Research Article
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Comparison of patients with cervical and lumbar pain problems for pain, emotional status, and quality of life

Year 2012, Volume: 23 Issue: 2, 90 - 99, 01.08.2012

Abstract

Purpose: The purpose of this study was to compare the patients with cervical and lumbar region pain problems for pain, emotional status and quality of life. Methods: Six hundred voluntary patients aged between 20-65 years (lumbar group: 43.2±11 years, neck group: 42,8±10,2 years), 300 of the patients with cervical pain and 300 patients with low back pain problems participated in the study. We evaluated the degree and nature of pain by Short Form McGill Pain Questionnaire (SF-MPQ), the emotional status by Hospital Anxiety-Depression Measure (HAD) and the quality of life by Nottingham Health Profile (NHP). Results: There was no difference between pain scores of the patients (lumbar group: 6.7±2, neck group: 6.8±2) (p>0.05). Comparisons showed that there was no statistically significant relationship between the groups for HAD scores (HADanxiety lumbar group 7.92±3.99 cervical group 8.02±4, HADdepression lumbar group 6.46±3.68 cervical group 6.54±3.65) (p>0.05), but there was significant difference for pain and physical activity parameters of NHP scores for back pain group (NHP pain; lumbar group: 54.85±26.16, neck group: 45.13±29.47), (NHP physical activity; lumbar group: 33.35±16.18, neck group: 25.65±17.51) (p<0.05). Conclusion: The result of the study showed that the quality of life for low back pain group was more affected than neck pain group.

References

  • Abbed KM, Coumans JV. Cervical radiculopathy, pathophysiology, presentation, and clinical evaluation. Neurosurgery. 2007;60( Suppl 1):S28-S34.
  • Code P, Cassidy JD, Carroll L, et al. The Saskatchewan health and back pain survey: The prevalence of neck pain and related disability in Saskatchewan adults. Spine (Phila Pa 1976). 1998;23: 1689-1698.
  • Borenstein DG, Wiesel SW, Boden SD, et al. Low Back and Neck Pain. Comprehensive Diagnosis and Management. Philadelphia: Saunders. 2004.
  • Tuçer B, Yalçın BM, Öztürk A, et al. Risk factors for low back pain and its relation with pain related disability and depression in a Turkish sample. Turk Neurosurg. 2009;19:4:327-332.
  • Yıldırım Y. Boyun ağrısına etki eden risk faktörleri. Fizyoter Rehabil. 2004;15:3:114-119.
  • Wang WTJ, Olson SL, Campbell AH, et al. Effectiveness of physical therapy for patients with neck pain. an individualized approach using a clinical decision-making algorithm. Arch Phys Med Rehabil. 2003;82:203-218.
  • Chiu TT, Lam TH, Hedley AJ, et al. Correlation among physical impairments, pain, disability, and patient satisfaction in patients with chronic neck pain. Arch Phys Med Rehabil. 2005;86:535-540.
  • Ay S, Evcik D. Kronik bel ağrılı hastalarda depresyon ve yaşam kalitesi. Yeni Tıp Dergisi. 2008;25:228-231.
  • Turk DS, Robinson JP, Sherman JJ, et al. Assessing fear in patients with cervical pain: development and validation of the Pictorial Fear of Activity Scale – Cervical (PFActS-C). Pain. 2008;139:55-62.
  • Yakut Y, Yakut E, Bayar K, et al. Reliability and validity of the Turkish version short-form McGill Pain Questionnaire in patients with rheumatoid arthritis. Clin Rhemumatol. 2007;26:1083-1087.
  • Mezack R. The Short Form McGill Pain Questionnaire. Pain. 1987;30:191-197.
  • Aydemir Ö, Güvenir T, Küey L. Kültür S. Hastane anksiyete ve depresyon ölçeği Türkçe formunun geçerlilik ve güvenilirliği. Türk Psikiyatri Dergisi. 1997;8:280-287.
  • Küçükdeveci AA, Yavuzer G, Elhan AH, et al. Adaptation of the functional independence measure for use in Turkey. Clin Rehabil. 2001;15:311-318.
  • Alpar R. Spor Bilimlerinde Uygulamalı İstatistik. Nobel Yayın Dağıtımı; 2006.
  • Yozbatıran N. Lumbar Disk Hernisi olan Kronik bel ağrılı hastalarda fitnes programı ve su içi egzersiz uygulamalarının karşılaştırılması. Fizyoter Rehabil. 2002;13:2:77-82
  • Kwon MA, Shim WS, Kim MH, et al. A Correlation between low back pain and associated factors: A study involving 772 patients who had undergone general physical examination. J Korean Med Sci. 2006;21:1086-1091.
  • Hush JM, Michaleff Z, Maher, CG, et al. Individual, physical and psychological risk factors for neck pain in Australian office workers. Eur Spine J 2009;18:1532–1540.
  • Aydoğan S. Bel ağrısında farklı fizyoterapi programlarının etkinliğinin karşılaştırılması. Fizik Tedavi ve Rehabilitasyon Programı Yüksek Lisans Tezi. Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü; 2009.
  • Leboeuf-Yde C, Nielsen J, Kyvik Ko, et al. Pain in the lumbar, thoracic or cervical regions: do age and gender matter? BMC Musculoskelet Disord. 2009;10:39.
  • Linton, Steven JA. Review of psychological risk factors in back and neck pain. Spine. 2000;25:9:1148- 1156.
  • Yazıcı K, Tot Ş, Biçer A, et al. Bel ve boyun ağrısı hastalarında anksiyete, depresyon ve yaşam kalitesi. Klinik Psikiyatri. 2003;6:95-101.
  • Lin RF, Chang JJ, Lu YM, et al. Correlations between quality of life and psychological factors in patients with chronic neck. Kaohsiung J Med Sci. 2010;26:13-20.
  • Hagen EM, Svensen E, Eriksen HR, et al. Comorbid subjective health complaints in low back pain. Spine (Phila Pa 1976). 2006;31:1491-1495.
  • Dündar Ü, Solak Ö, Demirdal ÜS, et al. Kronik bel ağrılı hastalarda ağrı, yeti yitimi ve depresyonun yaşam kalitesi ile ilişkisi. Genel Tıp Derg. 2009;19:3:99-104.
  • Rezai M, Cote P, Cassidy JD, et al. The association between prevalent neck pain and health-related quality of life: a cross-sectional analysis. Eur Spine J. 2009;18:371-381.
  • Kose N, Otman AS. Comparison of the quality of life of patients with lumbar and cervical disc herniation. Pain Clinic. 2004;16:3:281-286.
  • Kovacs FM, Abraira V, Zamora J, et al. Correlation between pain, disability, and quality of life in patients with common low back pain. Spine (Phila Pa 1976). 2004;29:206-210.
  • Kovacs MF, Abraira V, Zamora J, et al. The transition from acute to subacute and chronic low back pain. Spine (Phila Pa 1976). 2005;30:1786-1792.

