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KRONİK BOYUN AĞRILI HASTALARDA FARKLI SOLUNUM TİPLERİNİN SOLUNUM PARAMETRELERİ ÜZERİNE OLAN ETKİSİ

Year 2019, Volume: 30 Issue: 3, 183 - 190, 20.12.2019

Seval Tamer , Filiz Can Cemile Bozdemir Özel , Hülya Arıkan , H. Gökhan Demirkıran

https://doi.org/10.21653/tjpr.665181

Abstract

Amaç: Kronik boyun ağrısı olan hastalarda solunum parametrelerinde azalma olduğu belirtilmiştir.
Ancak farklı solunum tiplerinin solunum ile ilişkili parametreler üzerine etkisi kapsamlı olarak
incelenmemiştir. Bu çalışmanın amacı, kronik boyun ağrısı olan hastalarda farklı solunum tiplerinin
solunum parametreleri üzerine olan etkisini incelemekti.
Yöntem: Kesitsel araştırma yöntemi ile yapılan çalışmaya kronik boyun ağrısı tanısı alan 52 hasta
(yaş= 31,66±10,96 yıl) alındı. Solunum tipi üst-kostal tip (n=30) ve kosta-diyafragmatik tip (n=22)
solunum yapan hastalar üst göğüs solunum grubu (ÜGSG) ve diyafragmatik solunum grubu (DSG)
olarak ikiye ayrıldı. Bireylerin ağrı düzeyi, Görsel Analog Skalası ve özür düzeyi, Boyun Özürlülük
Anketi ile değerlendirildi. Solunum fonksiyonları (FVC: zorlu vital kapasite, FEV1: birinci saniyedeki
zorlu ekspirasyon volümü, FEV1/FVC oranı, PEF: tepe akım hızı, FEF%25-75: zorlu ekspiratuar volümün
% 25-75 değeri, VC: vital kapasite ve MVV: maksimum istemli ventilasyon) spirometre, inspiratuar
ve ekspiratuar solunum kas kuvveti (MIP ve MEP) ağız basıncı ölçüm cihazı ile ve solunum kas
enduransı sabit eşik yükte IMT cihazı kullanılarak değerlendirildi.
Sonuçlar: Dinamik akciğer volümleri ve VC değerleri gruplar arasında benzer bulundu (p>0,05).
MVV (p=0,026), MIP (p=0,041) ve solunum kas enduransı (p=0,044) ÜGSG’de DSG’ye göre anlamlı
düzeyde düşüktü.
Tartışma: Kronik boyun ağrılı hastalarda üst kostal tip solunum, kosta-diyafragmatik tip solunuma
göre MVV, MIP ve solunum enduransı değerlerinde azalmaya neden olmaktadır. Kronik boyun ağrılı
hastalarda boyun bölgesine yönelik nöromotor kontrol egzersizler ile solunum tipini düzenlemeye
yönelik egzersizler veya stratejilerin solunum parametrelerine etkisi araştırılmalıdır.

