Investigation of Cervical Joint Position Sense in Patients with Thoracic Outlet Syndrome: A Pilot Study

Year 2024, Volume: 3 Issue: 2, 17 - 23, 30.10.2024

Şule Tüzen Tek , Tüzün Fırat , Ayten Kayi Cangır

Abstract

Purpose: Thoracic Outlet Syndrome (TOS) is a common compressive lesion in the cervico-thoracic region. Although extremity involvement is known, cervical involvement has not been investigated. Our study was planned to evaluate the cervical joint position sense in TOS and to investigate its relationship with TOS symptoms.
Method: Thirteen individuals with TOS (10 women, 3 men, age: 26±4.73) and 13 healthy individuals (11 women, 2 men, age: 25.8±4.18) were included in the study. Cervical joint position sense of all participants was measured. Tampa Kinesiophobia Scale, Toronto Alexithymia Scale, and Neck Disability Index scores of individuals with TOS were recorded. Pain intensity during activity was measured with the Visual Analogue Scale (VAS) and the symptom duration was recorded.
Results: The VAS score of patients with TOS was 5.4±2.69, and symptom duration was 5.03±2.93 years. There was no difference between the cervical joint position sense of individuals with TOS and healthy individuals (right rotation (p=0.817), left rotation (p=0.209), right lateral flexion (p=0.248) and left lateral flexion (p=0.457). The kinesiophobia of individuals with TOS was 37.69±7.9, alexithymia was 44.53±13.5, and disability score was 14.61±5.45. A positive correlation (r=0.670, p=0.012) was found between kinesiophobia and alexithymia in individuals with TOS.
Conclusion: Cervical joint position sense has not affected in TOS patients. The results need to be evaluated in a larger sample size. The relationship between alexithymia and kinesiophobia may be the result of a long symptom duration. We think that detailed studies on chronic pain in patients with TOS are needed.

Keywords

Thoracic outlet syndromes, proprioception, chronic pain

Supporting Institution

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Project Number

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Thanks

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Torasik Çıkış Sendromlu Hastalarda Servikal Eklem Pozisyon Hissinin İncelenmesi

Abstract

Amaç: Torasik Çıkış Sendromu (TÇS) serviko-torakal bölgede sık görülen bir kompresif lezyondur. Ekstremite etkilenimi bilinmesine rağmen servikal bölge etkilenimi araştırılmamıştır. Çalışmamız, TÇS’de servikal eklem pozisyon hissinin değerlendirilmesi ve TÇS semptomlarıyla ilişkisini araştırmak amacıyla planlandı.
Yöntem: Çalışmamıza TÇS’li 13 birey (10 kadın, 3 erkek, yaş: 26±4,73) ve sağlıklı 13 birey (11 kadın, 2 erkek, yaş: 25,8±4,18) birey dahil edildi. Tüm katılımcıların servikal eklem pozisyon hissi ölçüldü. TÇS’li bireylerin Tampa Kinezyofobi Ölçeği, Toronto Aleksitimi Ölçeği, Boyun Özürlülük İndeksi skorları kaydedildi. Aktivite sırasındaki ağrı şiddeti Görsel Analog Skalası (GAS) ile ölçüldü ve semptom durasyonları belirlendi.
Bulgular: TÇS’li hastaların GAS skoru 5,4±2,69, semptom durasyonu 5,03±2,93 yıldı. TÇS’li ve sağlıklı bireylerin servikal eklem pozisyon hissi arasında fark bulunmadı (Sağ rotasyon (p=0,817), sol rotasyon (p=0,209), sağ lateral fleksiyon (p=0,248) ve sol lateral fleksiyon (p=0,457)). TÇS’li bireylerin Tampa Kinezyofobi Ölçeği skoru 37,69±7,9, Toronto Aleksitimi Ölçeği skoru 44,53±13,5, Boyun Özürlülük Ölçeği skoru 14,61±5,45 idi. TÇS’li bireylerde Tampa Kinezyofobi Ölçeği ve Toronto Aleksitimi Ölçeği arasında pozitif yönde (r=0,670, p=0,012) ilişki bulundu.
Sonuç: TÇS hastalarında servikal eklem pozisyon hissi etkilenmemiştir. TÇS semptomlarında servikal eklem pozisyon hissi etkin bir rol oynamamaktadır. Aleksitimi ve kinezyofobi ilişkisi uzun semptom durasyonunun bir sonucu olabilir. TÇS hastalarında kronik ağrı ile ilgili detaylı araştırmaların yapılması gerektiğini düşünüyoruz.

Keywords

Torasik outlet sendromu, propriyosepsiyon, kronik ağrı

Project Number

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