Ignite Creation Date:
2024-10-26 @ 3:34 PM
Last Modification Date:
2024-10-26 @ 3:34 PM
Study NCT ID:
NCT06502236
Status:
COMPLETED
Last Update Posted:
None
First Post:
2024-07-07
Brief Title:
Motor Imagery Ability and Cervical Discogenic Pain
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Motor Imagery Ability and Its Relationship With Pain Functional Status Neck Awareness and Depression Levels in Individuals With Cervical Discogenic Pain
Status:
COMPLETED
Status Verified Date:
2024-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Background The purpose of the study was to examine the motor imagery ability and its association with pain functional status neck awareness and depression levels in individuals with cervical discogenic pain CDP
Methods Sixty individuals aged between 18-65 were included in the study Demographic data was recorded pain and disability were evaluated using Visual Analogue Scale VAS and Neck Disability Index NDI motor imagery ability using Kinesthetic and Visual Imagery Questionnaire-20 KVIQ-20 and mental chronometry Grip strength cervical muscle endurance upper limbs functionality neck awareness and depression levels were assessed using hydraulic hand dynamometer cervical muscle endurance tests Upper Extremity Functional Index-15 UEFI-15 Fremantle Neck Awareness Questionnaire FreNAQ and Beck Depression Inventory BDI respectively
Methods Sixty individuals aged between 18-65 were included in the study Demographic data was recorded pain and disability were evaluated using Visual Analogue Scale VAS and Neck Disability Index NDI motor imagery ability using Kinesthetic and Visual Imagery Questionnaire-20 KVIQ-20 and mental chronometry Grip strength cervical muscle endurance upper limbs functionality neck awareness and depression levels were assessed using hydraulic hand dynamometer cervical muscle endurance tests Upper Extremity Functional Index-15 UEFI-15 Fremantle Neck Awareness Questionnaire FreNAQ and Beck Depression Inventory BDI respectively
Detailed Description:
Motor imagery MI is defined as the cognitive representation of a body movement without the actual movement MI depends on both kinesthetic - which require sensory-motor knowledge- and visual strategies - which require visual knowledge of the movement imagined Kinesthetic MI is the ability to visualize a movement simulation to perceive its direction speed and magnitude This ability requires the activation of neurocognitive mechanisms that underlie the design and execution of voluntary movement Visual motor imagery occurs through internal or external visual imagery Internal visual imagery involves visualizing a movement from ones own perspective while external visual imagery involves seeing a movement from a third persons perspective Neuroimaging studies revealed that the parts of the brain activating during MI were similar to those which activate while a movement was actually performed Therefore activating joint and muscle receptors by MI may increase corticomotor excitability Moreover it was demonstrated that subcortical structures were activated through excitability of presynaptic interneurons by MI ie without activating alpha-motor neurons Activation through MI ensures continuity of movement and improves the quality of desired movements playing a key role in enhancing motor function and performance
Individuals with cervical disc pathologies exhibit a reduced fiber density along the corticospinal tract Functional magnetic resonance imaging studies have shown increased activation in the primary motor and premotor cortices and a loss of activation in the sensory cortex These changes are related to the severity of the disc pathology Besides it was reported that prolonged compression in the cervical spine might lead to atrophy in the sensorimotor cortex and thalamus giving rise to a functional reorganization usually result in maladaptive neuroplasticity Chronic pain a common finding in cervical disc pathologies may affect the perception of painful body parts and MI performance as well as impaired somatotopic representation In addition to cortical changes the gradual processing of stimuli by mirror neurons which generate motor movements is considered a significant component of learning by imitation and observation This process forms an important part of MI and is thought to be impaired in individuals with chronic pain They highlighted that evaluating the MI ability of an individual with chronic neck pain was important for revealing the mental imagery performance
In individuals with chronic neck pain it was revealed that the severity of pain and the functional and psychosocial problems caused by the pain were related to executive functions and working memory They discovered that MI depends on executive functions Interference tasks significantly affect the timing of MI Therefore it is believed that pain-related symptoms will also negatively impact MI skills In the literature studies have demonstrated positive effects of MI training on pain disability and fear of movement in individuals with chronic pain However it is suggested that factors related to MI ability should be further investigated Therefore the purpose of the study was to examine the relationships between MI ability and pain functional status neck awareness and depression levels in individuals with cervical discogenic pain CDP
Individuals with cervical disc pathologies exhibit a reduced fiber density along the corticospinal tract Functional magnetic resonance imaging studies have shown increased activation in the primary motor and premotor cortices and a loss of activation in the sensory cortex These changes are related to the severity of the disc pathology Besides it was reported that prolonged compression in the cervical spine might lead to atrophy in the sensorimotor cortex and thalamus giving rise to a functional reorganization usually result in maladaptive neuroplasticity Chronic pain a common finding in cervical disc pathologies may affect the perception of painful body parts and MI performance as well as impaired somatotopic representation In addition to cortical changes the gradual processing of stimuli by mirror neurons which generate motor movements is considered a significant component of learning by imitation and observation This process forms an important part of MI and is thought to be impaired in individuals with chronic pain They highlighted that evaluating the MI ability of an individual with chronic neck pain was important for revealing the mental imagery performance
In individuals with chronic neck pain it was revealed that the severity of pain and the functional and psychosocial problems caused by the pain were related to executive functions and working memory They discovered that MI depends on executive functions Interference tasks significantly affect the timing of MI Therefore it is believed that pain-related symptoms will also negatively impact MI skills In the literature studies have demonstrated positive effects of MI training on pain disability and fear of movement in individuals with chronic pain However it is suggested that factors related to MI ability should be further investigated Therefore the purpose of the study was to examine the relationships between MI ability and pain functional status neck awareness and depression levels in individuals with cervical discogenic pain CDP
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None