Co-relation of neck pain with upper limb disability and psychological factors
Dr. Aparna Thakur, Dr. Supriya Dhumale
Background: Neck problems account for a large proportion of occupational illness and disability. Symptoms referred in upper limb in patients with neck pain with or without the neurological deficit may affect functional activities of daily living, thus affecting quality of life. Also, psychosocial factors are known to highly influence neck pain, but are often inadequately considered in clinical practice. Thus the objective of the present research was to study the co-relation of neck pain and disability with upper limb disability and psychological factors (anxiety, depression and kinesiophobia). Methods: 37 participants between age group of 19-45 years, both males and females with neck pain more than 3 months were selected for the study. Outcome measures recorded were Numerical Pain Rating Scale (NPRS), Neck Disability Index (NDI), Single Arm Military Press test (SAMP test), Hospital Anxiety and Depression Scale (HADS) and Tampa Scale for Kinesiophobia (TSK). Data collected was subjected to statistical analysis. Results:A statistically significant negative co-relation was seen between neck pain and SAMP test of dominant and non-dominant hand (r = -0.60; -0.57). A statistically significant negative co-relation was seen between NDI and SAMP test of dominant and non-dominant hand (r = -0.75; -0.73). Positive co-relations were seen between Pain and Anxiety(r = 0.28); Pain and Depression (r = 0.17) and Pain and TSK(r = 0.27).Significant positive co-relation was seen between NDI and Anxiety (r = 0.47). Positive co-relations were also seen between NDI and Depression (r = 0.32); NDI and TSK (r = 0.31), but were not statistically significant. Conclusion: Study concluded that higher the neck pain and disability, more is the upper limb disability and higher is the presence of psychological factors (anxiety, depression and kinesiophobia).