Kronik Bel Ağrısı Olan Bireylerde Lomber Stabilizasyon ve Torasik Mobilizasyon Egzersizlerinin Ağrı, Engellilik ve Yaşam Kalitesi Üzerindeki Etkisi

Abstract

Bu çalışmanın amacı, kronik bel ağrısı (KBA) tedavisinde lomber stabilizasyon egzersizlerine ek olarak torasik mobilizasyon uygulamasının etkinliğini değerlendirmektir. Elli dört kronik bel ağrısı hastası, Lomber Stabilizasyon (LS) grubu ve Lomber Stabilizasyona ek Torasik Mobilizasyon (LS+TM) grubu olmak üzere iki gruba rastgele atanmıştır. Ağrı şiddeti, fonksiyonel disabilite ve yaşam kalitesi sırasıyla Görsel Analog Skalası (GAS), Quebec Bel Ağrısı Disabilite Skalası (QLPSD) ve EuroQOL-5D-3L ile değerlendirilmiştir. Her iki grup da haftada üç seans olmak üzere altı haftalık bir müdahale programına katılmıştır. Her iki grupta da ağrı şiddeti, fonksiyonel disabilite ve yaşam kalitesinde anlamlı iyileşmeler gözlemlenmiştir (p < 0,05). Ancak, müdahale sonrası analizlerde LS+TM grubunun, LS grubuna kıyasla fonksiyonel disabilitede (η2=0.768) ve yaşam kalitesinde (η2=0.731) etki büyüklüğü yüksekti (p < 0,05). Her iki egzersiz de kronik bel ağrısının yönetiminde etkili olsa da, torasik mobilizasyonun lomber stabilizasyon egzersizlerine eklenmesi, fonksiyonel iyileşme ve genel iyilik hali üzerinde daha önemli faydalar sağlamıştır.

Keywords

• Bel ağrısı
• egzersiz
• disabilite değerlendirme
• yaşam kalitesi

The Impact of Lumbar Stabilization and Thoracic Mobilization Exercises on Pain, Disability and Quality of Life in Individuals with Chronic Low Back Pain

Abstract

This study aimed to evaluate the efficacy of adding thoracic mobilization to lumbar stabilization exercises for managing chronic low back pain (CLBP). Fifty-four CLBP patients were randomly assigned to two groups: the Lumbar Stabilization (LS) group and the Lumbar Stabilization plus Thoracic Mobilization (LS+TM) group. Pain intensity, functional disability, and quality of life were assessed using the Visual Analog Scale (VAS), Quebec Low Back Pain Disability Scale (QLPSD), and EuroQOL-5D-3L, respectively. Both groups participated in a six-week intervention with three sessions per week. Significant improvements were observed in pain intensity, functional disability, and quality of life for both groups (p < 0.05). However, post-intervention analyses indicated that the LS+TM group experienced superior reductions in functional disability and greater enhancements in quality of life compared to the LS group (p < 0.05). While both exercise regimens were effective in managing CLBP, the addition of thoracic mobilization to lumbar stabilization exercises provided more significant benefits in functional recovery and overall well-being.

Keywords

• Chronic low back pain
• lumbar stabilization
• thoracic mobilization
• exercise
• pain
• disability
• quality of life.

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