Research Article
Analysis of Influencing Factors for Chronic Neck Pain with Cognitive Impairment
Ying Su*
Issue:
Volume 13, Issue 2, December 2025
Pages:
63-69
Received:
24 June 2025
Accepted:
7 July 2025
Published:
28 July 2025
DOI:
10.11648/j.ijacm.20251302.11
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Abstract: Background: Cervical spondylosis is a common chronic degenerative musculoskeletal disorder. It is based on the degeneration of the cervical intervertebral discs and secondary pathological changes, affecting the surrounding soft tissues, nerve roots, vertebral arteries, sympathetic nerves, and spinal cord. This condition gives rise to a series of clinical symptoms and signs. Pain represents one of the most crucial manifestations. Notably, when pain symptoms endure for over three months, this may give rise to chronic neck pain (CNP). The progression of this chronic neck pain may increase the risk of cognitive impairment (CI). However, to date, predictive markers for chronic neck pain with cognitive impairment (CNP-CI) remain lacking. Previous investigations have demonstrated that routine blood parameters possess predictive utility for Alzheimer's disease. However, the association between these parameters and chronic neck pain with CNP - CI remains elusive. This study was designed to explore the correlations among routine blood indices and to provide evidence regarding the differences between two groups of patients with chronic neck pain, namely those with and without cognitive impairment. Additionally, this study aims to lay the groundwork for longitudinal experimental investigations into effective intervention strategies for patients with chronic neck pain who develop cognitive impairment. Methods: This cross-sectional study was conducted in West China Hospital, Sichuan University. Montreal Cognitive Assessment (MoCA) was conducted to divide patients into the CNP-CI or CNP-nCI group. Statistical analysis was performed to examine the differences between chronic neck pain patients with cognitive impairment and those without cognitive impairment. All statistical tests were conducted at a significant level of α=0.05 for two-sided testing. Results: The prevalence of chronic neck pain with cognitive impairment in this study demonstrates age-related disparities, with a higher prevalence observed among older individuals (P=0.007). A statistically significant difference in serum calcium was observed between individuals with chronic neck pain and cognitive impairment (P=0.046). Conclusion: The age and serum calcium may serve as influential factors in the development of chronic neck pain with cognitive impairment. This finding can aid healthcare professionals in implementing early intervention and treatment for individuals experiencing this condition.
Abstract: Background: Cervical spondylosis is a common chronic degenerative musculoskeletal disorder. It is based on the degeneration of the cervical intervertebral discs and secondary pathological changes, affecting the surrounding soft tissues, nerve roots, vertebral arteries, sympathetic nerves, and spinal cord. This condition gives rise to a series of cl...
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