Confirmatory factor analysis of the neck disability index, comparing patients with whiplash associated disorders to a control group with non-specific neck pain

Objectives: Neck pain is the fourth leading cause of disability. The most common validated tool assessing its effect on the participant’s functional status is the neck disability index (NDI). We aimed to investigate the factorial structure of the Arabic NDI (NDI-Ar) using exploratory and confirmatory factor analysis (CFA) in a multioccupational sample. Methods: A cross-sectional study conducted in Saudi Arabia. A total of 641 participants completed the NDI-Ar. The Cronbach’s alpha test was used to test the reliability of the questionnaire. Exploratory factor analysis (EFA) was used to assess the existing factor structure within the 10-indicator NDI questionnaire. Parallel analysis (PA) and scree plot with the unidimensional congruence test, mean of item residual absolute loadings test, and explained common variance test were used to assess the number of the extractable factors and their unidimensionality. CFA was also carried out. Results: EFA of the NDI-Ar suggested the presence of two-factor solutions. However, the analysis with the tests of closeness to unidimensionality, PA tests, and the more rigorous CFA indicated that the two-factor solutions were not tenable, and a single latent factor solution is a better fit with the observed data measured on Middle Eastern people. Conclusion: The present study explored the factorial structure of the NDI-Ar. The two-factor solutions were not tenable and a single latent factor solution might be a better fit.

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THU0453 THIRD OCCIPITAL NERVE RADIO-FREQUENCY UNDER FLUOROSCOPIC GUIDANCE IN MANAGEMENT OF CERVICOGENIC HEADACHE IN RHEUMATOID ARTHRITIS

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2020-eular.241 ◽

2020 ◽

Vol 79 (Suppl 1) ◽

pp. 463.2-464

Author(s):

A. Alawamy ◽

M. Hassanien ◽

E. Talaat ◽

E. Kamel

Keyword(s):

Rheumatoid Arthritis ◽

Cervical Spine ◽

Neck Pain ◽

Neck Disability Index ◽

Cervicogenic Headache ◽

Control Group ◽

Fluoroscopic Guidance ◽

Occipital Nerve ◽

Nocturnal Pain ◽

Neck Disability

Background:Rheumatoid arthritis is a common type of autoimmune arthritis characterized by chronic inflammation. Cervical spine is often affected specially in long lasting diseaseObjectives:Evaluate efficacy of Third occipital nerve Radiofrequency under fluoroscopic guidance to treat refractory cervicogenic headache in RA patients.Methods:The current study was revised and approved from the local ethical committee of Faculty of Medicine; Assiut University, then registered in the clinical trials under the number ofNCT03852355. Inclusion criteria included, Patients who fulfilled the American College of Rheumatology (ACR) (2010) criteria for RA and suffering from upper neck pain and/or headache due to bilateral 3rd occipital nerve involvement, excluding other local cervical spine pathologies was confirmed by MRI and previously failed conservative treatment for at least three months prior to enrollment. Sixty adult patients were randomly assigned to one of the two studied groups Group 1 (RF, n = 30), received bilateral Third occipital nerve Radiofrequency under fluoroscopic guidance or Group 2 (control group, n = 30), received oral prednisolone 10 mg/day. The two groups were then followed-up with neck disability index (NDI), nocturnal neck pain VAS score and headache score every two weeks for three months. Sleep disturbance, sleep disability index were reassessed six months post intervention. Post interventional assessment was done by pain physician who were kept blind to the grouping process.Results:Neck disability index (1ry outcome), Nocturnal pain VAS, and severity of headache showed significant differences during the whole post-interventional study period. The patients in RF group demonstrated significant improvement of pain in comparison to baseline value over the whole six months with p-value < 0.001 as regard to the fore-mentioned three parameters. On the other aspect, the control group patients showed significant improvement in comparison to its baseline value after the 2nd, 12th and 24th weeks only as follows: (0.001,0.003, 0.003 for the NDI) (p values of 0.02,0.01, 0.01 for the nocturnal pain VAS), (0.001 0.009, 0.005 for the headache VAS severity.Conclusion:Radiofrequency of 3rd occipital nerve is effective in treatment of refractory cervicogenic headache in RA.Disclosure of Interests: :None declared

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Effect of Mechanical Neck pain on Neck Disability and Scapula position among School Teachers in Delhi and NCR

