PDF(Pubmed)
Abstract：
The purpose of the present cross-sectional study was to examine the relationship between heart rate variability (HRV) and the range of cervical motion, disability, pain intensity, pain catastrophizing, and quality of life in patients with chronic, non-specific neck pain. Thirty-five patients, aged 20-48 years, with chronic non-specific neck pain, completed validated questionnaires regarding neck pain intensity, pain-associated disability, catastrophic thoughts, and quality of life. The range of cervical motion was assessed using a digital goniometer. HRV indices were recorded in three positions (supine, sitting, and standing) through a smartphone application. Several significant correlations were observed between HRV indices and neck pain disability, the helplessness factor of catastrophizing, neck rotation, and quality of life. These correlations were only observed in the standing position. Pain catastrophizing was positively correlated with disability and pain intensity during active neck movement (Pearson r = 0.544, p < 0.01; Pearson r = 0.605, p < 0.01, respectively). Quality of life was negatively correlated with pain intensity during active movement (Pearson r = -0.347, p < 0.05). HRV indices were correlated with the psychological and physical domains of neck pain. These cardiac indices have been related to neck pain variables in some previous studies. Further research is needed to confirm this relationship in different daily conditions.
摘要：
本横断面研究的目的是检查心率变异性（HRV）与颈椎活动范围之间的关系，残疾,疼痛强度，痛苦的灾难，以及慢性病患者的生活质量，非特异性颈部疼痛。35个病人,20-48岁,慢性非特异性颈部疼痛，完成关于颈部疼痛强度的验证问卷，疼痛相关的残疾，灾难性的想法，和生活质量。使用数字测角仪评估颈椎运动的范围。HRV指数记录在三个位置(仰卧，坐着,和站立）通过智能手机应用程序。观察到HRV指数与颈部疼痛残疾之间存在一些显着相关性，灾难的无助因素，颈部旋转,和生活质量。这些相关性仅在站立姿势中观察到。疼痛灾难化与主动颈部运动时的残疾和疼痛强度呈正相关（Pearsonr=0.544，p<0.01；Pearsonr=0.605，p<0.01）。生活质量与主动运动时疼痛强度呈负相关(Pearsonr=-0.347,p<0.05)。HRV指数与颈部疼痛的心理和生理领域相关。在一些先前的研究中，这些心脏指数与颈部疼痛变量有关。需要进一步的研究来证实这种关系在不同的日常条件。