Keywords

Boyun Ağrısı

References

  • 1. Hoy DG, Protani M, De R, Buchbinder R. The epidemiology of neck pain. Best Pract Res Clin Rheumatol. 2010;24(6):783-92.
  • 2. Hill J, Lewis M, Papageorgiou AC, Dziedzic K, Croft P. Predicting persistent neck pain: a 1-year follow-up of a population cohort. Spine (Phila Pa 1976). 2004;29(15):1648-54.
  • 3. Kamibayashi LK, Richmond FJ. Morphometry of human neck muscles. Spine (Phila Pa 1976). 1998;23(12):1314-23.
  • 4. Falla DL, Jull GA, Hodges PW. Patients with neck pain demonstrate reduced electromyographic activity of the deep cervical flexor muscles during performance of the craniocervical flexion test. Spine (Phila Pa 1976). 2004;29(19):2108-14.
  • 5. Kapreli E, Vourazanis E, Strimpakos N. Neck pain causes respiratory dysfunction. Med Hypotheses. 2008;70(5):1009-13.
  • 6. Perri MA, Halford E. Pain and faulty breathing: a pilot study. J Body Mov Ther. 2004;8(4):297-306.
  • 7. Dimitriadis Z, Kapreli E, Strimpakos N, Oldham J. Pulmonary function of patients with chronic neck pain: a spirometry study. Respir Care. 2014;59(4):543-9.
  • 8. Kapreli E, Vourazanis E, Billis E, Oldham JA, Strimpakos N. Respiratory dysfunction in chronic neck pain patients: a pilot study. Cephalalgia. 2009;29(7):701-10.
  • 9. Dimitriadis Z, Kapreli E, Strimpakos N, Oldham J. Respiratory weakness in patients with chronic neck pain. Man Ther. 2013;18(3):248-53.
  • 10. Cagnie B, Danneels L, Cools A, Dickx N, Cambier D. The influence of breathing type, expiration and cervical posture on the performance of the cranio-cervical flexion test in healthy subjects. Man Ther. 2008;13(3):232-8.
  • 11. Clark P, Lavielle P, Martinez H. Learning from pain scales: patient perspective. J Rheumatol. 2003;30(7):1584-8.
  • 12. Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991;14(7):409-15.
  • 13. Aslan E, Karaduman A, Yakut Y, Aras B, Simsek IE, Yagly N. The cultural adaptation, reliability and validity of neck disability index in patients with neck pain: a Turkish version study. Spine (Phila Pa 1976). 2008;33(11):E362-5.
  • 14. De Mayo T, Miralles R, Barrero D, Bulboa A, Carvajal D, Valenzuela S, et al. Breathing type and body position effects on sternocleidomastoid and suprahyoid EMG activity. J Oral Rehabil. 2005;32(7):487-94.
  • 15. Celhay I, Cordova R, Miralles R, Meza F, Erices P, Barrientos C, et al. Effect of upper costal and costo-diaphragmatic breathing types on electromyographic activity of respiratory muscles. Cranio. 2015;33(2):100-6.
  • 16. Pellegrino R, Viegi G, Brusasco V, Crapo RO, Burgos F, Casaburi R, et al. Interpretative strategies for lung function tests. Eur Respir J. 2005;26(5):948-68.
  • 17. Miller MR, Crapo R, Hankinson J, Brusasco V, Burgos F, Casaburi R, et al. General considerations for lung function testing. Eur Respir J. 2005;26(1):153-61. 18. American Thoracic Society/European Respiratory S. ATS/ERS Statement on respiratory muscle testing. Am J Respir Crit Care Med. 2002;166(4):518-624.
  • 19. Black LF, Hyatt RE. Maximal respiratory pressures: normal values and relationship to age and sex. Am Rev Respir Dis. 1969;99(5):696-702.
  • 20. Matecki S, Topin N, Hayot M, Rivier F, Echenne B, Prefaut C, et al. A standardized method for the evaluation of respiratory muscle endurance in patients with Duchenne muscular dystrophy. Neuromuscul Disord. 2001;11(2):171-7.
  • 21. Nickerson BG, Keens TG. Measuring ventilatory muscle endurance in humans as sustainable inspiratory pressure. J Appl Physiol Respir Environ Exerc Physiol. 1982;52(3):768-72.
  • 22. Greeg LR. Manual of pulmonary function testing. 9th ed. Greeg LR, ed. China: Mosby; 2009.
  • 23. Wirth B, Amstalden M, Perk M, Boutellier U, Humphreys BK. Respiratory dysfunction in patients with chronic neck pain: influence of thoracic spine and chest mobility. Man Ther. 2014;19(5):440-4.
  • 24. Prigent H, Orlikowski D, Letilly N, Falaize L, Annane D, Sharshar T, et al. Vital capacity versus maximal inspiratory pressure in patients with Guillain-Barre syndrome and myasthenia gravis. Neurocrit Care. 2012;17(2):236-9.
  • 25. Roth EJ, Nussbaum SB, Berkowitz M, Primack S, Oken J, Powley S, et al. Pulmonary function testing in spinal cord injury: correlation with vital capacity. Paraplegia. 1995;33(8):454-7.
  • 26. Lavietes MH, Clifford E, Silverstein D, Stier F, Reichman LB. Relationship of static respiratory muscle pressure and maximum voluntary ventilation in normal subjects. Respiration. 1979;38(3):121-6.
  • 27. Hough A. Physiotherapy in respiratory care: an evidence-based approach to respiratory and cardiac management. 3rd ed. Croatia: Nelson Thornes; 2001.
  • 28. Sclauser Pessoa IM, Franco Parreira V, Fregonezi GA, Sheel AW, Chung F, Reid WD. Reference values for maximal inspiratory pressure: a systematic review. Can Respir J. 2014;21(1):43-50.

