Predictors of Functional Status in Chronic Neck Pain

NDI

ın the questionnaire, whose Turkish validity and reliability were established by Aslan , subjective symptoms (pain, headache, concentration, sleep) and daily living activities (personal care, carrying, reading, work, driving and recreation activities) are evaluated with a 6-option answer. Each option is scored with a value between 0 (no limitation) and 5 (maximum limitation), and 0-4 points are recorded as no disability, 5-14 points as mild, 15-24 points as moderate, 25-34 points as severe and 35-50 points as complete functional disability

respiratory muscle strenght

This will be assessed using a digital intraoral pressure measuring device (PowerBreathe KH2, UK). While the individual is in a sitting position, using a nasal plug, the maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP) are measured. During the MIP measurement, the individual is asked to perform maximum exhalation, and at the end, the airway is closed with a valve, and the person is asked to perform maximum inspiration and maintain it for 1-3 seconds. After mıp endurance calculate. In the MEP measurement, after the individual performs maximum inspiration, the airway is closed with a valve, and the individual is asked to perform maximum expiration against the airway for 1-3 seconds. The best of the three measurements will be selected and recorded in cmH2O. The recorded values will be calculated as percentages by referencing Black and Hyatt's equivalences for age, height, and gender and comparing them with expected values .

Pain assesment

The severity of neck pain in patients will be assessed using a visual analog scale (VAS) whose reliability and validity have been established. On a 10 cm long horizontal line, '0' will be marked as no pain and '10' as unbearable pain, and these will be measured and recorded with a ruler as cm

Kinesiophobia

The Tampa Kinesiophobia Scale will be used to assess individuals' fear behaviors related to pain. The questionnaire evaluates limitations in movement, re-injury, avoidance, and work-related activities due to fear with 17 questions. In a total score of 17-68, high scores indicate high kinesiophobia.

Physical Activity level

In the questionnaire, which consists of seven questions, the time and frequency spent in sitting, walking, moderate-to-vigorous activities, and vigorous activities will be asked, and the metabolic equivalent (MET) value will be calculated and recorded. The total physical activity value will be determined using a formula calculated with the patient's body weight.