Lateral Epı̇kondı̇lı̇t Hastalarında Boyun Kasları Kuvvetı̇ ve Enduransı

Abstract

Amaç: Lateral Epikondilit (LE) ön kol dışında farklı bölgelerde de fonksiyon bozukluklarına neden olabilir. Bu çalışmanın amacı; LE hastalarında servikal bölge fonksiyonlarını, güç ve endurans açısından değerlendirmek ve sağlıklı kontrollerle karşılaştırmaktır. Gereç ve Yöntem: Çalışmaya LE’i olan (Çalışma Grubu; N:30) ve sağlıklı bireylerden (Kontrol Grubu; N:30) toplam 60 birey dahil edildi. Her iki gruptaki bireylerde servikal ağrı şiddeti (VAS), boyun özür düzeyi (BÖİ), derin servikal fleksör kasların kuvveti (Stabilizer Pressure Biofeedback), servikal kas enduransı (Endurans Testleri, sn.) ve El kavrama kuvveti (hidrolik el dinamometresi) değerlendirildi. Bulgular: LE hastalarında servikal bölgede derin servikal fleksör kasların kuvvetinde (p<0,05) ve servikal ekstansör kasların enduransında kontrol grubuna göre azalma olduğu belirlenmiştir (p<0,001). Çalışma grubu bireylerinde ağrı şiddetinin daha yüksek (p<0.01) ve boyun fonksiyonlarının daha düşük olduğu belirlenmiştir (p<0.01). Sonuç: Bu çalışmanın sonuçları LE’in ağrı şiddetini arttırdığını, boyun fonksiyonlarını, servikal kas kuvveti ve enduransını azalttığını göstermiştir. Bu nedenle LE’li bireylerin servikal bölge kasları değerlendirilerek gerekli durumlarda tedavi programına dahil edilmelidir.

Keywords

• Lateral Epikondilit
• Ağrı
• Tenisçi Dirseği
• Boyun Özür İdeksi

Neck Muscle Strength and Endurance in Patients with Lateral Epicondylitis

Abstract

Objective: Lateral Epicondylitis (LE) can cause dysfunction in different regions besides the forearm. The aim of this study was to evaluate cervical region such as muscle strength and endurance in LE patients and to compare them with healthy controls. Material and Methods: A total of 60 individuals with LE (Study Group; N: 30) and healthy individuals (Control Group; N: 30) were included in the study. All the participants were evaluated in terms of cervical pain severity (VAS), neck disability level (NDI), deep cervical flexor muscle strength (Stabilizer Pressure Biofeedback), cervical muscle endurance (Endurance Tests, sec.), and hand grip strength (hydraulic hand dynamometer). Results: It was determined that the strength of the deep cervical flexor muscles in the cervical region (p<0.05) and the endurance of the cervical extensor muscles were decreased in LE patients compared to the control group (p<0.001). On the other hand, the severity of pain (p<0.01) and level of neck disability in the study group individuals were higher than those in the control group (p<0.01). Conclusion: The results of this study showed that LE increased pain intensity, decreased neck function, cervical muscle strength and endurance. Therefore, we think that the cervical muscles of individuals with LE should be evaluated and included in the treatment program when necessary.

Keywords

• lateral epicondylitis
• Pain
• tennis elbow
• neck disability index

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