KRONİK BOYUN AĞRISINDA ELEKTROMYOGRAFİ BİOFEEDBACK İLE RELAKSASYON EĞİTİMİNİN AĞRI, DİSABİLİTE VE DEPRESYON ÜZERİNDEKİ ETKİSİ

Year 2019, , 98 - 113, 01.08.2019

Hazal Öksüz Esra Atılgan

https://doi.org/10.25279/sak.486777

Abstract

Amaç:
Kronik boyun ağrısı olan bireylerde klasik fizyoterapi programı ve buna ek
olarak uygulanan Elektromyografi Biofeedback ile gevşeme eğitiminin; ağrı, kas
aktivasyon düzeyi, aktivite limitasyonu ve depresyon düzeyleri üzerindeki
etkisini kıyaslamaktır. Yöntem: Çalışmada Grup 1’e (n=20, 17 kadın,3
erkek,  yaş ortalaması= 44,85 ±12,51)
klasik fizyoterapiye (Transkutanöz Elektrik Sinir Stimulasyonu, ultrason,
hotpack ve ev egzersizi) ek olarak Elektromyografi Biofeedback ile gevşeme
eğitimi, Grup 2’ye (n=20, 15 kadın, 5 erkek, 
yaş ortalaması=43,84±12,33) ise sadece klasik fizyoterapi programı
uygulandı. Tedavi haftada beş gün, dört hafta yapıldı. Bireylere tedavi öncesi ve
sonrasında Vizüel Analog Skala, gonyometrik ölçümler (fleksiyon, ekstansiyon,
sağa ve sola lateral fleksiyon ve rotasyonlar), yüzeyel Elektromyografi
Biofeedback, Boyun Özürlülük Sorgulama Anketi ve Beck Depresyon Ölçeği
uygulandı. Sonuçlar: Tedavi sonrasında her iki grupta ağrının azaldığı ve tüm
yönlerde eklem hareket açıklığının arttığı görüldü (p=0,00). Her iki grupta sol
üst trapez kasında kas aktivasyon düzeyinin azaldığı (p=0,005), birinci grupta
sadece sağ üst trapez kasında azalma olduğu görüldü (p=0,003). Özürlülük anketi
(p=0,012) ve Beck Depresyon (p=0,001) skorlarında azalma belirtildi. Tartışma:
Elde edilen sonuçlar, her iki grupta da gelişme olduğu görüldü. Ancak Grup 1’de
ağrı, eklem hareket açıklığı, aktivite limitasyonu ve depresyon düzeyinde ki
gelişmelerin daha fazla olduğuna işaret etmektedir. Burdan yola çıkarak,
Elektromyografi Biofeedback ile gevşeme eğitiminin kliniklerde klasik
fizyoterapi programına eklenmesi ile daha etkili tedavi sonuçlarının elde
edilebileceği görüşüne varılmıştır.

Keywords

Biofeedback, Boyun Ağrısı, Elektromiyografi, Rehabilitasyon

EFFICACY OF ELECTROMYOGRAPHY BIOFEEDBACK WITH RELAXATION TRAINING ON PAIN, DISABILITE AND QUALITY OF LIFE IN CHRONIC NECK PAIN

Abstract

Purpose: The aim of
this study was to compare the effect of classical physiotherapy program in
patients with chronic neck pain , in addition to relaxation training with electromyography
biofeedback  on  pain, muscle activation level, activity
limitation and depression levels. Methods: In addition to classical
physiotherapy program (Transcutaneous Electrical Nerve Stimulation, ultrasound,
hot pack and home exercise), Group 1 ((n = 20, 17 females, 3 males, mean age=44.85
± 12.51) was treated with relaxation training with EMG-BF, and only classical
physiotherapy program was applied to Group 2 (n = 20, 15 female, 5 male, mean
age=43.84 ± 12.33). The treatment applied five days a week for four weeks.
Visual Analogue Scale , goniometric measurements (flexion, extension, right and
left lateral flexion and rotations), superficial electromyography biofeedback,
Neck Disability Index  and Beck
Depression Scale  were used to measure
the activation levels of upper trapezius muscle before and after treatment. Results:
There was a decrease in pain and increase all movement range of joint motion
after treatment in both groups (p=0.00). In the muscle activation level, there
was a significant improvement on the left trapezoid in both groups (p=0.005),
but in the first group only the right trapezius muscle showed improvement
(p=0.003). There was a decrease in the scores of disability (p=0.012) and depression
(p=0.001).   Conclusion: After treatment, improvement was
seen in both groups. But Grup 1 was found to be more effective in pain, range
of motion, activity limit and depression level. It has been concluded that the
relaxation training with electromyography biofeedback will provide more
effective treatment results by adding classical physiotherapy programs in
clinics.

Keywords

Biofeedback, Electromyography, Neck Pain, Rehabilitation

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