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v12i2.4672 ◽

2021 ◽

Vol 12 (2) ◽

pp. 1260-1265

Author(s):

Jyoti Kataria ◽

Bijender Sindhu ◽

Sonia Pawaria

Keyword(s):

Neck Pain ◽

Research Work ◽

Neck Disability Index ◽

Cervicogenic Headache ◽

Control Group ◽

School Teachers ◽

Significant Difference ◽

Slide Test ◽

Neck Disability ◽

Senior Secondary

Neck pain found to be most common musculoskeletal condition in office workers with 12-month prevalence. Mechanical neck pain can be classified into two categories in clinical studies mechanical neck pain which has patients without any identifiable anatomic cause and leaves patients having neurological dysfunctions cervicogenic headache and inflammatory disorders. Current research work has total of 150 participants out of which there were 100 females school teachers having mean age of 37.8 years(median 38 years) and 50 male school teachers having mean age 40 years (median 39 years). Participants included in the study were professionally active school teachers of primary, secondary and senior secondary. Scapula position and neck disability was examined as per keiblers lateral scapular slide test and Neck disability index. Total 150 teachers were included in the study 80 teachers having mechanical neck pain (study group) and 70 teachers not having mechanical neck pain (control group) statistically significant difference found in scapula position and neck disability. In the present research, it is found that there is statistically significant difference in scapula position protraction and upward rotation at three different levels as well as there are statistically significant changes observed in neck disability.

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Effect of neck range of motion exercises on neck disability and pain among patients undergoing thyroidectomy

Clinical Nursing Studies ◽

10.5430/cns.v8n4p1 ◽

2020 ◽

Vol 8 (4) ◽

pp. 1

Author(s):

Om Elhana Kamel Abo Shehata ◽

Omima Said M.H. Shehata ◽

Seham Mohamed Abd elalem

Keyword(s):

Neck Pain ◽

Range Of Motion ◽

Neck Disability Index ◽

Pain Scale ◽

Control Group ◽

Surgical Performance ◽

Surgical Department ◽

Significant Difference ◽

Neck Disability ◽

And Control

Objective: Thyroidectomy is a surgery in which head and neck became extended during operation to facilitate surgical performance. Patients experience neck pain and limitation to the range of motion following surgery. The study’s aim was to assess the effect of neck range of motion exercises on neck disability and pain among patients undergoing thyroidectomy.Methods: A quasi-experimental research design was utilized, the research was carried out at the surgical department in Shebin Emergency Hospital, at Shebin El-Kom District, Menoufia Governorate, Egypt. Sample; 90 adult subjects undergoing thyroidectomy and are welcoming to participate in the current research. Four Instruments for data collection: Instrument (1): Interview questionnaire sheet consists of two parts to assess subjects’ socio-demographic and medical data. Instrument (2): Visual analog pain scale to rate the patients’ level of pain intensity. Instrument (3): Neck disability index to assess neck pain and its effect on patients’ ability to perform daily activities. Instrument (4): Compliance assessment sheet to follow the patient’s adherence with neck range of motion exercise.Results: There was no statistically significant difference found between study and control group socio-demographic characteristics and medical history while there was a statistically significant difference between study and control group concerning neck disability and pain after one week and four weeks post-operative thyroidectomy.Conclusions: Patient compliance with a range of motion exercises significantly improves neck movement in order to be able to carry out daily life activities and reducing pain for the study group in comparison with the control group.Recommendation: Nurses who work in the general surgery department should include a neck range of motion exercises in providing the care and follow up protocol for the patients undergoing thyroidectomy.

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Effects of Deep Cervical Flexor Training on Forward Head Posture, Neck Pain, and Functional Status in Adolescents Using Computer Regularly

BioMed Research International ◽

10.1155/2020/8327565 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7

Author(s):

Isha Sikka ◽

Chandan Chawla ◽

Shveta Seth ◽

Ahmad H. Alghadir ◽

Masood Khan

Keyword(s):

