KRONİK BOYUN AĞRISINDA SERVİKAL STABİLİZASYON EGZERSİZLERİ İLE KOMBİNE EDİLEN MULLİGAN MOBİLİZASYON TEKNİĞİNİN ETKİLERİNİN TEK BAŞINA SERVİKAL STABİLİZASYON EGZERSİZLERİNİN ETKİLERİ İLE KARŞILAŞTIRILMASI: RANDOMİZE KONTROLLÜ ÇALIŞMA

Abstract

Amaç: Çalışmanın amacı kronik boyun ağrısı (KBA) olan bireylerde servikal stabilizasyon egzersizlerine ek olarak uygulanan Mulligan mobilizasyon tekniklerinin, tek başına uygulanan servikal stabilizasyon egzersizlerine kıyasla ağrı şiddeti, eklem hareket açıklığı (EHA), servikal kas enduransı, basınç ağrı eşiği (BAE) ve yaşam kalitesi üzerindeki etkilerini karşılaştırmaktı. Yöntem: Kırk KBA’lı bireyin dahil edildiği çalışmada bireyler rastgele servikal stabilizasyon grubu (SG, n=20) ve servikal stabilizasyon-Mulligan mobilizasyon grubu (SMG, n=20) olmak üzere iki gruba ayrıldı. SG’ye sadece dört haftalık servikal stabilizasyon egzersizleri uygulanırken, SMG’ye servikal stabilizasyon egzersizlerine ek olarak dört hafta boyunca Mulligan mobilizasyon teknikleri uygulandı. Tedavi programları öncesinde ve sonrasında bireyler ağrı şiddeti (görsel analog skala), EHA (gonyometrik ölçüm), servikal kas enduransı (endurans testleri), BAE (algometrik ölçüm) ve yaşam kalitesi (Kısa Form-36, KF-36) bakımından değerlendirildi. Bulgular: Tedavi programları sonrasında her iki grupta da bütün parametrelerde anlamlı iyileşmeler bulundu (p<0.05). Ayrıca, SMG’de SG’ye kıyasla; EHA, BAE ve KF-36 skorlarında daha fazla iyileşme görüldü (p<0.05). Sonuç: KBA’da servikal stabilizasyon egzersizlerinin uygulanmasıyla, ağrı şiddeti, EHA, servikal kas enduransı, BAE ve yaşam kalitesinde iyileşmeler elde edilebilir. Bununla birlikte, KBA’lı bireylerde servikal stabilizasyon egzersizlerine ek olarak uygulanan Mulligan mobilizasyon tekniğinin tek başına uygulanan servikal stabilizasyon egzersizlerine kıyasla EHA, BAE ve yaşam kalitesini iyileştirmede daha etkili olduğu söylenebilir.

Keywords

• Boyun Ağrısı
• Egzersiz
• Manipulatif Tedaviler
• Yaşam Kalitesi
• Rehabilitasyon

COMPARISON OF THE EFFECTS OF MULLIGAN MOBILIZATION TECHNIQUE COMBINED WITH CERVICAL STABILIZATION EXERCISES WITH THE EFFECTS OF CERVICAL STABILIZATION EXERCISES ALONE IN CHRONIC NECK PAIN: RANDOMIZED CONTROLLED STUDY

Abstract

Objective: The aim of the study was to compare the effects of Mulligan mobilization techniques applied in addition to cervical stabilization exercises on pain intensity, range of motion (ROM), cervical muscle endurance, pressure pain threshold (PPT), and quality of life compared to cervical stabilization exercises alone in individuals with chronic neck pain (CNP). Method: Forty individuals with CNP were included in the study and randomly divided into two groups: the cervical stabilization group (SG, n=20) and the cervical stabilization-Mulligan mobilization group (SMG, n=20). The SG group only received cervical stabilization exercises for four weeks, while the SMG received Mulligan mobilization techniques for four weeks in addition to cervical stabilization exercises. Before and after the treatment programs, the subjects were evaluated in terms of pain intensity (visual analogue scale), ROM (goniometric measurement), cervical muscle endurance (endurance tests), PPT (algometric measurement), and quality of life (Short Form-36, SF-36). Results: Significant improvements were found in all parameters in both groups after the treatment programs (p<0.05). In addition, there were more improvements in ROM, PPT, and SF-36 scores in SMG compared to SG (p<0.05). Conclusion: The application of cervical stabilization exercises in CNP may improve pain intensity, ROM, cervical muscle endurance, PPT, and quality of life. However, it can be said that Mulligan mobilization techniques applied in addition to cervical stabilization exercises are more effective in improving ROM, PPT, and quality of life compared to cervical stabilization exercises alone in individuals with CNP.

Keywords

• Neck Pain
• Exercise
• Manipulative Therapies
• Quality of Life
• Rehabilitation

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