Year 2019, Volume: 30 Issue: 3, 183 - 190, 20.12.2019

Seval Tamer , Filiz Can Cemile Bozdemir Özel , Hülya Arıkan , H. Gökhan Demirkıran

https://doi.org/10.21653/tjpr.665181

Abstract

References

  • 1. Hoy DG, Protani M, De R, Buchbinder R. The epidemiology of neck pain. Best Pract Res Clin Rheumatol. 2010;24(6):783-92.
  • 2. Hill J, Lewis M, Papageorgiou AC, Dziedzic K, Croft P. Predicting persistent neck pain: a 1-year follow-up of a population cohort. Spine (Phila Pa 1976). 2004;29(15):1648-54.
  • 3. Kamibayashi LK, Richmond FJ. Morphometry of human neck muscles. Spine (Phila Pa 1976). 1998;23(12):1314-23.
  • 4. Falla DL, Jull GA, Hodges PW. Patients with neck pain demonstrate reduced electromyographic activity of the deep cervical flexor muscles during performance of the craniocervical flexion test. Spine (Phila Pa 1976). 2004;29(19):2108-14.
  • 5. Kapreli E, Vourazanis E, Strimpakos N. Neck pain causes respiratory dysfunction. Med Hypotheses. 2008;70(5):1009-13.
  • 6. Perri MA, Halford E. Pain and faulty breathing: a pilot study. J Body Mov Ther. 2004;8(4):297-306.
  • 7. Dimitriadis Z, Kapreli E, Strimpakos N, Oldham J. Pulmonary function of patients with chronic neck pain: a spirometry study. Respir Care. 2014;59(4):543-9.
  • 8. Kapreli E, Vourazanis E, Billis E, Oldham JA, Strimpakos N. Respiratory dysfunction in chronic neck pain patients: a pilot study. Cephalalgia. 2009;29(7):701-10.
  • 9. Dimitriadis Z, Kapreli E, Strimpakos N, Oldham J. Respiratory weakness in patients with chronic neck pain. Man Ther. 2013;18(3):248-53.
  • 10. Cagnie B, Danneels L, Cools A, Dickx N, Cambier D. The influence of breathing type, expiration and cervical posture on the performance of the cranio-cervical flexion test in healthy subjects. Man Ther. 2008;13(3):232-8.
  • 11. Clark P, Lavielle P, Martinez H. Learning from pain scales: patient perspective. J Rheumatol. 2003;30(7):1584-8.
  • 12. Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991;14(7):409-15.
  • 13. Aslan E, Karaduman A, Yakut Y, Aras B, Simsek IE, Yagly N. The cultural adaptation, reliability and validity of neck disability index in patients with neck pain: a Turkish version study. Spine (Phila Pa 1976). 2008;33(11):E362-5.
  • 14. De Mayo T, Miralles R, Barrero D, Bulboa A, Carvajal D, Valenzuela S, et al. Breathing type and body position effects on sternocleidomastoid and suprahyoid EMG activity. J Oral Rehabil. 2005;32(7):487-94.
  • 15. Celhay I, Cordova R, Miralles R, Meza F, Erices P, Barrientos C, et al. Effect of upper costal and costo-diaphragmatic breathing types on electromyographic activity of respiratory muscles. Cranio. 2015;33(2):100-6.
  • 16. Pellegrino R, Viegi G, Brusasco V, Crapo RO, Burgos F, Casaburi R, et al. Interpretative strategies for lung function tests. Eur Respir J. 2005;26(5):948-68.
  • 17. Miller MR, Crapo R, Hankinson J, Brusasco V, Burgos F, Casaburi R, et al. General considerations for lung function testing. Eur Respir J. 2005;26(1):153-61. 18. American Thoracic Society/European Respiratory S. ATS/ERS Statement on respiratory muscle testing. Am J Respir Crit Care Med. 2002;166(4):518-624.
  • 19. Black LF, Hyatt RE. Maximal respiratory pressures: normal values and relationship to age and sex. Am Rev Respir Dis. 1969;99(5):696-702.
  • 20. Matecki S, Topin N, Hayot M, Rivier F, Echenne B, Prefaut C, et al. A standardized method for the evaluation of respiratory muscle endurance in patients with Duchenne muscular dystrophy. Neuromuscul Disord. 2001;11(2):171-7.
  • 21. Nickerson BG, Keens TG. Measuring ventilatory muscle endurance in humans as sustainable inspiratory pressure. J Appl Physiol Respir Environ Exerc Physiol. 1982;52(3):768-72.
  • 22. Greeg LR. Manual of pulmonary function testing. 9th ed. Greeg LR, ed. China: Mosby; 2009.
  • 23. Wirth B, Amstalden M, Perk M, Boutellier U, Humphreys BK. Respiratory dysfunction in patients with chronic neck pain: influence of thoracic spine and chest mobility. Man Ther. 2014;19(5):440-4.
  • 24. Prigent H, Orlikowski D, Letilly N, Falaize L, Annane D, Sharshar T, et al. Vital capacity versus maximal inspiratory pressure in patients with Guillain-Barre syndrome and myasthenia gravis. Neurocrit Care. 2012;17(2):236-9.
  • 25. Roth EJ, Nussbaum SB, Berkowitz M, Primack S, Oken J, Powley S, et al. Pulmonary function testing in spinal cord injury: correlation with vital capacity. Paraplegia. 1995;33(8):454-7.
  • 26. Lavietes MH, Clifford E, Silverstein D, Stier F, Reichman LB. Relationship of static respiratory muscle pressure and maximum voluntary ventilation in normal subjects. Respiration. 1979;38(3):121-6.
  • 27. Hough A. Physiotherapy in respiratory care: an evidence-based approach to respiratory and cardiac management. 3rd ed. Croatia: Nelson Thornes; 2001.
  • 28. Sclauser Pessoa IM, Franco Parreira V, Fregonezi GA, Sheel AW, Chung F, Reid WD. Reference values for maximal inspiratory pressure: a systematic review. Can Respir J. 2014;21(1):43-50.
There are 27 citations in total.