Neck Pain ◽

Functional Status ◽

Neck Disability Index ◽

Control Group ◽

Forward Head Posture ◽

Head Posture ◽

Photographic Analysis ◽

Significant Difference ◽

Neck Disability ◽

Experimental Group

In contemporary societies, computer use by children is a necessity and thus highly prevalent. Using computers for long hours is related to a higher risk of computer-related muscular disorders like forward head posture (FHP) and neck pain (NP). Deep cervical flexor (DCF) muscles are important head-on-neck posture stabilizers; thus, their training may lead to an improvement in FHP and NP. The aim of this study was to determine if 4 weeks of DCF training is effective in alleviating NP, improving FHP, and functional status in adolescent children using computers regularly, a pretest-posttest experimental group design was used. Subjects were randomly assigned into the experimental group (receiving DCF training and postural education) and the control group (receiving postural education only). 30 subjects with a mean age of 15.7 ± 1.725 years with NP and FHP using computers regularly participated in the study. Dependent variables were measured on day 1 (at baseline) and after 4 weeks of training. Photographic analysis was used for measuring FHP, visual analog scale for NP intensity, and neck disability index for functional status. Data analysis showed that in both groups, no significant improvement occurred in FHP. In both groups, there was a significant improvement in functional status and NP. There was no significant difference between both groups for FHP and NP. There was a significant improvement in functional status in the experimental group in comparison to the control group. Four weeks of DCF training does not cause a significant improvement in FHP in 13 to 18 years old adolescent children using computers regularly.

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EFFECT OF 6 WEEKS GREEVA SANCHALAN ON CERVICAL SPINE HEALTH AMONG MALE IT PROFESSIONALS

Scholarly Research Journal for Interdisciplinary Studies ◽

10.21922/srjis.v9i66.6824 ◽

2021 ◽

Vol 9 (66) ◽

pp. 15310-15318

Author(s):

Shankar Khedkar ◽

Pooja Sharma

Keyword(s):

Cervical Spine ◽

Neck Pain ◽

Neck Disability Index ◽

Neck Muscles ◽

Control Group ◽

It Professionals ◽

Desktop Computer ◽

Post Test ◽

Neck Disability ◽

And Control

Purpose of present research was to study the effect of 6 weeks Greeva Sanchalan on Cervical Spine Health or work-related neck pain among male IT professionals. Quasi Pre-test Post-test Non-Equivalent research design used to achieve this objective. Non-Probability based Judgemental Sampling Technique, was used to screen samples from 2 different IT firms from Pune city, who were falling under the criteria of using laptop/desktop/computer for ≥5hours/day, between 30-50years of age group, experiencing neck pain/stiffness and were willing to participate in study. Neck Disability Index Questionnaire (NDI) includes 10 measuring sections such as neck pain, personal care, headache, lifting, reading, concentration, sleeping, work, driving, and recreation was used to collecting data. Using ABBA method, total selected 26 IT professionals, were divided into two groups, i.e., experimental (n=13) and control group (n=13). 6 weeks Greeva Sanchalan intervention was developed and implemented to experimental group’s IT professionals only. After 6 weeks, post-test NDI scores were collected for all 26 IT professionals. NDI pre and post test scores were statistically analysed through Descriptive and Inferential statistics using SPSS software. Mean of pre and post NDI scores for experimental group was 7.92 (±1.89) and 5.62 (±1.26) respectively. Similarly Mean of pre and post NDI scores for control group was 7.54 (±2.44) and 7.77 (± 2.98) respectively. On comparing the Mean of pre and post NDI scores with Neck Disability Index standard norms, all 26 IT professionals were falling within mild neck disability category. Mean of change in performance for experimental and control group’s IT professionals were 2.31 (±2.06) and 0.23 (±1.74) respectively. Calculated mean difference of change in performance was 2.54 for 26 IT professionals. Calculated t-value was 3.40(24) at 0.05 significance level (p=0.002; p less than 0.05). According to statistical outcome, 6 weeks Greeva Sanchalan intervention benefitted in reducing neck pain/stiffness related to work among IT professionals, which relieved muscular tension of neck-shoulder region. It improves range of motion (CROM) of cervical pivot joint along with regaining neck muscles flexibility, which also strengthens neck muscles.

