Neck PainNCT07462416
Central Sensitization and Clinical Parameters in Chronic Neck Pain
An observational study of Neck Pain and Central Nervous System Sensitization, run by Turkoglu Dr. Kemal Beyazit State Hospital at 1 site in Turkey (Türkiye).
Trial summary
This study is a retrospective, cross-sectional observational study that assesses the correlations among central sensitization, pain, psychosocial factors, and temporomandibular function in patients with chronic neck pain. Read more about this study
- Who is it for?
- Ages 18 to 60 years
- Conditions the study is for
- Neck Pain, Central Nervous System Sensitization, Temporomandibular Joint Dysfunction Syndrome
- How many people
- 84 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 5 Apr 2024to 18 Jan 2025
- 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 60 years
- All sexes
- No healthy volunteers
- Adult
Study population: The study population includes patients living in Kahramanmaraş who have chronic neck pain. The sample consists of these patients who visited our clinic with this issue, received a diagnosis of chronic neck pain from a specialist, and agreed to take part in the study.
Who may be able to join
- Patients aged 18-60 years
- Patients with neck pain lasting at least 3 months.
- Patients with a pain intensity of 4 or higher on the Visual Analog Scale (VAS).
- Patients with a Pain Catastrophizing Scale (PCS) score greater than 30.
- Patients with a Central Sensitization Inventory (CSI) score greater than 30.
- Patients who have not received physiotherapy or manual therapy in the past 3 months.
Who cannot join
- Individuals with a history of neck or spinal surgery.
- Patients with a history of whiplash injury or fracture.
- Individuals with unstable neurological findings.
- Presence of cervical pathology such as herniation or nerve root compression.
- Regular use of analgesic or anti-inflammatory medications.
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Türkoğlu Dr. Kemal Beyazıt State Hospital
Kahramanmaraş, 46000
About this study
Official title: Correlation of Central Sensitization With Pain, Pain Catastrophizing, Disability, Sleep Quality, and Jaw Function in Patients With Chronic Neck Pain: A Retrospective, Cross-Sectional Study
This study is a retrospective, cross-sectional observational study that assesses the correlations among central sensitization, pain, psychosocial factors, and temporomandibular function in patients with chronic neck pain. It underscores the importance of the biopsychosocial model in clinical practice and aims to improve understanding of central mechanisms in treatment planning. treatment planning.
Read the detailed description
Chronic neck pain is a widespread health issue globally that negatively impacts quality of life. In some patients, pain cannot be explained solely by tissue damage; increased sensitivity of the central nervous system (central sensitization) may contribute to the persistence of pain.
The aim of this study is to explore the relationship between the level of central sensitization and the following parameters in individuals with chronic neck pain:
- Pain intensity
- Pressure pain threshold
- Pain catastrophizing level
- Neck-related disability
- Sleep quality
- Jaw function
The study has a retrospective, cross-sectional design. Records of patients previously evaluated in the clinic will be analyzed. No new interventions will be conducted on participants. The study is observational in nature.
This research aims to:
- Enhance understanding of the clinical significance of central sensitization in chronic neck pain
- Contribute to the development of multidisciplinary treatment strategies
- Support the management of patients through more personalized treatment plans.
- Conditions
- Neck Pain, Central Nervous System Sensitization, Temporomandibular Joint Dysfunction Syndrome, Chronic Pain
- Keywords
- Neck Pain, Central Sensitization, Catastrophization, Disability
- Medical subject headings
- Neck Pain, Temporomandibular Joint Dysfunction Syndrome, Chronic Pain
What is being measured
The primary outcome is the main question the study is designed to answer.
Central Sensitization Inventory (CSI)
Central sensitization was assessed using the CSI, a tool applicable in cases of chronic pain. The CSI has two parts. Part A evaluates symptoms and is scored from 0 to 100; higher scores reflect greater central sensitization. A score of 30 or higher suggests the presence of central sensitization. Part B asks if the individual has ever been diagnosed with any central sensitization syndromes.
Measured: At baseline (single time-point assessment)
Visual Analog Scale (VAS)
Pain intensity will be assessed using the Visual Analog Scale (VAS). The VAS is commonly employed in clinical practice because it is simple to use and consistent. The scale ranges from 0 to 10, where "0" indicates no pain and "10" signifies the worst possible pain. Patients are informed that pain severity increases from 0 to 10 and are asked to mark the number that best reflects their pain level.
