Oz Muzeyyen, Ozel Asliyuce Yasemin, Demirel Aynur, Cetin Hatice, Ulger Ozlem
Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.
Appl Neuropsychol Adult. 2023 Nov-Dec;30(6):764-771. doi: 10.1080/23279095.2021.1980795. Epub 2021 Oct 1.
This study aimed to evaluate cognitive function in individuals with chronic neck pain (CNP) and investigate the effects of different variables on cognition.
The sociodemographic characteristics of the individuals who participated in this study were recorded. Pain intensity of the individuals was evaluated using the Visual Analog Scale, pain-related disability was evaluated with the Neck Disability Index and cognitive function was evaluated using Montreal Cognitive Assessment (MoCA).
For this study, 95 patients with CNP were recruited. The mean age was 45.61 ± 11.14, and the median MoCA score was 24 (20-26), and 64.2% of the patients scored below the original cutoff (<26/30 points). The regression analysis showed that higher age and lower education levels were associated with lower MoCA scores. Education appeared to be the most influential variable. Younger participants (18-45) performed systematically better on naming, attention and language domains than their older counterparts (over 45).
The findings suggest that age and education play an important role in MoCA total and domain scores in these patients. While treating these patients, assessment of cognitive function can be useful for effective pain management.
本研究旨在评估慢性颈部疼痛（CNP）患者的认知功能，并调查不同变量对认知的影响。
记录参与本研究的个体的社会人口学特征。使用视觉模拟量表评估个体的疼痛强度，使用颈部残疾指数评估与疼痛相关的残疾情况，并使用蒙特利尔认知评估量表（MoCA）评估认知功能。
本研究招募了95例CNP患者。平均年龄为45.61±11.14岁，MoCA评分中位数为24分（20 - 26分），64.2%的患者得分低于原始临界值（<26/30分）。回归分析表明，年龄较大和教育水平较低与MoCA得分较低相关。教育似乎是最具影响力的变量。较年轻的参与者（18 - 45岁）在命名、注意力和语言领域的表现系统地优于年龄较大的参与者（45岁以上）。
研究结果表明，年龄和教育在这些患者的MoCA总分及各领域得分中起重要作用。在治疗这些患者时，评估认知功能有助于进行有效的疼痛管理。
