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The relationship between neck pain and physical activity.

Janice Cheung1, Tara Kajaks, Joy C Macdermid

  • 1Faculty of Health Sciences, McMaster University, Hamilton, Canada.

The Open Orthopaedics Journal
|October 18, 2013
PubMed
Summary

Individuals with mild neck pain and healthy individuals show similar physical activity levels. However, neck pain is linked to higher disability and fear of movement, which do not impact activity levels but relate to pain sensitivity.

Keywords:
Disabilityfear avoidancekinesiophobianeck functionneck painphysical activityquantitative sensory testing.

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Area of Science:

  • Orthopedics
  • Pain Management
  • Physical Therapy

Background:

  • Neck pain presents a substantial societal challenge with high prevalence and healthcare expenses.
  • Limited research exists on the connection between physical activity and neck pain, unlike other chronic musculoskeletal conditions.

Purpose of the Study:

  • To compare physical activity levels between individuals experiencing neck pain and healthy controls.
  • To investigate the relationship between disability, fear of movement, pain sensitivity, and physical activity in both groups.

Main Methods:

  • Recruited 42 participants (21 with neck pain, 21 healthy controls).
  • Utilized Neck Disability Index, Tampa Scale for Kinesiophobia, quantitative sensory testing (Neurometer® CPT, JTech algometer), and 5-day physical activity measurements (subjective and objective).
  • Employed Analysis of Variance and Pearson's Correlation for data analysis.

Main Results:

  • No significant differences in subjective or objective physical activity levels were found between individuals with mild neck pain and healthy controls.
  • Participants with neck pain reported increased neck disability and fear of movement, but these did not correlate with physical activity levels.
  • Perceived physical activity correlated with local neck muscle pain sensitivity, while measured activity correlated with generalized pain sensitivity in the leg.

Conclusions:

  • Mild neck pain does not appear to significantly alter overall physical activity levels compared to healthy individuals.
  • Disability and fear of movement in neck pain patients are not directly associated with their physical activity levels.
  • Pain sensitivity, both local and generalized, shows a relationship with physical activity measures in individuals with neck pain.