Measured: At baseline
Secondary outcomes (5)
Pain Catastrophizing Scale (PCS)
Pain catastrophizing was measured with the PCS. This 13-item self-report questionnaire includes three subscales: rumination, magnification, and helplessness. Higher scores indicate more pain and greater functional impairment, with a total score above 30 signifying a clinically significant level of pain catastrophizing.
Measured: At baseline (single time-point assessment)
Neck Disability Index
Participants' neck disability levels were evaluated using the Neck Disability Index (NDI).
The scale includes 10 items that address neck pain intensity, personal care, lifting, reading, headaches, concentration, driving, sleep, and recreational activities.
Each item is scored from 0 to 5. The total score ranges from 0 to 50, with higher scores indicating greater disability.
Disability levels are classified as follows:
0-4: No disability
5-14: Mild disability
15-24: Moderate disability
25-34: Severe disability
35 and above: Complete disability
Measured: At baseline (single time-point assessment)
Pittsburgh Sleep Quality Index (PSQI)
Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). The PSQI was created by Buysse et al. in 1989. The scale's validity and reliability in Turkish were tested by Agargün et al. in 1996.
The questionnaire features 24 items related to both nighttime and daytime sleep. Nineteen items are self-rated, while five are answered by a bed partner or roommate. The five partner-rated items and the question asking whether the person has a sleep partner or roommate are not included in the scoring.
Responses are rated on a 0-3 scale:
0 = Not during the past month
- = Less than once a week
- = Once or twice a week
- = Three or more times a week
Eighteen of the 24 items are scored, resulting in a total score from 0 to 21. A score of 5 or below indicates good sleep quality, while a score above 5 suggests poor sleep quality.
Measured: At baseline (single time-point assessment)
Jaw Functional Limitation Scale-20 (JFLS-20)
The Jaw Functional Limitation Scale-20 (JFLS-20) will be used to assess the level of temporomandibular joint function in individuals. The JFLS-20 is a questionnaire designed to measure disability in people with temporomandibular disorders.
Each item is scored on a scale from 0 to 10, where 0 indicates no limitation and 10 indicates severe limitation. The total score ranges from 0 to 200, with higher scores indicating greater impairment. The JFLS-20 is a valid and reliable tool for clinical use.
Measured: At baseline
Assessment of Pressure Pain Threshold
Pressure pain sensitivity will be assessed using a digital pressure pain threshold (PPT) algometer (Wagner Instruments, Greenwich, USA). Measurements will be taken bilaterally from the upper trapezius, sternocleidomastoid, masseter, and temporalis muscles.
Measured: At baseline
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Mar 2026
- Study start5 Apr 2024
- Primary completion17 Dec 2024
- Study completion18 Jan 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Neck PainStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Other
- Time perspective
- Cross-sectional
- Enrolment
- 84 participants (actual)
Sponsor and investigators
- Lead sponsor
- Turkoglu Dr. Kemal Beyazit State Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Süreyya DAMAR ÖRENLER, Turkoglu Dr. Kemal Beyazit State Hospital
- Investigators
- Aysenur TUNCER, PT,PhD, Study director, Independent researcher
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07462416
- Sponsor's protocol ID
- TurkogluBeyazitSH
- Status last verified
- Mar 2026
- First submitted
- 4 Mar 2026
- Last updated
- 10 Mar 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: De-identified individual participant data from this study will be available to qualified researchers upon reasonable request. The shared data will include anonymized clinical and questionnaire results used in this study. Requests can be directed to the corresponding author, Dr. Süreyya Damar-Örenler (email: fztsureyya88@otmail.com). Data sharing will adhere to applicable ethical and privacy regulations.
Publications
No publications yet
Study at a glance
From the registry record, last updated by the sponsor on 10 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Correlation of Central Sensitization With Pain, Pain Catastrophizing, Disability, Sleep Quality, and Jaw Function in Patients With Chronic Neck Pain: A Retrospective, Cross-Sectional Study
- ClinicalTrials.gov ID
- NCT07462416
- Acronym / sponsor ID
- TurkogluBeyazitSH
- Conditions
- Neck Pain, Central Nervous System Sensitization, Temporomandibular Joint Dysfunction Syndrome, Chronic Pain
- Keywords
- Neck Pain, Central Sensitization, Catastrophization, Disability
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 84 participants (actual)
- Lead sponsor
- Turkoglu Dr. Kemal Beyazit State HospitalUniversity, hospital or other
- Study start
- 5 Apr 2024 (actual)
- Primary completion
- 17 Dec 2024 (actual)
- Study completion
- 18 Jan 2025 (actual)
- First posted
- 10 Mar 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is a retrospective, cross-sectional observational study that assesses the correlations among central sensitization, pain, psychosocial factors, and temporomandibular function in patients with chronic neck pain. It underscores the importance of the biopsychosocial model in clinical practice and aims to improve understanding of central mechanisms in treatment planning. treatment planning.
