Neck pain is extremely common and can result from several musculoskeletal diagnoses. Neck pain not only affects the patient’s ability to perform tasks that involve movement of the spinal column, but also affects the tasks that demand optimal upper extremity functions. Traditionally, physical therapists have assessed disability in chronic neck pain (CNP) patients using Neck Disability Index (NDI), which is a 10-item outcome measure designed to assess the impact on neck functions. However, no outcome measure that is designed to assess the impact on upper extremity functions has been tested for its utility in CNP patients.
Objective: The proposed study is aimed at assessing the measurement properties of the Upper Extremity Functional Index (UEFI) in patients with CNP. In particular, the study will examine the test-retest reliability, concurrent validity and responsiveness for the UEFI in patients presenting to an outpatient physical therapy clinic with CNP.
Methods: Patients presenting with CNP to the physiotherapy OPD of KEM Hospital will be approached for participation in the study. Subjects will be chosen as per the inclusion and exclusion criteria and informed written consent will be taken. The purpose and procedure of the study will be explained to all subjects in detail in the language they understand. If participants agree to participate in the study, they will undergo assessment at different time points. Sociodemographic data (Case Record Form) will be assessed. All data will be collected by registered physical therapists. The data collected will be analysed statistically. Clinical Relevance: It is well-understood that patients with CNP experience disability in upper extremity functions as well. However, current physical therapy assessment approaches do not address the measurement of upper extremity disability in these patients. The proposed research will determine whether the Upper Extremity Functional Index (UEFI), a very common measure for assessing upper extremity disability, is useful in assessing upper extremity disability in patients with CNP.
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