Cabanillas-Barea Sara, Carrasco-Uribarren Andoni, Medrano-de-la-Fuente Ricardo, Jiménez-Del-Barrio Sandra, Pardos-Aguilella Pilar, Pérez-Guillén Silvia, Ceballos-Laita Luis
Faculty of Medicine and Health Sciences, International University of Catalonia, 08195 Sant Cugat del Vallés, Spain.
Department of Surgery, Ophthalmology, Otorhinolaryngology and Physiotherapy, University of Valladolid, 42004 Soria, Spain.
Healthcare (Basel). 2022 Nov 29;10(12):2398. doi: 10.3390/healthcare10122398.
Background: The objectives of this study were: (1) to compare the pain intensity, cervical range of motion (ROM), psychological distress and kinesiophobia in patients with cervicogenic dizziness (CGD), tension-type headache (TTH), and mechanical chronic neck pain (MCNP); and (2) to investigate the relationships between pain intensity and cervical ROM and between psychological distress and kinesiophobia. Methods: a cross-sectional and correlational study was designed. In total, 109 patients (32 patients with CGD, 33 with TTH and 44 with MCNP) were included. Pain intensity, cervical ROM, psychological distress and kinesiophobia were assessed. Results: Statistically significant differences were found between the groups in pain intensity, psychological distress and kinesiophobia. The patients with MCNP showed higher pain intensity compared to the other groups (p < 0.001). The patients with CGD showed higher depression and kinesiophobia values compared to the MCNP and TTH groups (p < 0.05). No differences were found for cervical flexion, extension, lateral flexion, or rotation ROM (p > 0.05). The CGD and MCNP groups found a moderate positive correlation between psychological distress and kinesiophobia (p < 0.05). The patients with TTH and MCNP showed a moderate positive correlation between pain intensity, psychological distress and kinesiophobia (p < 0.05). Conclusion: Pain intensity, psychological distress and kinesiophobia should be considered in the three groups. Psychological distress was correlated with kinesiophobia in the CGD and MCNP groups. The MCNP group showed a correlation between pain intensity, psychological distress and kinesiophobia.
本研究的目的是：（1）比较颈源性眩晕（CGD）、紧张型头痛（TTH）和机械性慢性颈部疼痛（MCNP）患者的疼痛强度、颈椎活动范围（ROM）、心理困扰和运动恐惧；（2）研究疼痛强度与颈椎ROM之间以及心理困扰与运动恐惧之间的关系。方法：设计了一项横断面相关性研究。总共纳入了109例患者（32例CGD患者、33例TTH患者和44例MCNP患者）。评估了疼痛强度、颈椎ROM、心理困扰和运动恐惧。结果：在疼痛强度、心理困扰和运动恐惧方面，各组之间存在统计学上的显著差异。与其他组相比，MCNP患者表现出更高的疼痛强度（p<0.001）。与MCNP和TTH组相比，CGD患者表现出更高的抑郁和运动恐惧值（p<0.05）。在颈椎前屈、后伸、侧屈或旋转ROM方面未发现差异（p>0.05）。CGD和MCNP组发现心理困扰与运动恐惧之间存在中度正相关（p<0.05）。TTH和MCNP患者在疼痛强度、心理困扰和运动恐惧之间表现出中度正相关（p<0.05）。结论：在这三组中应考虑疼痛强度、心理困扰和运动恐惧。CGD和MCNP组中，心理困扰与运动恐惧相关。MCNP组在疼痛强度、心理困扰和运动恐惧之间存在相关性。
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