Evidence map›Paper›PMID 41688976›Full record

Trial reportBMC musculoskeletal disorders2026

The relationship between neck and body awareness, pain, and proprioception with central sensitization in patients with chronic nonspecific neck pain.

Musa Güneş, Melek Turan, Duygu Çataloluk, Aydın Sinan Apaydın

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06976398 (Investigation of Central Sensitisation in Patients With Chronic Non-spesific Neck Pain), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06976398 completednot on this map

Investigation of Central Sensitisation in Patients With Chronic Non-spesific Neck Pain

TypeobservationalSponsorKarabuk UniversityRan2025 to 2025Enrolled83ConditionsNeck Pain
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Musa GüneşDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Karabük University, Karabük, Türkiye. musagunes@karabuk.edu.tr.ORCID http://orcid.org/0000-0001-8532-2575
Melek TuranSpecial Physiotherapist, Karabük, Türkiye.ORCID http://orcid.org/0009-0009-8677-9126
Duygu ÇatalolukSpecial Physiotherapist, Karabük, Türkiye.ORCID http://orcid.org/0009-0002-1492-5314
Aydın Sinan ApaydınDepartment of Neurosurgery, Faculty of Medicine, Karabük University, Karabük, Türkiye.ORCID http://orcid.org/0000-0002-2916-9550

Funding

Türkiye Bilimsel ve Teknolojik Araştırma Kurumu 1919B012401638
6 · The paper itself

Abstract

backgroundCentral sensitization (CS) is a significant cause of chronic pain, causing increased sensitivity at the central nervous system level. However, the effects of CS in patients with chronic nonspecific neck pain (CNSNP) are poorly understood. This study aimed to compare pain severity, pressure pain threshold, disability, proprioception, neck and body awareness in patients with CNSNP with and without CS, and to investigate the relationship between them.

methodsEighty-three patients were included in this cross-sectional study and were divided into two groups, CS and non-CS, according to the Central Sensitization Inventory (CSI). Pain severity (Numeric Pain Rating Scale (NPRS)), pressure pain threshold (PPT), neck disability (Neck Disability Index (NDI)), proprioception (Cervical range of motion device (CROM)), and neck (Fremantle Neck Awareness Questionnaire (FreNAQ)) and body awareness (Body Awareness Questionnaire (BAQ)) were measured. Data analysis was performed using an Independent Samples T-test and the Mann-Whitney U test. Spearman correlation coefficients and multivariate logistic regression were applied to analyze potential predictors of having CS.

resultsThe NPRS, NDI, flexion and extension joint position error, FreNaQ, and BAQ scores of the CNSNP with the CS group were statistically significantly higher than those of the non-CS group (p < 0.05), and the PPT value was lower (p = 0.013). Increased pain intensity (OR = 1.722, p = 0.005) and neck extension joint position error (OR = 1.517, p = 0.006) significantly increased the likelihood of CS (p < 0.001).

conclusionPatients with CNSNP who had CS had increased pain intensity and functional disability, decreased pressure pain threshold, and worsened proprioceptive sensory feedback, neck, and body awareness. These results suggest that CS may be associated with worsening symptoms. Therefore, CS should not be overlooked in the clinical follow-up of patients with CNSNP. Submitted to ClinicalTrials (number: NCT06976398, date: 05/02/2025).

Indexed as

AwarenessCentral Nervous System SensitizationChronic PainNeck PainProprioceptionAdultCross-Sectional StudiesDisability EvaluationFemaleHumansMaleMiddle AgedPain MeasurementPain ThresholdRange of Motion, ArticularChronic painDisabilityNeck painProprioceptionSensitization

Identifiers

PMID41688976
PMCPMC13011746

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.