Research Article
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Joint position sense and its relationship with pain, range of motion, muscle strength, fear of movement, functionality, and quality of life parameters in chronic neck pain

Year 2022, Volume: 9 Issue: 1, 48 - 58, 29.04.2022
https://doi.org/10.15437/jetr.748619

Abstract

Purpose: Aim of the study is to evaluate joint position sense (JPS) in individuals with chronic neck pain; to evaluate level of pain,
range of motion (ROM), muscle strength, quality of life, fear of movement, functionality associated with neck pain and compare
with healthy individuals, determine whether there is relationship between these parameters and JPS.
Methods: 50 subjects with chronic neck pain were included in chronic neck pain group (CNPG), 50 healthy subjects included in
control group. The Laser Pointer Assisted Angle-Reproduction Test (LP-ART), manual muscle test, goniometer measurement,
Visual Analogue Scale (VAS), Tampa Kinesiophobia Scale (TKS), Northwick Park Neck Pain Questionnaire (NPNPQ) and Short
Form-36 (SF-36) applied to all participants, groups compared. Relationship between JPS and ROM, pain level, muscle strength,
fear of movement, functionality, quality of life investigated.
Results: Joint position sense affected more negatively in CNPG compared to control group in all directions evaluated except left
lateral flexion. Significant, negative weak correlations obtained between JPS and M. Trapezius muscle strength in flexion,
extension, right, left rotation directions. Significant, positive weak-moderate correlations obtained between JPS and TKS and
NPNPQ (p<0.05). In CNPG, there is significant, positive, medium-high correlations between JPS and ROM in all directions. There
is significantly, negative correlations obtained between JPS and pain level, duration, NPNPQ levels (p<0.001).
Conclusion: In our study, individuals with chronic neck pain affected negatively in all parameters evaluated compared to healthy
individuals. It has been shown that decrease of ROM, M. Trapezius muscle strength, functionality and increase in quality of life,
fear of movement, and pain level are associated with decrease in JPS. 

