Problemli İnternet Kullanımı Olan Üniversite Öğrencilerinde Boyun Ağrısına Yönelik Girişimlerin Etkinliğinin Değerlendirilmesi: Randomize Bir Çalışma

Öz

Amaç: Dijital teknolojinin yaygınlaşması, internet kullanımını günlük yaşamın ayrılmaz bir parçası haline getirmiş ve istemeden de olsa akranlar arasında fiziksel hareketsizliğin artmasına neden olmuştur. Bu çalışmanın amacı, problemli internet kullanımı olan üniversite öğrencilerinde boyun ağrısına yönelik farklı müdahalelerin etkinliğini incelemektir. Yöntem: Bu randomize kontrollü çalışma (RKÇ), yaşları 18 ila 20 arasında değişen ve spesifik olmayan boyun ağrısı yaşayan toplam 40 katılımcı ile yürütülmüştür. Tüm katılımcılar rastgele iki gruba ayrılmıştır: ev egzersiz grubu (Grup 1; n=20) ve yürüyüş grubu (Grup 2; n=20). Ev egzersizi grubuna sekiz haftalık bir süre boyunca duruş ve esneme egzersizleri önerilmiştir. Yürüyüş grubuna ise aynı sekiz haftalık süre boyunca 7000 adımdan oluşan günlük bir yürüyüş programı verilmiştir. Deneklerin demografik bilgilerinin incelenmesinin ardından, katılımcılar programdan önce ve sonra Boyun Engellilik İndeksi, Algılanan Stres Ölçeği, Pittsburgh Uyku Kalitesi İndeksi ve Beck Anksiyete Envanteri kullanılarak değerlendirilmiştir. Bulgular: Çalışma, boyun ağrısı ile ilişkili semptomların ev egzersizi grubunda önemli ölçüde azaldığını ortaya koymuştur (p=0,001). Her iki grupta da stres ve anksiyete düzeylerinde anlamlı bir iyileşme gözlenmemiştir (p>0,05). Uyku kalitesi hem ev egzersizi grubunda (p=0,005) hem de yürüyüş grubunda (p=0,016) önemli ölçüde iyileşmiş olsa da bir grubun diğerinden daha etkili olduğuna dair yeterli destekleyici kanıt bulunamamıştır. Sonuç: İnternet kullanımının giderek yaygınlaşması, akranlar arasında fiziksel hareketsizliğin artmasına katkıda bulunmaktadır. Düzenli egzersiz rutinleri oluşturmak ve belirli fiziksel aktivite molaları planlamak, bu eğilimin zararlı etkilerine karşı koymak için çok önemlidir.

Anahtar Kelimeler

• Egzersiz tedavisi
• internet kullanımı
• boyun ağrısı
• fiziksel aktivite
• yürüme

Evaluating the Effectiveness of Interventions for Neck Pain in University Students with Problematic Internet Use: A Randomized Trial

Abstract

Aim: The proliferation of digital technology has made internet usage an integral part of daily life, inadvertently leading to increased physical inactivity among peers. This study aims to examine the effectiveness of different interventions for neck pain in university students with problematic internet use. Method: This randomized controlled trial (RCT) was conducted with 40 participants, aged 18 to 20, experiencing non-specific neck pain. All participants were randomly divided into the home exercise group (Group 1; n=20) and the walking group (Group 2; n=20). Posture and stretching exercises were recommended to the home exercise group over eight weeks. The walking group was given a daily walking program of 7000 steps over the same eight weeks. After examining the subjects' demographic information, participants were assessed before and after the program using the Neck Disability Index, Perceived Stress Scale, Pittsburgh Sleep Quality Index, and Beck Anxiety Inventory. Results: The study revealed that symptoms associated with neck pain significantly decreased in the home exercise group (p=0.001). No significant improvements in stress and anxiety levels were observed in either group (p>0.05). Although sleep quality improved significantly in both the home exercise group (p=0.005) and the walking group (p=0.016), there was insufficient supportive evidence that one group was more effective. Conclusion: The increasing prevalence of internet usage contributes to heightened physical inactivity among peers. Establishing regular exercise routines and scheduling specific physical activity breaks are crucial to counteract the detrimental effects of this trend.

Keywords

• Exercise therapy
• internet use
• neck pain
• physical activity
• walking

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