Öğretim elemanlarında egzersizin boyun ağrısı ve uyku kalitesine etkisi

Abstract

Amaç: Bu çalışmada, üniversite öğretim elemanlarında düzenli yapılan egzersizlerin boyun ağrısı ve uyku kalitesi üzerindeki etkisini değerlendirmek amaçlandı. Yöntem: Mart-Ağustos 2023 tarihleri arasında yürütülen çalışmaya, 64 gönüllü akademisyen dahil edildi. Katılımcılar Eğitim Grubu (EG, n=32) ve Kontrol Grubu (KG, n=32) olarak ayrıldı. EG'ye haftada en az üç gün ve 12 hafta boyunca düzenli egzersiz yapması için egzersiz broşürü verildi. KG'ye müdahale edilmedi; çalışma sonunda egzersiz rehberliği sunuldu. Veriler Demografik Bilgi Formu, Boyun Ağrı ve Disabilite Skoru (BADS) ve Pittsburgh Uyku Kalite İndeksi (PUKİ) kullanılarak toplandı. Ölçekler çalışma öncesi ve 12 haftalık süre sonunda ön-test ve son-test olarak uygulandı. Bulgular: Çalışma öncesinde EG ve KG'nin BADS ve PUKİ ön-test puanları ile demografik özellikleri benzerdi (p>0,05). Çalışma sonunda EG'de BADS puanlarında istatistiksel olarak anlamlı iyileşme saptandı (ön-test: 30,00±15,25; son-test: 19,65±13,51; p=0,006). EG'de PUKİ puanlarında iyileşme eğilimi gözlemlendi ancak bu değişim istatistiksel olarak anlamlı değildi (ön-test: 5,37±2,68; son-test: 4,65±2,07; p=0,235). KG'de BADS (p=0,262) ve PUKİ (p=0,598) puanlarında anlamlı değişim gözlenmedi. Gruplar arası son-test karşılaştırmalarında hem BADS (p<0,001) hem de PUKİ (p=0,041) puanları açısından EG lehine anlamlı fark saptandı. Sonuç: Üniversite öğretim elemanlarında hafif şiddette ve düzenli yapılan egzersizlerin boyun ağrısını azaltmada etkili olduğu ve uyku kalitesini destekleyici etki gösterebileceği sonucuna varıldı.

Keywords

• Egzersiz
• Boyun Ağrısı
• Uyku
• Öğretim Elemanları.

Effects of exercise on neck pain and sleep quality in academic staff

Abstract

Purpose: This study aimed to evaluate the effect of regular exercise on neck pain and sleep quality among university teaching staff. Methods: The study was conducted between March and August 2023 and included 64 volunteer academics. Participants were divided into an intervention group (IG, n=32) and a control group (CG, n=32). The IG received an exercise brochure and was instructed to perform regular exercises at least three days per week for 12 weeks. No intervention was applied to the CG; exercise guidance was provided at the end of the study. Data were collected using the Demographic Information Form, the Neck Pain and Disability Scale (NPDS), and the Pittsburgh Sleep Quality Index (PSQI). Scales were administered as pre-test and post-test before and after the 12-week intervention period. Results: Before the intervention, the IG and CG were similar in demographic characteristics and baseline NPDS and PSQI scores (p>0.05). At the end of the study, a statistically significant improvement was observed in NPDS scores in the IG (pre-test: 30.00±15.25; post-test: 19.65±13.51; p=0.006). A trend toward improvement was observed in PSQI scores in the IG; however, this change was not statistically significant (pre-test: 5.37±2.68; post-test: 4.65±2.07; p=0.235). No significant changes were observed in NPDS (p=0.262) or PSQI (p=0.598) scores in the CG. Between-group comparisons of post-test scores revealed significant differences in favor of the IG for both NPDS (p<0.001) and PSQI (p=0.041). Conclusion: It was concluded that regular, mild-intensity exercise is effective in reducing neck pain and may have a supportive effect on sleep quality among university teaching staff.

Keywords

• Exercise
• Neck Pain
• Sleep
• Faculty.

References

1. 1. Ariëns GA, Bongers PM, Douwes M, et al. Are neck flexion, neck rotation, and sitting at work risk factors for neck pain? Results of a prospective cohort study. Occup Environ Med. 2001;58:200-207.
2. 2. Cagnie B, Danneels L, Van Tiggelen D, et al. Individual and work-related risk factors for neck pain among office workers: a cross sectional study. Eur Spine J. 2007;16:679-686.
3. 3. Janwantanakul P, Pensri P, Jiamjarasrangsri V, et al. Prevalence of self-reported musculoskeletal symptoms among office workers. Occup Med (Lond). 2008;58:436-438.
4. 4. Al-Khazali HM, Krøll LS, Ashina H, et al. Neck pain and headache: Pathophysiology, treatments and future directions. Musculoskelet Sci Pract. 2023;66:102804.
5. 5. Finan PH, Goodin BR, Smith MT. The association of sleep and pain: an update and a path forward. J Pain. 2013;14:1539-1552.
6. 6. Kanchanomai S, Janwantanakul P, Pensri P, et al. Prevalence of and factors associated with musculoskeletal symptoms in the spine attributed to computer use in undergraduate students. Work. 2015;51:393-399.
7. 7. Schmickler JM, Blaschke S, Robbins R, et al. Determinants of sleep quality: A cross-sectional study in university students. Int J Environ Res Public Health. 2023;20:2019.
8. 8. Tang NKY, Wright KJ, Salkovskis PM. Prevalence and correlates of clinical insomnia co-occurring with chronic back pain. J Sleep Res. 2007;16:85-95.