References

  • 1. Haller H, Lauche R, Cramer H, et al. Craniosacral therapy for the treatment of chronic neck pain: a randomized shamcontrolled trial. Clin J Pain. 2016;32:441-449.
  • 2. Carroll LJ, Hogg-Johnson S, van der Velde G, et al. Course and prognostic factors for neck pain in the general population: results of the Bone and Joint Decade 2000–2010 Task Force on Neck Pain and Its Associated Disorders. J Manip Physiol Ther. 2009;32:87-96.
  • 3. Coşkun ME. Boyun ağrısı ve tedavisi. Turkiye Klinikleri J Surg Med Sci. 2006;2:43-47.
  • 4. Alahmari KA, Reddy RS, Silvian PS, et al. Association of age on cervical joint position error. J Adv Res. 2017;8:201-207.
  • 5. Sajjadi E, Olyaei GR, Talebian S, et al. The effect of forward head posture on cervical joint position sense. J Paramed Sci. 2014;5:2008-4978.
  • 6. Lin CC, Hua SH, Lin CL, et al. Impact of prolonged tablet computer usage with head forward and neck flexion posture on pain intensity, cervical joint position sense and balance control in mechanical neck pain subjects. J Med Biol Eng. 2020;40:372-382.
  • 7. Balke M, Liem D, Dedy N, et al. The laserpointer assisted angle reproduction test for evaluation of proprioceptive shoulder function in patients within stability. Arch Orthop Traum Su. 2011;131:1077-1084.
  • 8. Lephart SM, Pincivero DM, Giraido JL, et al. The role of proprioception in the management and rehabilitation of athletic injuries. Am J Sports Med. 1997;25:130-137.
  • 9. Strimpakos N. The assessment of the cervical spine. Part 1: range of motion and proprioception. J Bodyw Mov Ther. 2011;15:114- 124.
  • 10. De Vries J, Ischebeck BK, Voogt LP, et al. Joint position sense error in people with neck pain: a systematic review. Manual Ther. 2015;20:736- 744.
  • 11. Düzgün İ, Şimşek İE, Yakut Y, et al. Sağlıklı bireylerde açı tekrarlama testi ile omuz pozisyon hissinin değerlendirilmesi: bir pilot çalışma. Turk J Physiother Rehabil. 2011;22:240-244.
  • 12. Gonçalves C, Silva AG. Reliability, measurement error and construct validity of four proprioceptive tests in patients with chronic idiopathic neck pain. Musculoskelet Sci Pract. 2019;43:103-109.
  • 13. Heikkilä HV, Wenngren BI. Cervicocephalic kinesthetic sensibility, active range of cervical motion, and oculomotor function in patients with whiplash injury. Arch Phys Med Rehabil. 1998;79:1089-1094.
  • 14. Yaray O, Akesen B, Ocaklioğlu G, et al. Validation of the Turkish version of the visual analog scale spine score in patients with spinal fractures. Acta Orthop Traumatol Turc. 2011;45:353-358.
  • 15. Leak AM, Cooper J, Dyer S, et al. The Northwick Park Neck Pain Questionnaire, Devised to Measure Neck Pain and Disability. Brit J Rheumatol. 1994;33:469-474
  • 16. Bicer A, Yazici A, Camdeviren H, et al. Assessment of pain and disability in patients with chronic neck pain: Reliability and construct validity of the Turkish Version of the Neck Pain and Disability Scale. Disabil Rehabil. 2004;26:959–962.
  • 17. Kori SH, Miller RP, Todd D. Kinesophobia: a new view of chronic pain behaviour. Pain Manag. 1990;3:35-43.
  • 18. Yılmaz OT, Yakut Y, Uygur F, et al. Tampa Kinezyofobi Ölçeği’nin Türkçe versiyonu ve testtekrar test güvenirliği. Turk J Physiother Rehabil. 2011;22:44-49.
  • 19. Liang MH, Jette AM. Measuring functional ability in chronic rheumatoid arthritis. A critical review. Arthritis Rheumatol. 1981;24:80-86.
  • 20. Koçyiğit H. Kısa Form-36 (KF-36)'nın Türkçe versiyonunun güvenilirliği ve geçerliliği. Turk J Drugs Ther. 1999;12:102-106.
  • 21. Revel M, Andre-Deshays C, Minguet M. Cervicocephalic kinesthetic sensibility in patients with cervical pain. Arch Phys Med Rehabil. 1991;72:288-291.
  • 22. Michiels S, De Hertogh W, Truijen S, et al. The assessment of cervical sensory motor control: a systematic review focusing on measuring methods and their clinimetric characteristics. Gait Posture. 2013;38:1-7.
