• Santos-de-Araújo AD
• Dibai-Filho AV
• Dos Santos SN
• de Alcântara EV
• Souza CDS
• Gomes CAFP
• de Souza JN
• Pinheiro JS
• Bassi D

• Affiliation / Ceuma University. Department of Physical Therapy
• Affiliation / Federal University of Maranhão. Department of Physical Education
• Affiliation / Tiradentes University Center. Department of Physical Therapy
• Affiliation(G) / Brazil / Alagoas / Maceió
• Affiliation(G) / Brazil / Maranhão / São Luís
• Autonomic Nervous System
• Chronic Pain
• Heart Rate
• Neck Pain
• Rest

OBJECTIVE: The purpose of this study was to correlate the heart rate variability (HRV) indices with variables of pain that were experienced by individuals with chronic neck pain.

METHODS: This was a blinded cross-sectional study. Individuals with chronic neck pain (n = 15) and healthy participants (n = 15), both sedentary and between 18 and 45 years of age, were included. The neck pain was assessed with the Numerical Rating Scale at rest and during cervical movements, Neck Disability Index, Catastrophic Thoughts about Pain Scale, and Tampa Scale of Kinesiophobia. The HRV indices (linear and nonlinear) were used for assessment of autonomic function at rest (in supine, sitting, and standing positions).

RESULTS: We observed significant correlations between the NRS, Neck Disability Index, and Catastrophic Thoughts about Pain Scale with the linear and nonlinear HRV indices (P < .05, r ≥ 0.362), so that the worst HRV indices are associated with conditions of more intense and disabling neck pain.

CONCLUSION: The HRV indices were significantly associated with pain intensity, disabilty, and catastrophizing in individuals with chronic neck pain.

Author keywords: Neck Pain, Musculoskeletal Pain, Autonomic Nervous System

Author affiliations: ADSdA, SNDS, EVdA, CDSS, CAFPG: Department of Physical Therapy, Tiradentes University Center, Maceió, AL, Brazil; AVDF, JSP: Department of Physical Education, Federal University of Maranhão, São Luís, MA, Brazil; JNdS, DB: Department of Physical Therapy, Ceuma University, São Luís, MA, Brazil.

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