Details

Primary Language Turkish
Subjects Rehabilitation
Journal Section Araştırma Makaleleri
Authors

Seval Tamer

Filiz Can This is me

Cemile Bozdemir Özel

Hülya Arıkan

H. Gökhan Demirkıran This is me

Publication Date December 20, 2019
Published in Issue Year 2019 Volume: 30 Issue: 3

Cite

APA Tamer, S., Can, F., Bozdemir Özel, C., Arıkan, H., et al. (2019). KRONİK BOYUN AĞRILI HASTALARDA FARKLI SOLUNUM TİPLERİNİN SOLUNUM PARAMETRELERİ ÜZERİNE OLAN ETKİSİ. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, 30(3), 183-190. https://doi.org/10.21653/tjpr.665181
AMA Tamer S, Can F, Bozdemir Özel C, Arıkan H, Demirkıran HG. KRONİK BOYUN AĞRILI HASTALARDA FARKLI SOLUNUM TİPLERİNİN SOLUNUM PARAMETRELERİ ÜZERİNE OLAN ETKİSİ. Turk J Physiother Rehabil. December 2019;30(3):183-190. doi:10.21653/tjpr.665181
Chicago Tamer, Seval, Filiz Can, Cemile Bozdemir Özel, Hülya Arıkan, and H. Gökhan Demirkıran. “KRONİK BOYUN AĞRILI HASTALARDA FARKLI SOLUNUM TİPLERİNİN SOLUNUM PARAMETRELERİ ÜZERİNE OLAN ETKİSİ”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi 30, no. 3 (December 2019): 183-90. https://doi.org/10.21653/tjpr.665181.
EndNote Tamer S, Can F, Bozdemir Özel C, Arıkan H, Demirkıran HG (December 1, 2019) KRONİK BOYUN AĞRILI HASTALARDA FARKLI SOLUNUM TİPLERİNİN SOLUNUM PARAMETRELERİ ÜZERİNE OLAN ETKİSİ. Türk Fizyoterapi ve Rehabilitasyon Dergisi 30 3 183–190.
IEEE S. Tamer, F. Can, C. Bozdemir Özel, H. Arıkan, and H. G. Demirkıran, “KRONİK BOYUN AĞRILI HASTALARDA FARKLI SOLUNUM TİPLERİNİN SOLUNUM PARAMETRELERİ ÜZERİNE OLAN ETKİSİ”, Turk J Physiother Rehabil, vol. 30, no. 3, pp. 183–190, 2019, doi: 10.21653/tjpr.665181.
ISNAD Tamer, Seval et al. “KRONİK BOYUN AĞRILI HASTALARDA FARKLI SOLUNUM TİPLERİNİN SOLUNUM PARAMETRELERİ ÜZERİNE OLAN ETKİSİ”. Türk Fizyoterapi ve Rehabilitasyon Dergisi 30/3 (December 2019), 183-190. https://doi.org/10.21653/tjpr.665181.
JAMA Tamer S, Can F, Bozdemir Özel C, Arıkan H, Demirkıran HG. KRONİK BOYUN AĞRILI HASTALARDA FARKLI SOLUNUM TİPLERİNİN SOLUNUM PARAMETRELERİ ÜZERİNE OLAN ETKİSİ. Turk J Physiother Rehabil. 2019;30:183–190.
MLA Tamer, Seval et al. “KRONİK BOYUN AĞRILI HASTALARDA FARKLI SOLUNUM TİPLERİNİN SOLUNUM PARAMETRELERİ ÜZERİNE OLAN ETKİSİ”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, vol. 30, no. 3, 2019, pp. 183-90, doi:10.21653/tjpr.665181.
Vancouver Tamer S, Can F, Bozdemir Özel C, Arıkan H, Demirkıran HG. KRONİK BOYUN AĞRILI HASTALARDA FARKLI SOLUNUM TİPLERİNİN SOLUNUM PARAMETRELERİ ÜZERİNE OLAN ETKİSİ. Turk J Physiother Rehabil. 2019;30(3):183-90.