  • 23. García-Pérez-Juana D, Fernández-de-las-Peñas C, Arias-Buría JL, et al. Changes in cervicocephalic kinesthetic sensibility, widespread pressure pain sensitivity, and neck pain after cervical thrust manipulation in patients with chronic mechanical neck pain: A randomized clinical trial. J Manip Physiol Ther. 2018;41:551-560.
  • 24. Wibault J, Vaillant J, Vuillerme N, et al. Using the cervical range of motion (CROM) device to assess head repositioning accuracy in individuals with cervical radiculopathy in comparison to neck-healthy individuals. Manual Ther. 2013;18:403-409.
  • 25. Portelli A, Reid SA. Cervical proprioception in a young population who spend long periods on mobile devices: A 2-group comparative observational study. J Manip Physiol Ther. 2018;41:123-128.
  • 26. Chen X, Treleaven J. The effect of neck torsion on joint position error in subjects with chronic neck pain. Manual Ther. 2013;18:562-567.
  • 27. Treleaven J. Sensorimotor disturbances in neck disorders affecting postural stability, head and eye movement control. Manual Ther. 2008;13:2- 11.
  • 28. Demirbüken İ, Özgül B, Kuru Çolak T, et al. Kinesiophobia in relation to physical activity in chronic neck pain. J Back Musculoskelet. 2016;29:41-47.
  • 29. Radhakrishnan R, Senthil P, Rathnamala D, et al. Effectiveness of global posture re-education on pain and improving quality of life in women with chronic neck pain. Int J Phys Educ Sports Health. 2015;1:7-9.
  • 30. Brodsky M, Spritzer K, Hays RD, et al. Change in health-related quality-of-life at group and individual levels over time in patients treated for chronic myofascial neck pain. Evid-Based Compl Alt. 2017;22:365-368.
  • 31. Rudolfsson T, Björklund M, Djupsjöbacka M. Range of motion in the upper and lower cervical spine in people with chronic neck pain. Man Ther. 2012;17:53-59.
  • 32. Kim JH, Lee HS, Park SW. Effects of the active release technique on pain and range of motion of patients with chronic neck pain. J Phys Ther Sci. 2015;27:2461-2464.
  • 33. Arana E, Marti-Bonmati L, Montijano R, et al. Relationship between Northwick Park Neck Pain Questionnaire and cervical spine MR imaging findings. Eur Spine J. 2006;15:1183-1188.
  • 34. Chow RT, Barnsley L, Heller GZ, et al. A pilot study of low-power laser therapy in the management of chronic neck pain. J Musculoskelet Pain. 2004;12:71-81.
  • 35. Tunwattanapong P, Kongkasuwan R, Kuptniratsaikul V. The effectiveness of a neck and shoulder stretching exercise program among office workers with neck pain: A randomized controlled trial. Clin Rehabil. 2016;30:64-72.
  • 36. Liang Z, Zhu X, Yang X, et al. Assessment of a traditional acupuncture therapy for chronic neck pain: A pilot randomised controlled study. Complement Ther Med. 2011;19:26-32.
  • 37. Khan M, Soomro RR, Ali SS. The effectiveness of isometric exercises as compared to general exercises in the management of chronic nonspecific neck pain. Pak J Pharm Sci. 2014;27:1719-1722.
  • 38. Ghamkhar L, Kahlaee AH, Nourbakhsh MR, et al. Relationship between proprioception and endurance functionality of the cervical flexor muscles in chronic neck pain and asymptomatic participants. J Manipulative Physiol Ther. 2018;41:129-136.
  • 39. Cagnie B, Castelein B, Pollie F, et al. Evidence for the use of ischemic compression and dry needling in the management of trigger points of the upper trapezius in patients with neck pain: a systematic review. Am J Phys Med Rehabil. 2015;94:573-583.
  • 40. Reddy RS, Tedla JS, Dixit S, et al. Cervical proprioception and its relationship with neck pain intensity in subjects with cervical spondylosis. BMC Musculoskel Dis. 2019;20:1-7.
  • 41. Lee JD, Shin WS. Immediate effects of neuromuscular control exercise on neck pain, range of motion, and proprioception in persons with neck pain. Phys Ther Rehabil Sci. 2020;9:1- 9.

