KRONİK İDİYOPATİK BOYUN AĞRILI BİREYLERDE TEK VE ÇİFT GÖREV YÜRÜYÜŞÜ SIRASINDA SPASYOTEMPORAL YÜRÜME PARAMETRELERİ, PELVİK HAREKETLER VE PELVİK SİMETRİ

Öz

Amaç: Boyun ağrısı yürüme bozuklukları ile ilişkilidir. Bu çalışmanın ilk amacı, Kronik İdiyopatik Boyun Ağrısı (CINP) olan kişilerde tekli ve ikili görev durumunda spasyotemporal yürüme parametrelerini, pelvik hareketleri ve pelvik simetriyi incelemek ve bunları sağlıklı bireylerle (HS) karşılaştırmaktır. Çalışmanın ikinci amacı ise CINP'li kişilerde yeti yitimi ve yürüyüş arasındaki ilişkiyi incelemektir. Yöntem: Çalışmaya 31 CINP'li birey (ortalama yaş 22,06±1,38 yıl, 18-56 yaş aralığında) ve 24 sağlıklı birey (ortalama yaş 22,60±1,51 yıl, 18-43 yaş aralığında) katıldı. CINP grubu Boyun Özürlülük İndeksi'ni tamamladı. Tüm katılımcılar 10 m'lik bir mesafeyi iki farklı şekilde yürüdüler ve başlangıç noktasına geri döndüler: (1) İlk olarak başları düz, normal yürüyüş hızında, (2) ikinci olarak ise başları düz, normal yürüyüş hızında, ellerinde bir tepsi taşıyarak. Spasyotemporal parametreleri (hız, kadans, adım uzunluğu), pelvik hareketleri (tilt, oblikite, rotasyon) ve pelvik simetriyi değerlendirmek için giyilebilir hareket analiz sistemi BTS G-Walk kullanıldı. Sonuçlar: Tek görev yürüyüşü sırasında, CINP grubu sağlıklı gruba göre anlamlı olarak daha düşük yürüme hızına, daha kısa adım uzunluğuna ve daha kötü pelvik tilt simetrisine sahipti (p<0,05), ancak gruplar arasında pelvik hareketlerde anlamlı farklılık yoktu (p<0,05). İkili görev sırasında, CINP grubu sağlıklı gruba göre anlamlı ölçüde daha düşük kadans, yürüme hızı ve adım uzunluğuna, anlamlı olarak artmış pelvik hareketlere (tilt, oblikite, rotasyon) ve anlamlı olarak daha kötü pelvik rotasyon simetrisine sahipti (p<0,05). Tartışma: CINP'li kişilerde sağlıklı bireylere kıyasla daha yavaş yürüyüş, daha düşük adım uzunluğu, azalmış pelvik simetri ve artmış pelvik hareketler vardı. İki grup arasındaki yürüyüş ve pelvik hareketlerdeki farklılıklar, ikili görev yürüyüşü sırasında, tekli görev yürüyüşüne göre daha belirgindi.

Anahtar Kelimeler

• Kronik idiyopatik boyun ağrısı
• İkili görev
• Yürüyüş
• Pelvik hareket.

SPATIOTEMPORAL GAIT PARAMETERS, PELVIC MOVEMENTS AND PELVIC SYMMETRY DURING WALKING WITH SINGLE AND DUAL-TASKS IN INDIVIDUALS WITH CHRONIC IDIOPATHIC NECK PAIN

Abstract

Purpose: Neck pain is associated with gait disturbances. The first aim of this study was to examine spatiotemporal gait parameters, pelvic movements and pelvic symmetry during single and dual task conditions in persons with Chronic Idiopathic Neck Pain (CINP) compared to healthy subjects (HS). The second aim was to investigate the relationship between disability and gait in persons with CINP. Methods: Thirty-one individuals with CINP (mean age 22.06±1.38 years, range 18-56 years) and 24 HS (mean age 22.60±1.51 years, range 18-43 years) participated in the study. CINP group completed Neck Disability Index. All participants performed 10-meter walking test in two conditions: (1) walking with head straight at usual speed, (2) walking with head straight at usual speed while carrying a tray. The BTS G-Walk wearable sensor was used to assess spatiotemporal parameters (speed, cadence, step length), pelvic movements (tilt, obliquity, rotation), and pelvic symmetry. Results: During single task gait, the CINP group had significantly lower walking speed, shorter stride length and worse pelvic tilt symmetry (p<0.05), but pelvic movements did not differ significantly according to the HS (p<0.05). During dual task condition, the CINP group had significantly lower cadence, gait speed and stride length, significantly increased pelvic movements and significantly worse pelvic rotation symmetry compared to HS (p<0.05). Conclusion: Patients with CINP had a slower gait, lower stride length, decreased pelvic symmetry and increased pelvic movements compared to HS. Differences in gait and pelvic movements between the two groups were more pronounced during the dual task gait than single task gait.

Keywords

• Chronic idiopathic neck pain
• Dual task
• gait
• Pelvic movement

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