BAŞ AĞRILI BİREYLERDE SERVİKAL KAS İSKELET SİSTEMİ BOZUKLUKLARI

Yıl 2021, Cilt: 6 Sayı: 2, 42 - 52, 31.07.2021

Hülya Altmış , Arzu Güçlü Gündüz

https://doi.org/10.52881/gsbdergi.873465

Öz

Baş ağrısı, bireysel ve sosyo-ekonomik etkileri oldukça fazla, birçok etkene bağlı, sık karşılaşılan genel bir sağlık problemidir. Sık görülen baş ağrısı tipleri gerilim tipi baş ağrısı (GBA), migren ve servikojenik baş ağrısıdır (SBA). Son yıllarda, boyun ağrısının baş ağrılarındaki rolüne yönelik ilgi ve araştırmaların arttığı görülmektedir. Bu derleme GBA, migren ve SBA’ da servikal kas iskelet sistemi bozukluklarını incelemek amacıyla yapılmıştır.
GBA, servikal kas iskelet sistemi fonksiyonları ile en ilişkili baş ağrısı gibi görünmektedir. Bu baş ağrısı tipinde görülen en sık servikal kas iskelet sistemi bozuklukları; aşırılaşmış baş anterior tilti, azalmış servikal mobilite, artmış tetik nokta sayısı ve kas hassasiyeti ile düşük basınç ağrı eşiğidir. GBA’ da kas fonksiyon yetersizliği çalışma sonuçları ise çelişkilidir.
Migren, patofizyolojik açıdan servikal kas iskelet sistemi bozukluklarıyla daha uzak bir ilişki göstermektedir. Migrende görülen servikal kas iskelet sistemi bozukluklarında; azalmış servikal mobilite, artmış tetik nokta sayısı ve basınç ağrı eşiği sonuçları daha belirgin iken, aşırılaşmış baş anterior tilti ve kas fonksiyon yetersizliği sonuçları çelişkilidir.
SBA ise servikal omurga ile en ilişkili baş ağrısı alt grubu olmasına karşın, servikal kas iskelet sistemi bozuklukları sonuçları çelişkili ve konuyla ilgili güncel veriler yetersizdir. SBA’ lı hastalarda azalmış servikal mobilite ve yetersiz kas fonksiyonu sonuçları daha belirginken, aşırılaşmış baş anterior tilti sonuçlarının çelişkili olduğu görülmektedir.
Sonuç olarak; GBA, migren ve SBA servikal kas iskelet sistemi bozuklukları ile ilişkili görünmektedir. Baş ağrısı tedavisinde, servikal bölgeyi incelemek ve bu bölgede fiziksel performansı geliştirecek egzersiz yaklaşımlarını önermenin önemli olduğunu düşünmekteyiz.

Anahtar Kelimeler

Baş ağrısı, servikal bölge, kas iskelet sistemi bozuklukları

Kaynakça

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