Relationship between Pain, Function, and Pressure Algometry in College Students with Chronic Mechanical Neck Pain

Document Type : Original Article

Authors

Orthopedic physical therapy department, Faculty of physical therapy, Cairo University

Abstract

Backgrounds: Chronic Mechanical Neck Pain (CMNP) is a common musculoskeletal disorder. The “new normal” during the Corona Virus Disease-2019 (COVID-19) lockdown has forced schools to shift to online classes as a mitigation strategy.
Objectives: This study aimed to correlate pain, function, and pain pressure threshold (PPT) in college students with chronic mechanical neck pain.
Patients and Methods: Thirty-three college students with a mean age of 21.33 ± 0.98 who were diagnosed with CMNP. They were using online learning for more than three months during the COVID-19 lockdown. These students were recruited from outpatient settings. The investigators measured their pain intensity using the visual analogue scale (VAS), functional disability using the neck disability index (NDI), and PPT using a pressure algometer (PA). A correlation analysis was conducted between these outcome measures using Pearson’s correlation coefficient.
Results: There was a direct significant relationship between VAS and NDI scores (p < 0.05), while there was no significant correlation between pain pressure threshold, VAS, and NDI scores (p > 0.05). Also, there was a significant difference between males and females in NDI scores with a mean score of 23.0 ± 1.41 in males versus 32.6 ± 4.69 in females (p < 0.01). While there was no significant difference between both gender in the scores of VAS and pain pressure threshold (p > 0.05).
Conclusion: The presence of pain in the neck significantly correlates with decreased function. While the presence of tight muscles and/or trigger points may not correlate with pain intensity or functional disability in college students with chronic mechanical neck pain.
 

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