Detailed description
Chronic neck pain is a widespread health issue globally that negatively impacts quality of life. In some patients, pain cannot be explained solely by tissue damage; increased sensitivity of the central nervous system (central sensitization) may contribute to the persistence of pain.
The aim of this study is to explore the relationship between the level of central sensitization and the following parameters in individuals with chronic neck pain:
- Pain intensity
- Pressure pain threshold
- Pain catastrophizing level
- Neck-related disability
- Sleep quality
- Jaw function
The study has a retrospective, cross-sectional design. Records of patients previously evaluated in the clinic will be analyzed. No new interventions will be conducted on participants. The study is observational in nature.
This research aims to:
- Enhance understanding of the clinical significance of central sensitization in chronic neck pain
- Contribute to the development of multidisciplinary treatment strategies
- Support the management of patients through more personalized treatment plans.
Study design
- Observational model
- Other
- Time perspective
- Cross-sectional
Who may qualify
- Ages
- 18 to 60 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
- Study population
- The study population includes patients living in Kahramanmaraş who have chronic neck pain. The sample consists of these patients who visited our clinic with this issue, received a diagnosis of chronic neck pain from a specialist, and agreed to take part in the study.
Key inclusion criteria (6 listed)
- Patients aged 18-60 years
- Patients with neck pain lasting at least 3 months.
- Patients with a pain intensity of 4 or higher on the Visual Analog Scale (VAS).
- Patients with a Pain Catastrophizing Scale (PCS) score greater than 30.
- Patients with a Central Sensitization Inventory (CSI) score greater than 30.
Key exclusion criteria (5 listed)
- Individuals with a history of neck or spinal surgery.
- Patients with a history of whiplash injury or fracture.
- Individuals with unstable neurological findings.
- Presence of cervical pathology such as herniation or nerve root compression.
- Regular use of analgesic or anti-inflammatory medications.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Central Sensitization Inventory (CSI)
Time frame: At baseline (single time-point assessment)
Central sensitization was assessed using the CSI, a tool applicable in cases of chronic pain. The CSI has two parts. Part A evaluates symptoms and is scored from 0 to 100; higher scores reflect greater central sensitization. A score of 30 or higher suggests the presence of central sensitization. Part B asks if the individual has ever been diagnosed with any central sensitization syndromes.
Visual Analog Scale (VAS)
Time frame: At baseline
Pain intensity will be assessed using the Visual Analog Scale (VAS). The VAS is commonly employed in clinical practice because it is simple to use and consistent. The scale ranges from 0 to 10, where "0" indicates no pain and "10" signifies the worst possible pain. Patients are informed that pain severity increases from 0 to 10 and are asked to mark the number that best reflects their pain level.
5 secondary outcomes
Pain Catastrophizing Scale (PCS)
Time frame: At baseline (single time-point assessment)
Neck Disability Index
Time frame: At baseline (single time-point assessment)
Pittsburgh Sleep Quality Index (PSQI)
Time frame: At baseline (single time-point assessment)
Jaw Functional Limitation Scale-20 (JFLS-20)
Time frame: At baseline
Assessment of Pressure Pain Threshold
Time frame: At baseline
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Mar 2026.
- BackgroundNo publications yet
- The hospital where the study was conductedLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. De-identified individual participant data from this study will be available to qualified researchers upon reasonable request. The shared data will include anonymized clinical and questionnaire results used in this study. Requests can be directed to the corresponding author, Dr. Süreyya Damar-Örenler (email: fztsureyya88@otmail.com). Data sharing will adhere to applicable ethical and privacy regulations.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Aysenur TUNCER, PT,PhD study director
Independent researcher
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Neck Pain and Central Nervous System Sensitization, run by Turkoglu Dr. Kemal Beyazit State Hospital 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?
The sponsor lists 6 inclusion and 5 exclusion criteria. 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: finished, as of the sponsor's last update on 10 Mar 2026. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Central Sensitization Inventory (CSI) (time frame: At baseline (single time-point assessment)). The study lists 2 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 NCT07462416, which also lists 1 linked publication.
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 10 Mar 2026.