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Confirmatory Factor Analysis, Reliability, and Validity of the Persian Version of the Coping Strategies Questionnaire for Iranian People With Nonspecific Chronic Neck Pain

Journal of Manipulative and Physiological Therapeutics ◽

10.1016/j.jmpt.2020.08.004 ◽

2020 ◽

Author(s):

Mahsa Seydi ◽

Behnam Akhbari ◽

Iraj Abdollahi ◽

Sarvenaz Karimi Ghasem Abad ◽

Akbar Biglarian

Keyword(s):

Factor Analysis ◽

Confirmatory Factor Analysis ◽

Neck Pain ◽

Coping Strategies ◽

Reliability And Validity ◽

Chronic Neck Pain ◽

Persian Version ◽

Confirmatory Factor

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Comparative Effects of Acupressure at Local and Distal Acupuncture Points on Pain Conditions and Autonomic Function in Females with Chronic Neck Pain

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2011/543291 ◽

2011 ◽

Vol 2011 ◽

pp. 1-6 ◽

Cited By ~ 32

Author(s):

Takako Matsubara ◽

Young-Chang P. Arai ◽

Yukiko Shiro ◽

Kazuhiro Shimo ◽

Makoto Nishihara ◽

...

Keyword(s):

Heart Rate ◽

Neck Pain ◽

Rating Scale ◽

Neck Disability Index ◽

Chronic Neck Pain ◽

Control Group ◽

Acupuncture Points ◽

Muscle Hardness ◽

Physical Effects ◽

Neck Disability

Acupressure on local and distal acupuncture points might result in sedation and relaxation, thereby reducing chronic neck pain. The aim was to investigate the effect of acupressure at local (LP) and distal acupuncture points (DP) in females with chronic neck pain. Thirty-three females were assigned to three groups: the control group did not receive any stimuli, the LP group received acupressure at local acupuncture points, GB 21, SI 14 and SI 15, and the DP group received acupressure at distal acupuncture points, LI 4, LI 10 and LI 11. Verbal rating scale (VRS), Neck Disability Index (NDI), State-Trait Anxiety Inventory (STAI), muscle hardness (MH), salivary alpha-amylase (sAA) activity, heart rate (HR), heart rate variability (HRV) values and satisfaction due to acupressure were assessed. VRS, NDI, STAI and MH values decreased after acupressure in the LP and the DP group. HR decreased and the power of high frequency (HF) component of HRV increased after acupressure in only the LP group. Although acupressure on not only the LP but also the DP significantly improved pain conditions, acupressure on only the LP affected the autonomic nervous system while acupuncture points per se have different physical effects according to location.

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The Influence of Physiotherapy on Neck Disability and Headache among Dental Professionals

Reabilitacijos mokslai slauga kineziterapija ergoterapija ◽

10.33607/rmske.v2i3.878 ◽

2020 ◽

Vol 2 (3) ◽

Author(s):

Aušra Mereckaitė ◽

Gražina Krutulytė

Keyword(s):

Neck Pain ◽

Soft Tissues ◽

International Headache Society ◽

Neck Disability Index ◽

Pain Scale ◽

Control Group ◽

Physiotherapy Program ◽

Study Results ◽

Neck Disability ◽

Dental Professionals

This study aim was to identify the impacts of physiotherapy program on reducing neck disability and headache among dental professionals. According to the Neck Disability Index and criteria, set by the International Headache Society, 24 dentists, with neck pain, were selected. To evaluate pain intensity we used visual analog pain scale (VAS). 24 individuals (age 23–39 yr.) were split into 2 groups of 12 people. The first group (age – 27.83 ± 5.0 yr.) had a six – week combined physiotherapy program. The second group was the control group (age 26.17 ± 2.4 yr.) for who physiotherapy was not applied. Physiotherapy program took 45–60 min, twice a week, and consisted of: • soft tissues mobilization techniques; • cervical and thoracic spine mobilization; • active / passive stretching of neck muscles; • exercises which increase neck range of motion; • exercises which increase endurance and strength of upper back muscles. The subjects were assessed before yhe research, 6 and 12 weeks later. The study results showed, that after a six-week physiotherapy program the neck disability index significantly (p < 0.05) decreased. No neck disability index changes were reported in the control group. Daily activity performance significantly improved (p < 0.05), reading and sleeping quality increased and the subjects could lift weights significantly easier. We found a tendency (p < 0.1) that after six weeks of physiotherapy headaches decreased. The neck disability index of the controls did not significantly improve. Six weeks of physiotherapy program significantly reduces neck pain, headache and improves neck disability index in all domains.Keywords: physiotherapy, neck pain, headache, the neck disability index.

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