Relationship between kinesiophobia, catastrophizing, pain intensity, disability, and gait performance in chronic neck pain
,
Abstract
Objective: There is little evidence regarding a relationship between gait performance and psychological factors in people with chronic neck pain. This study aimed to evaluate gait performance in patients with neck pain, and explore the relationship between gait performance and kinesiophobia, pain catastrophizing, pain intensity, and disability.
Methods: A cross-sectional was conducted on thirty-four patients with chronic neck pain and twenty-nine age and sex-matched controls recruited into this study. Participants performed Timed Up and Go (TUG), and 10-meter walk test (TMW) with and without head turning tests. Associations between clinical gait tests, kinesiophobia (TAMPA scale of kinesiophobia), pain catastrophizing scale (PCS), pain intensity (visual analog scale), and disability (Neck Disability Index) were assessed.
Results: People with neck pain had significant differences in the TUG, and TMW with and without head turning tests compared to controls (P<0.01). Kinesiophobia and pain catastrophism were significantly correlated with TMW tests (r range =0.45 to 0.71, and 0.40 to 0.47 respectively). Pain intensity and disability were not correlated with gait tests.
Conclusion: The gait performance, as represented by TUG and TMWs tests scores, altered in patients with chronic neck pain in comparison controls. Fear of motion and pain catastrophizing thoughts correlated with clinical gait test scores.
1. Falla D, Gizzi L, Parsa H, Dieterich A, Petzke F. People with chronic neck pain walk with a stiffer spine. J Orthop Sports Phys Ther. 2017;47(4):268–77.
2. Kirmizi M, Simsek IE, Elvan A, Akcali O, Angin S. Gait speed and gait asymmetry in individuals with chronic idiopathic neck pain. Musculoskelet Sci Pract. 2019;41:23–7.
3. Lee D, Sung PS. Comparison of kinematic similarity index during gait between adults with and without nonspecific chronic neck pain. Gait Posture. 2022;91:99–104.
4. Shehab EW, Salem NA, Ahmed S, Elsherif AA. Correlation between neck pain characteristics and gait parameters in patients with chronic mechanical neck pain. Eur J Mol Clin Med [Internet]. 2021;8(3):1350–7.
5. Poole E, Treleaven J, Jull G. The influence of neck pain on balance and gait parameters in community-dwelling elders. Vol. 13, MT. 2008. p. 317–24.
6. Uthaikhup S, Sunkarat S, Khamsaen K, Meeyan K, Treleaven J. The effects of head movement and walking speed on gait parameters in patients with chronic neck pain. Vol. 19, MT. 2014. p. 137–41.
7. Alsultan F, De Nunzio AM, Rushton A, Heneghan NR, Falla D. Variability of neck and trunk movement during single- and dual-task gait in people with chronic neck pain. Clin Biomech. 2020;72:31–6.
8. Soto-Varela A, Rossi-Izquierdo M, del-Río-Valeiras M, Faraldo-García A, Vaamonde-Sánchez-Andrade I, Lirola-Delgado A, et al. Modified Timed Up and Go Test for Tendency to Fall and Balance Assessment in Elderly Patients With Gait Instability. Front Neurol. 2020;11:543.
9. Peters DM, Fritz SL, Krotish DE. Assessing the Reliability and Validity of a Shorter Walk Test Compared With the 10-Meter Walk Test for Measurements of Gait Speed in Healthy, Older Adults. J Geriatr Phys Ther [Internet]. 2013;36(1) :24-30.
10. Guedes R de C, Dias RC, Neri AL, Ferriolli E, Lourenço RA, Lustosa LP. Decreased gait speed and health outcomes in older adults: Rede FIBRA’s data. Fisioter e Pesqui. 2019;26:304–10.
11. Pinter D, Ritchie SJ, Gattringer T, Bastin ME, Hernández MDCV, Corley J, et al. Predictors of gait speed and its change over three years in community-dwelling older people. Aging (Albany NY). 2018;10(1): 144–153.
12. Asiri F, Reddy RS, Tedla JS, ALMohiza MA, Alshahrani MS, Govindappa SC, et al. Kinesiophobia and its correlations with pain, proprioception, and functional performance among individuals with chronic neck pain. PLoS One. 2021;16(7):e0254262.
13. Gunay Ucurum S. The relationship between pain severity, kinesiophobia, and quality of life in patients with non-specific chronic neck pain. J Back Musculoskelet Rehabil. 2019;32(5):677–83.
14. Rahman M, Thangamani ;, Alagappan R. The test-retest reliability of 10 meter walk test in healthy young adults-A Cross sectional study. IOSR J Sport Phys Educ (IOSR-JSPE [Internet]. 2019;6(3):PP 01-06.
15. Kojima G, Kendrick D, Skelton DA, Morris RW, Gawler S, Iliffe S. Frailty predicts short-term incidence of future falls among British community-dwelling older people: A prospective cohort study nested within a randomised controlled trial Physical functioning, physical health and activity. BMC Geriatr. 2015;15(1):1–7.
