Nonspesifik Kronik Boyun Ağrılı Hastalarda Mulligan Mobilizasyon Tekniği ve Kinezyolojik Bantlamanın Ağrı ve Kinezyofobi Üzerine Akut Etkisi: Prospektif Randomize Kontrollü Çalışma

Year 2024, Issue: 23, 489 - 504, 31.08.2024

Sevde Betül Yiğit , Cem Erçalık

Abstract

Amaç: Bu çalışmanın amacı, Non-spesifik Kronik Boyun Ağrılı (NKBA) hastalarda Mulligan Mobilizasyon Tekniğinin (MMT) ve Kinezyolojik Bantlamanın (KB) ağrı ve kinezyofobi üzerine akut etkisini araştırmaktır.
Yöntem: Non-spesifik kronik boyun ağrısı tanılı, 18-65 yaş aralığındaki 66 gönüllü hasta, 3 gruba ayrıldı. 1. gruba MMT ve KB, 2. gruba MMT ve plasebo KB, 3. gruba plasebo KB uygulandı. Hastaların uygulama öncesi ve sonrası ağrı düzeyi (boyun fleksiyonda ve boyun ekstansiyonda) Sayısal Değerlendirme Skalasıyla (NRS), hareket korkusu ise Tampa Kinezyofobi Ölçeği (TKÖ) ile değerlendirildi.
Bulgular: Grup içi yapılan değerlendirmelerde ağrı düzeyleri grup 1 ve grup 2’de istatistiksel olarak anlamlı azalma gösterirken (p<0,05) grup 3’te klinik olarak anlamlı bir değişim saptandı (p>0,05). Uygulama sonrası gruplar arası değerlendirmelerde grup 1 ve grup 2 ağrı düzeyi skorları arasında anlamlı bir fark yoktu (p>0,05). Uygulama sonrası hiçbir grupta kinezyofobi düzeylerinde anlamlı bir değişim elde edilmezken (p>0,05) gruplar arası incelemelerde istatiksel olarak anlamlı fark bulunmadı (p>0,05).
Sonuç: Bu çalışmada non-spesifik kronik boyun ağrılı hastalarda, mulligan mobilizasyon tekniğinin ve kinezyolojik bantlamanın olumlu etki sağladığı gösterilmiştir. Araştırma sonucunda, MMT tek veya KB ile uygulandığında boyun fleksiyon ve ektansiyon ağrısında olumlu akut etki sağlarken kinezyofobi üzerinde akut etki sağlamamıştır.

Keywords

Kas-iskelet ağrısı, kronik ağrı, rehabilitasyon

Thanks

Bu çalışmaya 2211-A Genel Yurtiçi Doktora Burs Programı kapsamında finansal destek sağlayan TÜBİTAK BİDEB’e teşekkürlerimi sunarım.

Acute Effect of Mulligan Mobilization Technique and Kinesio-Taping on Pain and Kinesiophobia in Patients with Nonspecific Chronic Neck Pain: Prospective Randomized Controlled Study

Abstract

Aim: The aim of this study is to investigate the acute effect of Mulligan Mobilization Technique (MMT) and Kinesio-Taping (KT) on pain and kinesiophobia in patients with Non-specific Chronic Neck Pain (NCCP).
Method: 66 volunteer aged 18-65 patients, diagnosed with non-specific chronic neck pain, were divided into 3 groups. MMT and KT were applied to the group 1, MMT and placebo KT were applied to the group 2, and placebo KT was applied to the group 3. The pain level of the patients before and after the application (in neck flexion and neck extension) was evaluated with the Numerical Rating Scale (NRS), and the fear of movement was evaluated with the Tampa Kinesiophobia Scale (TKS).
Results: In intra-group evaluations, pain levels showed a statistically significant decrease in group 1 and group 2 (p<0.05), while no clinically significant change was detected in group 3 (p>0.05). There was no significant difference between the pain level scores of group 1 and group 2 in the intergroup evaluations after the application (p>0.05). While no significant change was observed in kinesiophobia levels in any group after the application (p>0.05), no statistically significant difference was found in the examinations between the groups (p>0.05).
Conclusion: In this study, it has been shown that mulligan mobilization technique and kinesio-taping are positively effective in patients with non-specific chronic neck pain. As a result of the investigation, while MMT provided a positive acute effect on neck flexion and extension pain when applied alone or with KT, it did not provide an acute effect on kinesiophobia.

Keywords

Musculoskeletal pain, chronic pain, rehabilitation

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