Servikal ve lumbar ağrı problemi olan hastaların ağrı, emosyonel durum ve yaşam kalitelerinin karşılaştırılması

Year 2012, Volume: 23 Issue: 2, 90 - 99, 01.08.2012

Abstract

Amaç: Bu çalışmanın amacı servikal ve lumbar ağrısı olan hastalarda ağrı, emosyonel durum ve yaşam kalitelerini karşılaştırmaktı. Yöntem: Çalışmada yaşları 20-65 yıl arasında (lumbar bölge: 43.2±11 yıl, servikal bölge: 42.8±10.2 yıl) 300 bel ve 300 boyun ağrısı olan toplam 600 gönüllü hasta yer aldı. Hastaların ağrı şiddetleri ve niteliği Kısa Form McGill Ağrı Anketi (KF-MAA), emosyonel durumu Hastane Anksiyete-Depresyon Ölçeği (HAD) ve yaşam kalitesi Nottingham Sağlık Profili (NSP) ile değerlendirildi. Sonuçlar: Hastaların ağrı şiddeti sonuçları arasında fark yoktu (lumbar bölge: 6.7±2 cm, servikal bölge: 6.8±2 cm) (p>0.05). HAD sonuçları karşılaştırıldığında gruplar arasında fark bulunmadı (p>0.05). NSP’nin ağrı, fiziksel aktivite parametreleri arasında lumbar bölgenin daha fazla etkilendiği gözlendi (NSP ağrı; lumbar bölge: 54.85±26.16, servikal bölge: 45.13±29.47), (NSP fiziksel aktivite; lumbar bölge: 33.35±16.18, servikal bölge: 25.65±17.51), (p

