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The Multidimensionality of Chronic Non-Specific Neck-Shoulder Pain: Investigated in a Longitudinal Intervention Study Based on Questionnaires and Clinical Tests
University of Skövde, School of Humanities and Informatics.
2010 (English)Independent thesis Basic level (degree of Bachelor), 20 credits / 30 HE creditsStudent thesis
Abstract [en]

The present study, based on a battery of instruments measuring pain in different dimensions, covering neurophysiological, psychological, functional and health-related domains, investigated chronic non-specific neck-shoulder pain as a multidimensional phenomenon of pain. Applications to the gate control theory of pain and the fear-avoidance model were examined and discussed. The participants were Swedish women, 25-65 years of age with chronic non-specific neck-shoulder pain (NS) and age-matched healthy controls (CON), n =117 and n = 33 respectively. The study was a randomized controlled mixed design with three different interventions (strength training, neck coordination training and massage). Baseline testing were assessed followed by interventions for 11 weeks and subsequent post-tests, 6-months- and 12-months- follow-up tests. The results demonstrated significant differences between the NS group and the CON group in muscle tenderness, psychological well-being, depression and health-related quality of life before intervention. No significant differences were revealed in analyses in neck disability or depression taking level of kinesiophobia and active versus passive treatment into account. This lack of unambiguous support to the fear avoidance model demonstrates the complexity between these dimensions and call for further investigations. Taken together, the results of the present study support the multidimensionality of pain in the NS participants and implicate that the fear-avoidance model and the gate control theory of pain may provide some explanation to these aspects.

Keywords: chronic non-specific neck-shoulder pain, multidimensional pain, kinesiophobia, catastrophizing, health, depression

Place, publisher, year, edition, pages
2010. , 50 p.
Identifiers
URN: urn:nbn:se:his:diva-4238OAI: oai:DiVA.org:his-4238DiVA: diva2:328172
Uppsok
Medicine
Supervisors
Examiners
Available from: 2010-08-24 Created: 2010-07-01 Last updated: 2010-08-24Bibliographically approved

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C-uppsats Ida Holmlund(102 kB)242 downloads
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File name FULLTEXT01.pdfFile size 102 kBChecksum SHA-512
ee8e5b7f748a07326b9cfacc757860c69ad11a7c79eda39e2713e72a4e2198413404844a380d7e04b931ae6919be649b081e2c3e44853df8bced7e0767e03f9e
Type fulltextMimetype application/pdf

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Total: 242 downloads
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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf