Fasya ve Faset Eklemi Arasındaki İlişki: Sistematik Derleme

Year 2021, Volume: 3 Issue: 1, 3 - 15, 31.12.2021

Alper Perçin , Hasan Kerem Alptekin

https://doi.org/10.53445/batd.994974

Abstract

Fasyanın son yıllarda hem değerlendirme hem de terapatik uygulamalar açısından ön plana çıkması, kas iskelet sistemi rahatsızlıklarını farklı bir bakış açısı ile değerlendirmek açısından bir fırsat ortaya çıkarmıştır. Bu çalışmada fasyanın faset eklemi ile anatomik, biyomekanik özellikleri ve bağlantıları, tedavi yöntemlerinde nasıl bir etkileşim içinde oldukları ortaya konulmaya çalışılmıştır. Literatür taraması amacıyla Pubmed, Google Scholar ve ResearchGate veri tabanlarındandan yararlanıldı. Bu incelemeye 2013 ve 2017 yılları arasında yer alan dört adet tam metne sahip makale çalışma dahil edildi. Ayrıca; faset eklemin dahil olduğu sırt ve boyun kaynaklı ağrı ve dizabilite problemlerinde fasyal tedavi yöntemleri araştırıldı. Anahtar kelime kombinasyonları “faset eklem” ve “fasya”, ‘’ve, veya’’ kullanılarak, “fizik tedavi”, “rehabilitasyon” ve “fasyal tedavi yaklaşımları” gibi diğer kelimelerle birleştirildi. Dahil edilen çalışmaların kalite değerlendirmesi PEDro ölçeği kullanılarak yapılmıştır. Arama 4 tam makalenin incelendiği 31 sonuç üretti. 367 katılımcıyı içeren dört randomize kontrollü araştırma incelemeye dahil edildi. Bu çalışmaların metodolojik kalitesi iki tanesi düşük, iki tanesi orta olarak ortaya konuldu. Genel olarak fasyal terapatik yaklaşımların ağrı, spazm skorları ve eklem hareket açıklığı (EHA) kısıtlılığı üzerinde etkili olduğu görüldü. Bu derleme, faset eklem disfonksiyonu sebebiyle ortaya çıkan ağrı, EHA kısıtlılığı ve spazm gibi semptomlar için fasyal tedavi yaklaşımlarının etkinliği hakkında metodolojik bir yöntem izleyerek kanıta dayalı bilgiler sunmuştur. Fasyal tedavi yaklaşımlarının konvansiyonel fizyoterapi yöntemleriyle karşılaştırıldığı çalışmalar karşılaştırılarak değerlendirildi. Bununla birlikte klinik faydaların altında yatan mekanizmaları oluşturmak için daha fazla araştırmaya ihtiyaç vardır.

Keywords

Ağrı, Dizabilite, Faset eklem, Fasya, Fizik Tedavi

Relationship Between Fascia and Facet Joint: Systematic Review

Abstract

In recent years, the prominence of fascia in physiotherapy applications in terms of both evaluation and therapeutic approaches has created an opportunity to evaluate musculoskeletal disorders from a different perspective. In this study, it has been tried to reveal the anatomical connections of the fascia with the facet joint, its biomechanical properties, and how they interact when therapeutic approaches are applied to the fascia. Pubmed, Google Scholar and ResearchGate databases were used for literature review. Four full-text research articles published between 2013 and 2017 were included in this review. Also; The effects of facial therapeutic methods in the treatment of symptoms in the back and neck region caused by facet joint involvement were investigated. Keyword combinations “facet joint” and “fascia” were combined with other words such as “physical therapy”, “rehabilitation” and “fascial therapy approaches” using “and, or”. Quality assessment of the included studies was done using the PEDro scale. The search produced 31 results, of which four full articles were reviewed. Four randomized controlled trials involving 367 participants were included in our study. When the methodological quality of these studies was examined, two were revealed as low quality and two as medium quality. In general, facial therapeutic approaches were found to be effective on pain, spasm and limitation of joint range of motion (ROM). This review study presented evidence-based information on the effectiveness of facial therapeutic approaches for symptoms such as pain, spasm, and ROM limitation due to facet joint dysfunction, following a methodological method. It has been revealed that facial therapeutic approaches in facet joint dysfunction show significant improvement in the symptoms of pain, spasm and ROM limitation. More research is needed to understand the mechanisms underlying the effectiveness of these practices.

Keywords

Ache, Disability, Facet joint, Fascia, Physical Therapy

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