Nonspesifik Bel Ağrısında Konservatif Tedavi Yaklaşımları

Year 2020, Volume: 3 Issue: 1, 1 - 14, 31.01.2020

Hilal Can Tuğba Kuru Çolak Gönül Acar

Abstract

Bir
halk sağlığı problemi olan bel ağrısı, dünyada dizabiliteye neden olan durumların
başında gelmektedir. Ağrının neden kaynaklandığının bilinmediği nonspesifik bel
ağrısı en yaygın görülen formudur ve tedavisinde ağrı ve ağrının neden olduğu
durumlara odaklanılmaktadır. Bu derlemenin amacı, nonspesifik bel ağrısı olan
hastaların tedavisinde kullanılmakta olan güncel tedavi yaklaşımlarının ağrı ve
ağrının yol açtığı durumlardaki etkinliklerini incelemekti. PubMed, PEDro, Cochrane kütüphanesi, Ovid, MEDLINE, SUMsearch ve
Google Scholar veritabanlarında 1 Ocak 2009-1 Ağustos 2019 tarihleri arasında
yapılan arama sonucu ulaşılan randomize klinik çalışmalar, randomize kontrollü
çalışmalar, sistematik derlemeler ve meta analizler derlemeye dahil edildi.
Literatür analizi, kronik nonspesifik bel ağrısının tedavisinde motor kontrol
egzersizlerinin manuel tedavilere benzer sonuçlar sağladığına dair orta-yüksek
düzeyde; spinal manipülatif tedavinin de diğer müdahalelere göre klinik olarak
etkili olmadığı ancak kısa süreli ağrı ve fonksiyonu iyileştirdiğine dair
yüksek düzeyde kanıt olduğunu göstermiştir.

Keywords

Bel ağrısı, Egzersiz, Fizik tedavi, Manuel tedaviler

Conservative Treatment Approaches in Nonspecific Low Back Pain

Abstract

Low back
pain, a public health problem, is one of the leading causes of disability in
the world. Nonspesific low back pain where the cause of pain is unknown is the
most common form of low back pain. The treatment should focus on the pain and
the pain induced changes. The aim of this review was to examine the effectiveness
of current approaches in the treatment of pain and pain-related conditions in
the management of nonspesific low back pain. The Pubmed, PEDro, Cochrane
Library, Ovid, MEDLINE, SUMsearch and Google Scholar were searched to identify randomized
clinical trials, randomized controlled trials, systematic reviews, and
meta-analyzes, which were published between January 1, 2009 and August 1, 2019.
The literature analysis showed that there was moderate to high quality evidence
that motor control exercises have similar results as manual treatments, and
there was high quality evidence indicates that spinal manipulative therapy was not clinically effective
compared to other interventions but it was effective on short-term pain relief  and functional status in chronic nonspecific
low back pain.

Keywords

Low back pain, Exercise, Physical therapy, Manual therapies

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