Centre of Precision Rehabilitation for Spinal Pain (CPR Spine), School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, B15 2TT, UK.
Physical Therapy Department, College of Applied Medical Sciences, Umm Al-Qura University, Makkah, 24382, Saudi Arabia.
Sci Rep. 2022 Jul 4;12(1):11304. doi: 10.1038/s41598-022-14696-8.
Although neck pain is known to be a complex and multifactorial condition characterised by the interplay between physical and psychological domains, a comprehensive investigation examining the interactions across multiple features is still lacking. In this study, we aimed to unravel the structure of associations between physical measures of neuromuscular function and fear of movement in people with a history of neck pain. One hundred participants (mean age 33.3 ± 9.4) were assessed for this cross-sectional study, and the neuromuscular and kinematic features investigated were the range of motion, velocity of neck movement, smoothness of neck movement, neck proprioception (measured as the joint reposition error), and neck flexion and extension strength. The Tampa Scale for Kinesiophobia was used to assess fear of movement. A network analysis was conducted to estimate the associations across features, as well as the role of each feature in the network. The estimated network revealed that fear of movement and neuromuscular/kinematic features were conditionally dependent. Higher fear of movement was associated with a lower range of motion, velocity, smoothness of neck movement, neck muscle strength, and proprioception (partial correlations between - 0.05 and - 0.12). Strong interactions were also found between kinematics features, with partial correlations of 0.39 and 0.58 between the range of motion and velocity, and between velocity and smoothness, respectively. The velocity of neck movement was the most important feature in the network since it showed the highest strength value. Using a novel approach to analysis, this study revealed that fear of movement can be associated with a spectrum of neuromuscular/kinematic adaptations in people with a history of neck pain.
虽然颈部疼痛是一种复杂的多因素疾病，其特征是身体和心理领域之间的相互作用，但仍缺乏全面研究来检查多个特征之间的相互作用。在这项研究中，我们旨在揭示有颈部疼痛病史的人群中，神经肌肉功能的物理测量指标与运动恐惧之间的关联结构。这项横断面研究评估了 100 名参与者（平均年龄 33.3±9.4 岁），研究中调查的神经肌肉和运动学特征包括运动范围、颈部运动速度、颈部运动平滑度、颈部本体感觉（以关节重定位误差衡量）以及颈部屈伸力量。使用 Tampa 运动恐惧量表评估运动恐惧。进行网络分析以估计特征之间的关联，以及每个特征在网络中的作用。估计的网络显示，运动恐惧与神经肌肉/运动学特征是条件依赖的。较高的运动恐惧与运动范围较小、速度较慢、颈部运动平滑度较低、颈部肌肉力量和本体感觉较差有关（偏相关系数在-0.05 至-0.12 之间）。运动学特征之间也存在强烈的相互作用，运动范围和速度之间以及速度和平滑度之间的偏相关系数分别为 0.39 和 0.58。颈部运动速度是网络中最重要的特征，因为它表现出最高的强度值。本研究采用一种新的分析方法，揭示了有颈部疼痛病史的人群中，运动恐惧可能与一系列神经肌肉/运动学适应有关。
