Background: Pain-related symptoms are thought to affect motor imagery abilities adversely.
Primer Study Objective: The study aimed to examine motor imagery ability and its association with pain, functional status, neck awareness, and depression in individuals with chronic neck pain.
Design And Setting: A cross-sectional study, single-center.
Participants: 60 individuals with chronic neck pain, aged between 18 and 65 years, were recruited.
Intervention: Demographic data was recorded, pain and disability were evaluated using the Visual Analogue Scale and Neck Disability Index, motor imagery ability using Kinesthetic and Visual Imagery Questionnaire-20, and mental chronometry. Grip strength, cervical muscle endurance, upper limbs' functionality, neck awareness, and depression levels were assessed using a hydraulic hand dynamometer, cervical muscle endurance tests, Upper Extremity Functional Index-15, Fremantle Neck Awareness Questionnaire, and Beck Depression Inventory, respectively.
Primary Outcome Measures: Motor imagery ability, neck pain, functional status, neck awareness, and depression levels.
Results: Of the 60 individuals (mean age 51.60 ± 11.70 years), 83% (n = 50) were female. The Kinesthetic and Visual Imagery Questionnaire-20 score (mean 68.62 ± 27.02) was weakly correlated with Visual Analogue Scale-night (r = 0.332), duration of pain (r = -0.264), cervical extensor muscle endurance (r = -0.270) and Fremantle Neck Awareness Questionnaire (r = -0.295) (P < .05). Weak to moderate correlations were found between the individuals' mental chronometry task scores and Neck Disability Index, Fremantle Neck Awareness Questionnaire, Beck Depression Inventory, and grip strength (P < .05). The regression analysis indicates that motor imagery ability can explain pain intensity, cervical extensor endurance, neck awareness, and depression level (P < .05).
Conclusion: Individuals with chronic neck pain showed an impaired motor imagery ability which was associated with pain, functional status, neck awareness, and depression levels. Thus improving motor imagery ability may contribute to better functional outcomes and psychosocial status in these individuals.
Clinical Trial Number: NCT06502236.
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