References

  • Abbed KM, Coumans JV. Cervical radiculopathy, pathophysiology, presentation, and clinical evaluation. Neurosurgery. 2007;60( Suppl 1):S28-S34.
  • Code P, Cassidy JD, Carroll L, et al. The Saskatchewan health and back pain survey: The prevalence of neck pain and related disability in Saskatchewan adults. Spine (Phila Pa 1976). 1998;23: 1689-1698.
  • Borenstein DG, Wiesel SW, Boden SD, et al. Low Back and Neck Pain. Comprehensive Diagnosis and Management. Philadelphia: Saunders. 2004.
  • Tuçer B, Yalçın BM, Öztürk A, et al. Risk factors for low back pain and its relation with pain related disability and depression in a Turkish sample. Turk Neurosurg. 2009;19:4:327-332.
  • Yıldırım Y. Boyun ağrısına etki eden risk faktörleri. Fizyoter Rehabil. 2004;15:3:114-119.
  • Wang WTJ, Olson SL, Campbell AH, et al. Effectiveness of physical therapy for patients with neck pain. an individualized approach using a clinical decision-making algorithm. Arch Phys Med Rehabil. 2003;82:203-218.
  • Chiu TT, Lam TH, Hedley AJ, et al. Correlation among physical impairments, pain, disability, and patient satisfaction in patients with chronic neck pain. Arch Phys Med Rehabil. 2005;86:535-540.
  • Ay S, Evcik D. Kronik bel ağrılı hastalarda depresyon ve yaşam kalitesi. Yeni Tıp Dergisi. 2008;25:228-231.
  • Turk DS, Robinson JP, Sherman JJ, et al. Assessing fear in patients with cervical pain: development and validation of the Pictorial Fear of Activity Scale – Cervical (PFActS-C). Pain. 2008;139:55-62.
  • Yakut Y, Yakut E, Bayar K, et al. Reliability and validity of the Turkish version short-form McGill Pain Questionnaire in patients with rheumatoid arthritis. Clin Rhemumatol. 2007;26:1083-1087.
  • Mezack R. The Short Form McGill Pain Questionnaire. Pain. 1987;30:191-197.
  • Aydemir Ö, Güvenir T, Küey L. Kültür S. Hastane anksiyete ve depresyon ölçeği Türkçe formunun geçerlilik ve güvenilirliği. Türk Psikiyatri Dergisi. 1997;8:280-287.
  • Küçükdeveci AA, Yavuzer G, Elhan AH, et al. Adaptation of the functional independence measure for use in Turkey. Clin Rehabil. 2001;15:311-318.
  • Alpar R. Spor Bilimlerinde Uygulamalı İstatistik. Nobel Yayın Dağıtımı; 2006.
  • Yozbatıran N. Lumbar Disk Hernisi olan Kronik bel ağrılı hastalarda fitnes programı ve su içi egzersiz uygulamalarının karşılaştırılması. Fizyoter Rehabil. 2002;13:2:77-82
  • Kwon MA, Shim WS, Kim MH, et al. A Correlation between low back pain and associated factors: A study involving 772 patients who had undergone general physical examination. J Korean Med Sci. 2006;21:1086-1091.
  • Hush JM, Michaleff Z, Maher, CG, et al. Individual, physical and psychological risk factors for neck pain in Australian office workers. Eur Spine J 2009;18:1532–1540.
  • Aydoğan S. Bel ağrısında farklı fizyoterapi programlarının etkinliğinin karşılaştırılması. Fizik Tedavi ve Rehabilitasyon Programı Yüksek Lisans Tezi. Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü; 2009.
  • Leboeuf-Yde C, Nielsen J, Kyvik Ko, et al. Pain in the lumbar, thoracic or cervical regions: do age and gender matter? BMC Musculoskelet Disord. 2009;10:39.
  • Linton, Steven JA. Review of psychological risk factors in back and neck pain. Spine. 2000;25:9:1148- 1156.
  • Yazıcı K, Tot Ş, Biçer A, et al. Bel ve boyun ağrısı hastalarında anksiyete, depresyon ve yaşam kalitesi. Klinik Psikiyatri. 2003;6:95-101.
  • Lin RF, Chang JJ, Lu YM, et al. Correlations between quality of life and psychological factors in patients with chronic neck. Kaohsiung J Med Sci. 2010;26:13-20.
  • Hagen EM, Svensen E, Eriksen HR, et al. Comorbid subjective health complaints in low back pain. Spine (Phila Pa 1976). 2006;31:1491-1495.
  • Dündar Ü, Solak Ö, Demirdal ÜS, et al. Kronik bel ağrılı hastalarda ağrı, yeti yitimi ve depresyonun yaşam kalitesi ile ilişkisi. Genel Tıp Derg. 2009;19:3:99-104.
  • Rezai M, Cote P, Cassidy JD, et al. The association between prevalent neck pain and health-related quality of life: a cross-sectional analysis. Eur Spine J. 2009;18:371-381.
  • Kose N, Otman AS. Comparison of the quality of life of patients with lumbar and cervical disc herniation. Pain Clinic. 2004;16:3:281-286.
  • Kovacs FM, Abraira V, Zamora J, et al. Correlation between pain, disability, and quality of life in patients with common low back pain. Spine (Phila Pa 1976). 2004;29:206-210.
  • Kovacs MF, Abraira V, Zamora J, et al. The transition from acute to subacute and chronic low back pain. Spine (Phila Pa 1976). 2005;30:1786-1792.
There are 28 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Research Article
Authors

This is me

Publication Date August 1, 2012
Published in Issue Year 2012 Volume: 23 Issue: 2