16. Stienen MN, Maldaner N, Joswig H, Corniola M V, Bellut D, Prömmel P, et al. Objective functional assessment using the “Timed Up and Go” test in patients with lumbar spinal stenosis. Neurosurg Focus. 2019;46(5):1-9.
17. Askary-Ashtiani A, Ebrahimi-Takamejani I, Torkaman G, Amiri M, Mousavi SJ. Reliability and validity of the persian versions of the fear avoidance beliefs questionnaire and tampa scale of kinesiophobia in patients with neck pain. Spine (Phila Pa 1976). 2014;39(18):E1095–102.
18. Sabo MT, Roy M. Surgeon identification of pain catastrophizing versus the Pain Catastrophizing Scale in orthopedic patients after routine surgical consultation. Can J Surg. 2019;62(4):265.
19. Rahmati N, Asghari Moghadam MA, SHAIRI M, Paknejad M, Rahmati Z, Ghassami maryam, et al. A Study of the Psychometric Properties of the Pain Catastrophizing Scale Amongst Iranian Patients with Chronic Persistent Pain. J Ilam Univ Med Sci. 2017;25(1):63–79.
20. Mousavi SJ, Parnianpour M, Montazeri A, Mehdian H, Karimi A, Abedi M, et al. Translation and validation study of the Iranian versions of the Neck Disability Index and the Neck Pain and Disability Scale. Spine (Phila Pa 1976). 2007;32(26):E825–31.
21. THONGPRONG T, Boonsinsukh R. IMPAIRMENT OF TIMED UP AND GO COMPONENTS IN ELDERLY WITH CHRONIC NECK PAIN. Srinakharinwirot University; 2021.
22. Saadat M, Salehi R, Negahban H, Shaterzadeh MJ, Mehravar M, Hessam M. Postural stability in patients with non-specific chronic neck pain: A comparative study with healthy people. Med J Islam Repub Iran. 2018;32:33.
23. Kristjansson E, Treleaven J. Sensorimotor function and dizziness in neck pain: implications for assessment and management. J Orthop Sport Phys Ther. 2009;39(5):364–77.
24. Uthaikhup S, Jull G, Sungkarat S, Treleaven J. The influence of neck pain on sensorimotor function in the elderly. Arch Gerontol Geriatr. 2012;55(3):667–72.
25. Sremakaew M, Sungkarat S, Treleaven J, Uthaikhup S. Effects of tandem walk and cognitive and motor dual-tasks on gait speed in individuals with chronic idiopathic neck pain: a preliminary study. Physiother Theory Pract. 2021;37(11):1210–6.
26. Asiri F, Reddy RS, Tedla JS, ALMohiza MA, Alshahrani MS, Govindappa SC, Sangadala DR. Kinesiophobia and its correlations with pain, proprioception, and functional performance among individuals with chronic neck pain. PLoS One. 2021 Jul 8;16(7)
27. De Vroey H, Claeys K, Shariatmadar K, Weygers I, Vereecke E, Van Damme G, et al. High Levels of Kinesiophobia at Discharge from the Hospital May Negatively Affect the Short-Term Functional Outcome of Patients Who Have Undergone Knee Replacement Surgery. Journal of clinical medicine. 2020;9(3):738.
2. Kirmizi M, Simsek IE, Elvan A, Akcali O, Angin S. Gait speed and gait asymmetry in individuals with chronic idiopathic neck pain. Musculoskelet Sci Pract. 2019;41:23–7.
3. Lee D, Sung PS. Comparison of kinematic similarity index during gait between adults with and without nonspecific chronic neck pain. Gait Posture. 2022;91:99–104.
4. Shehab EW, Salem NA, Ahmed S, Elsherif AA. Correlation between neck pain characteristics and gait parameters in patients with chronic mechanical neck pain. Eur J Mol Clin Med [Internet]. 2021;8(3):1350–7.
5. Poole E, Treleaven J, Jull G. The influence of neck pain on balance and gait parameters in community-dwelling elders. Vol. 13, MT. 2008. p. 317–24.
6. Uthaikhup S, Sunkarat S, Khamsaen K, Meeyan K, Treleaven J. The effects of head movement and walking speed on gait parameters in patients with chronic neck pain. Vol. 19, MT. 2014. p. 137–41.
7. Alsultan F, De Nunzio AM, Rushton A, Heneghan NR, Falla D. Variability of neck and trunk movement during single- and dual-task gait in people with chronic neck pain. Clin Biomech. 2020;72:31–6.
8. Soto-Varela A, Rossi-Izquierdo M, del-Río-Valeiras M, Faraldo-García A, Vaamonde-Sánchez-Andrade I, Lirola-Delgado A, et al. Modified Timed Up and Go Test for Tendency to Fall and Balance Assessment in Elderly Patients With Gait Instability. Front Neurol. 2020;11:543.
9. Peters DM, Fritz SL, Krotish DE. Assessing the Reliability and Validity of a Shorter Walk Test Compared With the 10-Meter Walk Test for Measurements of Gait Speed in Healthy, Older Adults. J Geriatr Phys Ther [Internet]. 2013;36(1) :24-30.
