Multiple Skleroz Hastalarına Primer Bakım Veren Kronik Bel Ağrılı Bireylere Uygulanan Farklı Egzersiz Yaklaşımlarının Etkinliğin İncelenmesi

Year 2024, Volume: 6 Issue: 3, 534 - 543

Selin Karakaya , Hazal Genç

https://doi.org/10.46413/boneyusbad.1466135

Abstract

Amaç: Halsizlik, tutukluk ve yorgunluk gibi semptomlar genellikle Multipl Skleroz (MS) hastalarının kişisel bakımına yardımcı olmayı gerekmektedir. Ayrıca, kronik bel ağrısı MS hastalarının birincil bakıcılarını da sıklıkla etkilemektedir. Çalışmamız, bu bakıcılarda kronik bel ağrısına yönelik egzersiz müdahalelerinin etkinliğini değerlendirmeyi amaçlamaktadır
Gereç ve Yöntem: MS hastalarına primer bakım veren 12 haftadır bel ağrısı yaşayan 41 katılımcı randomize olarak pilates (n=20), ev egzersiz programı (n=21) olarak ikiye ayrıldı. Katılımcılara, hasta tanıma formu, Vizüel Analog Skala, Algometre cihazı, Oswestry Disability İndeksi, Bakas Bakım Veren Etki Ölçeği, el-parmak zemin mesafesi testi, 30 saniye otur-kalk testi, Beck Anksiyete Ölçeği parametreleri kullanıldı. Değerlendirmeler hem tedaviye başlamadan önce hem de altı haftalık egzersiz müdahalesinin ardından yapılmıştır.
Bulgular: Uygulama sonrası tüm katılımcılarda iyileşmeler kaydedildi. Uygulanan tedavi programı sonucunda, grup içi değerlendirme sonuçlarında her iki grup için; ağrı toleransı(p=0,001), bakas skoru (p=0,00), fonksiyonellik (p=0,00) ve anksiyete (p=0,00) üzerinde iyileşme olduğu saptandı. Ancak gruplar arası karşılaştırmada istatistiksel olarak iki grup arasında üstünlük gözlemlenmedi (p≥0.005).
Sonuç: Pilates egzersizi ve ev egzersiz programının hastaların ağrı ve ağrı toleransı, fonksiyonellik ve anksiyete üzerinde iyileşme görüldüğünü ancak birbirleri üzerinde iyileşme bulunmadığı görüldü. Ayrıca, bu sonuçlar, kronik bel ağrısı olan bakım verenlerin tedavi seçimlerinde bireysel tercihlerinin ve ihtiyaçlarının göz önünde bulundurulmasının klinik planlamada önemli olduğunu göstermektedir.

Keywords

Pilates Eğitimi, Bel Ağrısı, Egzersiz, Bakım Veren, Multipl Skleroz

Effectiveness of Different Exercise Approaches for Individuals with Chronic Low Back Pain Providing Primary Care to Multiple Sclerosis Patients

Abstract

Aim: Multiple Sclerosis (MS) need help with personal care due to symptoms like weakness, stiffness, and fatigue. Chronic low back pain often affects primary caregivers of MS patients. Our study aims to assess exercise efficacy in caregivers with chronic low back pain caring for MS patients.
Material and Method: Forty-one participants with low back pain for 12 weeks who were primary caregivers of MS patients were randomly divided into Pilates (n=20) and home exercise program (n=21). Visual Analogue Scale, Algometer, Oswestry Disability Index, Bakas Caregiver Outcome Scale, fingertip-to-floor test, 30-second sit-stand test and Beck Anxiety Inventory parameters were used on the participants. Assessments were conducted both prior to initiating treatment and following six weeks of exercise intervention.
Results: As a result of the applied treatment program, for both groups in the evaluation results; pain tolerance(p=0.001), bakas score (p=0.00), functionality (p=0.00) and anxiety (p=0.00) were also found to be improved. However, there was no statistically significant difference between the two groups when the groups were compared (p≥0.005).
Conclusion: Pilates exercise and the McKenzie home exercise program were shown to improve patients' pain and pain tolerance, functioning and anxiety. Moreover, these results underscore the importance of considering the individual preferences and needs of caregivers with chronic low back pain when making clinical treatment plans.

Keywords

Pilates training, low back pain, exercise, caregivers, multipl sclerosis

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