9. 9. Saeterbakken AH, Stien N, Pedersen H, et al. The effects of resistance training on muscle function and health parameters in office workers: a systematic review. Eur J Appl Physiol. 2017;117:1349-1361. 10. Chennaoui M, Arnal PJ, Sauvet F, et al. Sleep and exercise: a reciprocal issue? Sleep Med Rev. 2015;20:59-72.
10. 11. Gross A, Kay TM, Paquin JP, et al. Exercises for mechanical neck disorders: a Cochrane review update. Spine J. 2015;15:1723-1740.
11. 12. Bertozzi L, Gardenghi I, Turoni F, et al. Effect of therapeutic exercise on pain and disability in the management of chronic nonspecific neck pain: Systematic review and meta-analysis. Phys Ther. 2013;93:1026-1036.
12. 13. Ylinen J, Takala EP, Nykänen M, et al. Active neck muscle training in the treatment of chronic neck pain in women: a randomized controlled trial. JAMA. 2003;289:2509-2516.
13. 14. Passos GS, Poyares DL, Santana MG, et al. Is exercise an alternative treatment for chronic insomnia? Clinics (Sao Paulo). 2012;67:653-660.
14. 15. Bicer A, Yazici A, Camdeviren H, et al. Assessment of pain and disability in patients with chronic neck pain: reliability and construct validity of the Turkish version of the neck pain and disability scale. Disabil Rehabil. 2004;26:959-962.
15. 16. Ağargün MY, Kara H, Anlar O. Pittsburgh Uyku Kalitesi İndeksi'nin geçerliği ve güvenirliği. Turk Psikiyatri Derg. 1996;7:107-111.
16. 17. Faul F, Erdfelder E, Buchner A, et al. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods. 2009;41:1149-1156.
17. 18. IBM Corp. IBM SPSS Statistics for Windows, Version 23.0. Armonk, NY: IBM Corp; 2015.
18. 19. Kadefors R, Laubli T. Muscular disorders in computer users: introduction. Int J Ind Ergon. 2002;30:203-210.
19. 20. Meaza H, Temesgen MH, Redae G, et al. Prevalence of musculoskeletal pain among academic staff of Mekelle University, Ethiopia. Clin Med Insights Arthritis Musculoskelet Disord. 2020;13:1179544120974671.
20. 21. Andersen LL, Kjaer M, Søgaard K, et al. Effectiveness of specific resistance training on musculoskeletal symptoms in the neck and shoulder: a randomized controlled trial. Am J Ind Med. 2011;54:625-635.
21. 22. Lima Júnior JP, Silva TFA. Analysis of musculoskeletal disorders symptoms in professors of the University of Pernambuco–Petrolina Campus. Rev Dor. 2014;15:276-280.
22. 23. Yurdalan SU, Ünlüoğlu K. Ev-ofis çalışanlarında postür ve solunum egzersizlerinin ağrı ve yaşam kalitesi üzerine etkisi. İzmir Kâtip Çelebi Üniv Sağlık Bilim Fak Derg. 2021;7:23-32.
23. 24. Aydoğan A, Tınazcı C. Investigation of the Relationship Between Physical Activity Level and Quality of Life of University Personnel. Int J Innov Res Educ. 2016;3:174-184. 25. Xie W, Lu D, Liu S, et al. The optimal exercise intervention for sleep quality in adults: A systematic review and network meta-analysis. Prev Med. 2024;183:107955.
24. 26. Aktaş H, Şaşmaz CT, Kılınçer A, et al. Yetişkinlerde fiziksel aktivite düzeyi ve uyku kalitesi ile ilişkili faktörlerin araştırılması. Mersin Univ Saglik Bilim Derg. 2015;8:1-10.
25. 27. Kötüz B, Aksoy CC. COVID-19 pandemisi sürecinde eğitimcilerin fiziksel aktivite düzeylerinin, kas iskelet sistemi şikayetlerinin uyku, yaşam kaliteleri arasındaki ilişkinin belirlenmesi. IGUSABDER. 2023;21:1183-1200.
26. 28. Mahfouz MS, Ali SA, Bahari AY. Association between sleep quality and physical activity in Saudi Arabian university students. Nat Sci Sleep. 2020;12:775-782.
27. 29. Kredlow MA, Capozzoli MC, Hearon BA, et al. The effects of physical activity on sleep: a meta-analytic review. J Behav Med. 2015;38:427-446.