10. Guedes R de C, Dias RC, Neri AL, Ferriolli E, Lourenço RA, Lustosa LP. Decreased gait speed and health outcomes in older adults: Rede FIBRA’s data. Fisioter e Pesqui. 2019;26:304–10.
11. Pinter D, Ritchie SJ, Gattringer T, Bastin ME, Hernández MDCV, Corley J, et al. Predictors of gait speed and its change over three years in community-dwelling older people. Aging (Albany NY). 2018;10(1): 144–153.
12. Asiri F, Reddy RS, Tedla JS, ALMohiza MA, Alshahrani MS, Govindappa SC, et al. Kinesiophobia and its correlations with pain, proprioception, and functional performance among individuals with chronic neck pain. PLoS One. 2021;16(7):e0254262.
13. Gunay Ucurum S. The relationship between pain severity, kinesiophobia, and quality of life in patients with non-specific chronic neck pain. J Back Musculoskelet Rehabil. 2019;32(5):677–83.
14. Rahman M, Thangamani ;, Alagappan R. The test-retest reliability of 10 meter walk test in healthy young adults-A Cross sectional study. IOSR J Sport Phys Educ (IOSR-JSPE [Internet]. 2019;6(3):PP 01-06.
15. Kojima G, Kendrick D, Skelton DA, Morris RW, Gawler S, Iliffe S. Frailty predicts short-term incidence of future falls among British community-dwelling older people: A prospective cohort study nested within a randomised controlled trial Physical functioning, physical health and activity. BMC Geriatr. 2015;15(1):1–7.
16. Stienen MN, Maldaner N, Joswig H, Corniola M V, Bellut D, Prömmel P, et al. Objective functional assessment using the “Timed Up and Go” test in patients with lumbar spinal stenosis. Neurosurg Focus. 2019;46(5):1-9.
17. Askary-Ashtiani A, Ebrahimi-Takamejani I, Torkaman G, Amiri M, Mousavi SJ. Reliability and validity of the persian versions of the fear avoidance beliefs questionnaire and tampa scale of kinesiophobia in patients with neck pain. Spine (Phila Pa 1976). 2014;39(18):E1095–102.
18. Sabo MT, Roy M. Surgeon identification of pain catastrophizing versus the Pain Catastrophizing Scale in orthopedic patients after routine surgical consultation. Can J Surg. 2019;62(4):265.
19. Rahmati N, Asghari Moghadam MA, SHAIRI M, Paknejad M, Rahmati Z, Ghassami maryam, et al. A Study of the Psychometric Properties of the Pain Catastrophizing Scale Amongst Iranian Patients with Chronic Persistent Pain. J Ilam Univ Med Sci. 2017;25(1):63–79.
20. Mousavi SJ, Parnianpour M, Montazeri A, Mehdian H, Karimi A, Abedi M, et al. Translation and validation study of the Iranian versions of the Neck Disability Index and the Neck Pain and Disability Scale. Spine (Phila Pa 1976). 2007;32(26):E825–31.
21. THONGPRONG T, Boonsinsukh R. IMPAIRMENT OF TIMED UP AND GO COMPONENTS IN ELDERLY WITH CHRONIC NECK PAIN. Srinakharinwirot University; 2021.
22. Saadat M, Salehi R, Negahban H, Shaterzadeh MJ, Mehravar M, Hessam M. Postural stability in patients with non-specific chronic neck pain: A comparative study with healthy people. Med J Islam Repub Iran. 2018;32:33.
23. Kristjansson E, Treleaven J. Sensorimotor function and dizziness in neck pain: implications for assessment and management. J Orthop Sport Phys Ther. 2009;39(5):364–77.
24. Uthaikhup S, Jull G, Sungkarat S, Treleaven J. The influence of neck pain on sensorimotor function in the elderly. Arch Gerontol Geriatr. 2012;55(3):667–72.
25. Sremakaew M, Sungkarat S, Treleaven J, Uthaikhup S. Effects of tandem walk and cognitive and motor dual-tasks on gait speed in individuals with chronic idiopathic neck pain: a preliminary study. Physiother Theory Pract. 2021;37(11):1210–6.
26. Asiri F, Reddy RS, Tedla JS, ALMohiza MA, Alshahrani MS, Govindappa SC, Sangadala DR. Kinesiophobia and its correlations with pain, proprioception, and functional performance among individuals with chronic neck pain. PLoS One. 2021 Jul 8;16(7)
27. De Vroey H, Claeys K, Shariatmadar K, Weygers I, Vereecke E, Van Damme G, et al. High Levels of Kinesiophobia at Discharge from the Hospital May Negatively Affect the Short-Term Functional Outcome of Patients Who Have Undergone Knee Replacement Surgery. Journal of clinical medicine. 2020;9(3):738.
| Issue | Articles in Press | |
| Section | Research Article(s) | |
| Keywords | ||
| Neck pain gait pain disability psychological factors | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Ery M, Saadat M, Monjezi S, Hessam M, Mehravar M, Amirabadi N. Relationship between kinesiophobia, catastrophizing, pain intensity, disability, and gait performance in chronic neck pain. jmr. 2024;(-):pdf.
