Kronik boyun ağrılı hastalarda temel vücut farkındalığı terapisi ile konvansiyonel tedavinin ağrı, hareket korkusu ve eklem hareket açıklığı üzerine etkileri

Year 2020, Volume: 7 Issue: 3, 201 - 212, 06.01.2021

Kamil Yılmaz Gül Yazıcıoğlu Şener Kadriye Armutlu

Abstract

Amaç: Kronik boyun ağrısı olan hastalarda Temel Vücut Farkındalığı Terapisi (TVFT) ile Konvansiyonel Tedavinin (KT) ağrı,
kinezyofobi ve eklem hareket açıklığı (EHA) üzerine olan etkilerini karşılaştırmaktır.

Yöntem: Çapraz tasarım yapılan çalışmada hastalar, A (n=17) ve B (n=18) grubuna ayrılmıştır. A grubundaki hastalara 6 hafta
süresince haftada 2 gün TVFT, B grubundakilere aynı gün ve sürede KT programı uygulanmıştır. 5 haftalık aranın ardından A
grubundakilere KT, B grubundakilere TVFT uygulanmıştır. Ağrı; Vizüel Analog Skalasıyla (VAS), kinezyofobisi Tampa Kinezyofobi
Ölçeğiyle (TKÖ), servikal EHA; Cervical Range of Motion Deluxe (CROM) cihazıyla değerlendirilmiştir. Değerlendirmeler, birinci
ve ikinci tedavinin önce ve sonrasında yapılmıştır.

Bulgular: İlk tedaviler sonrasında aktivite ağrısı şiddeti TVFT alan A grubunda daha düşük bulunmuştur (p=0,024). A grubunda
TVFT'nin etkisi sonraki tedaviye yansımıştır (p=0,038). Gruplar arasında ikinci tedavilerden sonra fleksiyon ve sağ rotasyon
dereceleri, B grubunda TVFT alan hastalarda daha yüksek bulunmuştur (p<0,05). Grup içi tedaviler sonrası sonuçlar
karşılaştırıldığında, A grubunda TVFT sonrasında fleksiyon, sağ-sol lateral fleksiyon ve sol rotasyon dereceleri daha yüksek
bulunmuştur (p<0,05).

Tartışma: TVFT, servikal bölgenin aktif EHA üzerinde KT’den daha etkilidir. TVFT'nin aktivite ağrısı üzerindeki etkisi daha uzun
sürmektedir. Bununla birlikte her iki tedavinin de ağrı, kinezyofobi ve aktif EHA üzerinde olumlu etkileri vardır.

Keywords

Boyun ağrısı, eklem hareket açıklığı, farkındalık, Egzersiz

Effects of conventional treatment and basic body awareness therapy on pain, kinesiophobia and joint range of motion in patients with chronic neck pain

Abstract

Purpose: To compare the effects of Basic Body Awareness Therapy (BBAT) and Conventional Therapy (CT) on pain, kinesiophobia
and joint range of motion (ROM) in patients with chronic neck pain.

Methods: As a cross-over design, patients were divided into A (n=17) and B (n=18) groups. BBAT program has been
implemented two days a week for 6 weeks to patients within group A while group B received the CT program during the same
period. After a 5-week interval, group A was treated with CT and group B was treated with BBAT. Pain, kinesiophobia and cervical
joint ROM were assessed with Visual Analogue Scale (VAS), Tampa Scale for Kinesiophobia (TSK), Cervical Range of Motion
Deluxe (CROM), respectively. The evaluations were conducted before and after the first and second treatment.

Results: After the first treatments, the activity pain level was found to be lower in the A group receiving BBAT (p=0.024). The
effect of TVFT in group A was reflected in the subsequent treatment (p=0.038). In comparison of groups after the second
treatment, flexion and right rotation degrees were higher in patients receiving BBAT in Group B (p<0.05). When the results of
intra-group treatments were compared, flexion, right-left lateral flexion and left rotation degrees were found to be higher in
Group A after BBAT (p<0.05).

Conclusion: BBAT is more effective than CT in the active ROM of the cervical region. The effect of TVFT on activity pain lasts
longer. Moreover, both treatments have positive effects on pain, kinesiophobia and active ROM.

Keywords

Neck pain, Range of motion, Awareness, Exercise

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