certain tasks and behaviors despite their pain. Each item is rated on a 7-point Likert-type scale (0=not at all confident, 6=fully confident). The total score ranges from 0 to 60, with higher scores indicating greater self-efficacy for functioning despite pain.

    Measured: 2024 may- 2024 July

  3. Anxiety and Depression

    Beck Depression and Beck Anxiety scales will be used to assess depression and anxiety. Both questionnaires have 21 questions and are scored between 0-3. According to the total scores, 0-9 points in the Beck Depression Scale indicates normal level, 10-16 points indicates mild depression, 17-29 points indicates moderate depression and 30-63 points indicates severe depression. On the Beck Anxiety Scale, 0-17 points are classified as low anxiety, 18-24 points as moderate anxiety, and 25 and above points as high anxiety.

    Measured: 2024 may- 2024 July

  4. Range of motion

    Normal range of motion of the cervical region will be evaluated with the "Cervical Range of Motion" device. Active ranges of motion in flexion-extension, lateral flexion and rotation directions will be recorded with the subjec

    Measured: 2024 may- 2024 July

  5. Posture Assesment

    New York Posture Rating Scale will be used to evaluate posture. Posture changes that may occur in 13 different parts of the body including head, neck, shoulders, shoulders, back, waist, hip and ankle are observed. According to the results of the observation, five (5) points are given if the person has proper posture, three (3) points if the posture is moderately impaired, and one (1) point if there is a serious impairment. A high score means that the posture is good.

    Measured: 2024 may- 2024 July

  6. Weight transfer

    Symmetry of weight transfer to both lower extremities of the individuals in a standing upright position will be evaluated. It will be recorded in kg.

    Measured: 2024 may- 2024 July

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 May 2024
  2. Study start27 May 2024 (estimated)
  3. Primary completion29 Jul 2024 (estimated)
  4. Study completion30 Sep 2024 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case-control
Time perspective
Cross-sectional
Enrolment
66 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06434688
Sponsor's protocol ID
10557444
Status last verified
Feb 2024
First submitted
9 May 2024
Last updated
30 May 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Amiri Arimi S, Ghamkhar L, Kahlaee AH. The Relevance of Proprioception to Chronic Neck Pain: A Correlational Analysis of Flexor Muscle Size and Endurance, Clinical Neck Pain Characteristics, and Proprioception. Pain Med. 2018 Oct 1;19(10):2077-2088. doi: 10.1093/pm/pnx331.

    PubMed 29304254
  • Dere T, Alemdaroglu-Gurbuz I. Muscular endurance and its association with neck pain, disability, neck awareness, and kinesiophobia in patients with chronic neck pain. Somatosens Mot Res. 2024 Sep;41(3):134-141. doi: 10.1080/08990220.2023.2186390. Epub 2023 Mar 10.

    PubMed 36897182

Questions about this trial

What is this clinical trial studying?

An observational study of Neck Pain and Mental Fatigue, run by Hacettepe University at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 30 May 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Mental Fatigue (time frame: 2024 may- 2024 July). The study lists 11 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06434688, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 May 2024.

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