Kronik boyun ağrısında bakış yönü tanıma egzersizlerinin ağrı şiddeti, eklem hareket açıklığı ve izometrik kas enduransına etkisi

Year 2019, Volume: 44 Issue: 2, 439 - 446, 30.06.2019

Şule Şimşek Mehmet Duray Filiz Altuğ

https://doi.org/10.17826/cumj.451482

Abstract

Amaç: Çalışmamızın amacı kronik boyun ağrılı olgularda bakış yönü tanıma egzersizlerinin ağrı şiddeti, eklem hareket açıklığı ve izometrik kas enduransına etkisini araştırmaktır. 

Gereç ve Yöntem:  Çalışmamıza yaşları 29-54(yaş ort:44.98±6.38) arasında değişen toplam 40 katılımcı (32 kadın, 8 erkek) gönüllü olarak katılmıştır. Katılımcılar randomize olarak iki gruba (BYTE Grubu ve Kontrol Grubu) ayrılmıştır. Her iki tedavi grubuna kombine fizyoterapi programı uygulanmıştır. Her iki grup haftada 5 gün ve 3 hafta olmak üzere toplam 15 seans tedaviye alınmıştır. BYTE Grubuna ilave olarak 15 seans Bakış Yönü Tanıma Egzersizleri uygulanmıştır. Ağrı şiddeti (Görsel Analog Skalası), eklem hareket açıklığı (üniversal gonyometre), izometrik kas enduransı (kraniyoservikal test), Bakış yönü tanıma test değerlendirmeleri tedavi öncesi, sonrası ve 6 hafta sonrasında tekrar edilmiştir.

Bulgular: Her iki grupta tedavi programı sonrasında ağrı şiddeti, fleksiyon, ekstansiyon, lateral fleksiyon, sola rotasyon eklem hareket açıklığı, izometrik kas enduransı bakımından iyileşme kaydedilmiştir (p<0.05). İki Grup arasında ağrı şiddeti, fleksiyon, her iki yöne lateral fleksiyon, sağa rotasyon eklem hareket açıklığı ve kas endurası ve bakış yönü tanıma test skorları bakımından istatistiksel olarak anlamlı fark kaydedilmiştir ( p<0.05).

Sonuç: Kombine fizyoterapi programına ilave olarak uygulanan Bakış Yönü Tanıma Egzersizleri tedavinin etkinliğini artırmıştır. 

Keywords

Bakış Yönü Tanıma Egzersizi, Ağrı Şiddeti, Kronik Boyun Ağrısı

Effect of the gaze direction recognition task on pain intensity, range of motion and isometric muscle endurance in chronic neck pain

Abstract

Purpose: The aim of this study was to evaluate the effect of the Gaze Direction Recognition Task on pain intensity, range of motion and isometric muscle endurance in patients with chronic neck pain. 

Materials and Methods: A total of 40 participants (32 female, 8 male) aged between 29-54 years (mean age: 44.98 ± 6.38) participated voluntarily in our study. Participants were randomly divided in two groups (GDRT Group and Control Group). Both groups underwent combined physiotherapy program. Both groups received in total 15 sessions of therapy during 3 weeks, 5 days per week. The GDRT Group has additionally underwent 15 sessions of Gaze Direction Recognition Tasks. Pain Intensity (Visual Analog Scale), range of motion (universal goniometer), isometric muscle endurance (craniocervical test) and the Gaze direction recognition task assessments were repeated before, after and 6 weeks after the treatment programme.

Results: After therapy, improvement was observed in terms of pain intensity, flexion, extension, lateral flexion, left rotation range of motion and isometric muscle endurance in both groups (p<0.05). Statistically significant differences were recorded in terms of pain intensity, flexion, lateral flexion of both direction, right rotation range of motion, muscle strength and gaze direction recognition task scores between two groups (p<0.05).

Conclusion: The Gaze Direction Recognition Tasks given additionally to the combined physiotherapy program has increased the efficiency of the treatment. 

Keywords

Gaze Direction Recognition Task, Pain Intensity, Chronic Neck Pain

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