Kronik boyun ağrısında eklem pozisyon hissinin ağrı, eklem hareket açıklığı, kas kuvveti, hareket korkusu, fonksiyonellik ve yaşam kalitesi parametreleri ile ilişkisi

Year 2022, Volume: 9 Issue: 1, 48 - 58, 29.04.2022
https://doi.org/10.15437/jetr.748619

Abstract

Amaç: Çalışmanın amacı, kronik boyun ağrısı olan bireylerde eklem pozisyon hissini (EPH) değerlendirmek; ağrı seviyesi, eklem
hareket açıklığı (EHA), kas kuvveti, yaşam kalitesi, hareket korkusu ve boyun ağrısı ile ilişkili fonksiyonel etkilenim seviyelerini
değerlendirerek sağlıklı bireylerle karşılaştırmak ve bu parametreler ile EPH arasında ilişki olup olmadığını belirlemektir.
Yöntem: Kronik boyun ağrısı olan 50 birey kronik boyun ağrı grubuna (KBAG), 50 sağlıklı birey kontrol grubuna dahil edildi.
Katılımcılara Lazer İmleç Yardımlı Açı Tekrarlama Testi (Lİ-YATT), manuel kas testi, gonyometre ölçümü, Vizüel Analog Skalası
(VAS), Tampa Kinezyofobi Ölçeği (TKÖ), Northwick Park Boyun Ağrısı Anketi (NPBAA) ve Kısa Form-36 (KF-36) uygulandı, gruplar
karşılaştırıldı. EPH değerleri ile EHA, ağrı düzeyi, kas kuvveti, hareket korkusu, fonksiyonel etkilenim ve yaşam kalitesi değerleri
arasındaki ilişki araştırıldı.
Bulgular: EPH değerleri, sol lateral fleksiyon hariç değerlendirilen diğer tüm yönlerde, kontrol grubuna göre KBAG’de daha
olumsuz etkilendiği görüldü. Fleksiyon, ekstansiyon, sağ ve sol rotasyon yönlerindeki EPH ile sadece M. Trapezius kas kuvveti
ile arasında zayıf kuvvette anlamlı negatif korelasyonlar elde edildi. EPH ile TKÖ ve NPBAA değerleri arasında zayıf ve orta
kuvvette anlamlı pozitif korelasyonlar elde edildi (p<0,05). Ek olarak KBAG’de, EPH ile orta ve yüksek kuvvette olmak üzere tüm
yönlerdeki EHA’ları arasında anlamlı düzeyde pozitif; ağrı seviyesi, süresi ve NPBAA verileri arasında anlamlı düzeyde negatif
korelasyonlar elde edildi (p<0,001).
Sonuç: Çalışmamızda kronik boyun ağrılı bireylerin değerlendirilen tüm parametreler açısından sağlıklı bireylere göre olumsuz
yönde etkilendiği; EHA’daki kısıtlılık, ağrı seviyesi, M. Trapezius zayıflığı, hareket korkusu, fonksiyonel etkilenim ve yaşam
kalitesi değerlerindeki artışın, EPH’deki azalma ile ilişkili olduğu gösterilmiştir.

