Pelvik Kuşak Ağrısı Olan ve Olmayan Gebelerde Spinal Postür, Kinezyofobi, Ağrı Felaketleştirme ve Dizabilitenin Karşılaştırılması: Tanımlayıcı Çalışma

Yıl 2025, Cilt: 8 Sayı: 1, 9 - 16

Esra Gökdemir , Nihan Erdoğan Atalay , Mehmet Ata Topçuoğlu , Nuriye Özengin

Öz

Çalışmanın amacı pelvik kuşak ağrısı olan ve olmayan gebelerde spinal postür, kinezyofobi, ağrı felaketleştirme ve dizabilitenin karşılaştırılmasıydı. Çalışmaya toplamda 54 gebe kadın dahil edildi. Gebeler pelvik kuşak ağrısı olan (n=27) ve pelvik kuşak ağrısı olmayan (n=27) olmak üzere iki gruba ayrıldı. Gebelerin fiziksel ve sosyodemografik özellikleri sorgulandı. Gebelerin pelvik kuşak ağrısı Pelvik Kuşak Anketi ile ağrı şiddeti Vizüel Analog Skala ile ağrı felaketleştirme derecesi Ağrı Felaketleştirme Ölçeği ile ağrı aktivite paternleri Ağrı Aktivite Paternleri Ölçeği ile dizabilite dereceleri Oswestry Dizabilite İndeksi ile kinezyofobileri Tampa Kinezyofobi Ölçeği ile değerlendirildi. Gebelerin sagital postürlerini değerlendirmek için Spinal Mouse kullanıldı. Gebelerin sakrum- kalça, torakal açı, uzunluk değerleri ve kinezyofobi değerleri her iki grupta da benzer bulundu (P>0,05). Pelvik kuşak ağrısı olanların VAS skorları daha yüksekti (P<0,001). İki grupta da Ağrı Felaketleştirme Ölçeği ve Ağrı Aktivite Paternleri Ölçeği skorlarının ortalama değerleri benzer bulundu (P>0,05). Pelvik kuşak ağrısı olanların dizabilite düzeyi daha yüksek bulundu (P<0,001). Bu çalışmanın sonucunda pelvik kuşak ağrısı olan ve olmayan gebelerde spinal postür, kinezyofobi, ağrı felaketleştirme düzeyi ve ağrı aktivite paternlerinin benzer olduğu görüldü. Pelvik kuşak ağrısı olan gebelerde ağrı şiddetinin ve dizabilite düzeyinin daha yüksek olduğu saptandı. Gebelerin rutin değerlendirmelerine dizabilite, kinezyofobi ve ağrı parametrelerinin de eklenmesi gerektiği görüşündeyiz.

Anahtar Kelimeler

Pelvik kuşak ağrısı, Postür, Gebelik, Pelvik ağrı

Proje Numarası

(Protokol NO. 2020/151)

Comparison of Spinal Posture, Kinesiophobia, Pain Catastrophizing and Disability in Pregnant Women with and without Pelvic Girdle Pain: Descriptive Study

Öz

The aim of this study was to compare spinal posture, kinesiophobia, pain catastrophizing and disability in pregnant women with and without pelvic girdle pain. A total of 54 pregnant women were included in the study. The pregnant women were divided into two groups as those with pelvic girdle pain (n=27) and those without pelvic girdle pain (n=27). The physical and sociodemographic characteristics of the pregnant women were questioned. Pregnant women's pelvic girdle pain was evaluated with the Pelvic Girdle Questionnaire, pain intensity with the Visual Analog Scale, pain catastrophizing degree with the Pain Catastrophizing Scale, pain activity patterns with the Patterns of Activity Measure-Pain, disability degrees with the Oswestry Disability Index, and kinesiophobia with the Tampa Kinesiophobia Scale. Spinal Mouse was used to evaluate the sagittal postures of pregnant women. Sacrum-hip, thoracic angle, length values and kinesiophobia values of the pregnant women were found to be similar in both groups (P>0.05). Those with pelvic girdle pain had higher VAS scores (P<0.001). The mean scores of Pain Catastrophizing Scale and Pain Activity Patterns Scale scores were similar in both groups (P>0.05). The disability level was found to be higher in patients with pelvic girdle pain (P<0.001). As a result of this study, spinal posture, kinesiophobia, pain catastrophizing level and pain activity patterns were found to be similar in pregnant women with and without pelvic girdle pain. It was determined that the severity of pain and disability level were higher in pregnant women with pelvic girdle pain. We think that disability, kinesiophobia and pain parameters should be added to the routine evaluations of pregnant women.

Anahtar Kelimeler

Pelvic girdle pain, Posture, Pregnancy, Pelvic pain

Proje Numarası

(Protokol NO. 2020/151)

Kaynakça

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