References

  • 1. Haller H, Lauche R, Cramer H, et al. Craniosacral therapy for the treatment of chronic neck pain: a randomized shamcontrolled trial. Clin J Pain. 2016;32:441-449.
  • 2. Carroll LJ, Hogg-Johnson S, van der Velde G, et al. Course and prognostic factors for neck pain in the general population: results of the Bone and Joint Decade 2000–2010 Task Force on Neck Pain and Its Associated Disorders. J Manip Physiol Ther. 2009;32:87-96.
  • 3. Coşkun ME. Boyun ağrısı ve tedavisi. Turkiye Klinikleri J Surg Med Sci. 2006;2:43-47.
  • 4. Alahmari KA, Reddy RS, Silvian PS, et al. Association of age on cervical joint position error. J Adv Res. 2017;8:201-207.
  • 5. Sajjadi E, Olyaei GR, Talebian S, et al. The effect of forward head posture on cervical joint position sense. J Paramed Sci. 2014;5:2008-4978.
  • 6. Lin CC, Hua SH, Lin CL, et al. Impact of prolonged tablet computer usage with head forward and neck flexion posture on pain intensity, cervical joint position sense and balance control in mechanical neck pain subjects. J Med Biol Eng. 2020;40:372-382.
  • 7. Balke M, Liem D, Dedy N, et al. The laserpointer assisted angle reproduction test for evaluation of proprioceptive shoulder function in patients within stability. Arch Orthop Traum Su. 2011;131:1077-1084.
  • 8. Lephart SM, Pincivero DM, Giraido JL, et al. The role of proprioception in the management and rehabilitation of athletic injuries. Am J Sports Med. 1997;25:130-137.
  • 9. Strimpakos N. The assessment of the cervical spine. Part 1: range of motion and proprioception. J Bodyw Mov Ther. 2011;15:114- 124.
  • 10. De Vries J, Ischebeck BK, Voogt LP, et al. Joint position sense error in people with neck pain: a systematic review. Manual Ther. 2015;20:736- 744.
  • 11. Düzgün İ, Şimşek İE, Yakut Y, et al. Sağlıklı bireylerde açı tekrarlama testi ile omuz pozisyon hissinin değerlendirilmesi: bir pilot çalışma. Turk J Physiother Rehabil. 2011;22:240-244.
  • 12. Gonçalves C, Silva AG. Reliability, measurement error and construct validity of four proprioceptive tests in patients with chronic idiopathic neck pain. Musculoskelet Sci Pract. 2019;43:103-109.
  • 13. Heikkilä HV, Wenngren BI. Cervicocephalic kinesthetic sensibility, active range of cervical motion, and oculomotor function in patients with whiplash injury. Arch Phys Med Rehabil. 1998;79:1089-1094.
  • 14. Yaray O, Akesen B, Ocaklioğlu G, et al. Validation of the Turkish version of the visual analog scale spine score in patients with spinal fractures. Acta Orthop Traumatol Turc. 2011;45:353-358.
  • 15. Leak AM, Cooper J, Dyer S, et al. The Northwick Park Neck Pain Questionnaire, Devised to Measure Neck Pain and Disability. Brit J Rheumatol. 1994;33:469-474
  • 16. Bicer A, Yazici A, Camdeviren H, et al. Assessment of pain and disability in patients with chronic neck pain: Reliability and construct validity of the Turkish Version of the Neck Pain and Disability Scale. Disabil Rehabil. 2004;26:959–962.
  • 17. Kori SH, Miller RP, Todd D. Kinesophobia: a new view of chronic pain behaviour. Pain Manag. 1990;3:35-43.
  • 18. Yılmaz OT, Yakut Y, Uygur F, et al. Tampa Kinezyofobi Ölçeği’nin Türkçe versiyonu ve testtekrar test güvenirliği. Turk J Physiother Rehabil. 2011;22:44-49.
  • 19. Liang MH, Jette AM. Measuring functional ability in chronic rheumatoid arthritis. A critical review. Arthritis Rheumatol. 1981;24:80-86.
  • 20. Koçyiğit H. Kısa Form-36 (KF-36)'nın Türkçe versiyonunun güvenilirliği ve geçerliliği. Turk J Drugs Ther. 1999;12:102-106.
  • 21. Revel M, Andre-Deshays C, Minguet M. Cervicocephalic kinesthetic sensibility in patients with cervical pain. Arch Phys Med Rehabil. 1991;72:288-291.
  • 22. Michiels S, De Hertogh W, Truijen S, et al. The assessment of cervical sensory motor control: a systematic review focusing on measuring methods and their clinimetric characteristics. Gait Posture. 2013;38:1-7.
  • 23. García-Pérez-Juana D, Fernández-de-las-Peñas C, Arias-Buría JL, et al. Changes in cervicocephalic kinesthetic sensibility, widespread pressure pain sensitivity, and neck pain after cervical thrust manipulation in patients with chronic mechanical neck pain: A randomized clinical trial. J Manip Physiol Ther. 2018;41:551-560.
  • 24. Wibault J, Vaillant J, Vuillerme N, et al. Using the cervical range of motion (CROM) device to assess head repositioning accuracy in individuals with cervical radiculopathy in comparison to neck-healthy individuals. Manual Ther. 2013;18:403-409.
  • 25. Portelli A, Reid SA. Cervical proprioception in a young population who spend long periods on mobile devices: A 2-group comparative observational study. J Manip Physiol Ther. 2018;41:123-128.
  • 26. Chen X, Treleaven J. The effect of neck torsion on joint position error in subjects with chronic neck pain. Manual Ther. 2013;18:562-567.
  • 27. Treleaven J. Sensorimotor disturbances in neck disorders affecting postural stability, head and eye movement control. Manual Ther. 2008;13:2- 11.
  • 28. Demirbüken İ, Özgül B, Kuru Çolak T, et al. Kinesiophobia in relation to physical activity in chronic neck pain. J Back Musculoskelet. 2016;29:41-47.
  • 29. Radhakrishnan R, Senthil P, Rathnamala D, et al. Effectiveness of global posture re-education on pain and improving quality of life in women with chronic neck pain. Int J Phys Educ Sports Health. 2015;1:7-9.
  • 30. Brodsky M, Spritzer K, Hays RD, et al. Change in health-related quality-of-life at group and individual levels over time in patients treated for chronic myofascial neck pain. Evid-Based Compl Alt. 2017;22:365-368.
  • 31. Rudolfsson T, Björklund M, Djupsjöbacka M. Range of motion in the upper and lower cervical spine in people with chronic neck pain. Man Ther. 2012;17:53-59.
  • 32. Kim JH, Lee HS, Park SW. Effects of the active release technique on pain and range of motion of patients with chronic neck pain. J Phys Ther Sci. 2015;27:2461-2464.
  • 33. Arana E, Marti-Bonmati L, Montijano R, et al. Relationship between Northwick Park Neck Pain Questionnaire and cervical spine MR imaging findings. Eur Spine J. 2006;15:1183-1188.
  • 34. Chow RT, Barnsley L, Heller GZ, et al. A pilot study of low-power laser therapy in the management of chronic neck pain. J Musculoskelet Pain. 2004;12:71-81.
  • 35. Tunwattanapong P, Kongkasuwan R, Kuptniratsaikul V. The effectiveness of a neck and shoulder stretching exercise program among office workers with neck pain: A randomized controlled trial. Clin Rehabil. 2016;30:64-72.
  • 36. Liang Z, Zhu X, Yang X, et al. Assessment of a traditional acupuncture therapy for chronic neck pain: A pilot randomised controlled study. Complement Ther Med. 2011;19:26-32.
  • 37. Khan M, Soomro RR, Ali SS. The effectiveness of isometric exercises as compared to general exercises in the management of chronic nonspecific neck pain. Pak J Pharm Sci. 2014;27:1719-1722.
  • 38. Ghamkhar L, Kahlaee AH, Nourbakhsh MR, et al. Relationship between proprioception and endurance functionality of the cervical flexor muscles in chronic neck pain and asymptomatic participants. J Manipulative Physiol Ther. 2018;41:129-136.
  • 39. Cagnie B, Castelein B, Pollie F, et al. Evidence for the use of ischemic compression and dry needling in the management of trigger points of the upper trapezius in patients with neck pain: a systematic review. Am J Phys Med Rehabil. 2015;94:573-583.
  • 40. Reddy RS, Tedla JS, Dixit S, et al. Cervical proprioception and its relationship with neck pain intensity in subjects with cervical spondylosis. BMC Musculoskel Dis. 2019;20:1-7.
  • 41. Lee JD, Shin WS. Immediate effects of neuromuscular control exercise on neck pain, range of motion, and proprioception in persons with neck pain. Phys Ther Rehabil Sci. 2020;9:1- 9.
There are 41 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Articles
Authors

Çağla Özgören 0000-0002-8698-7672

Pınar Kaya Ciddi 0000-0002-7611-0527

Mustafa Sahin 0000-0002-5792-5755

Publication Date April 29, 2022
Submission Date June 5, 2020
Published in Issue Year 2022 Volume: 9 Issue: 1

Cite

Vancouver Özgören Ç, Kaya Ciddi P, Sahin M. Kronik boyun ağrısında eklem pozisyon hissinin ağrı, eklem hareket açıklığı, kas kuvveti, hareket korkusu, fonksiyonellik ve yaşam kalitesi parametreleri ile ilişkisi. JETR. 2022;9(1):48-5.