Yaşlı Erişkinlerde Ağrı Algısı, Temporomandibular Bozuklukların Şiddeti ve Omurga Sağlığı Arasındaki İlişki: Kesitsel Çalışma

Öz

Giriş ve Amaç: Bu çalışmada, yaşlı bireylerde ağrı algısı, temporomandibular bozuklukların şiddeti ve omurga fonksiyonelliği ile bunlar arasındaki ilişkiyi belirlemek amaçlanmıştır. Gereç ve Yöntemler: Çalışmaya ortalama yaşı 71,57±6,30 yıl (65-95 arası) olan toplam 301 birey (177 kadın ve 124 erkek) katıldı. Kas-iskelet ağrısı (KİA), boyun ağrısı (BA) ve bel ağrısı (BeA) ayrı ayrı değerlendirilirken, ağrı algısı, rahatsızlığa tolerans, omurga fonksiyonel durumu ve temporomandibular bozuklukların şiddeti de değerlendirildi. Bu değerlendirmeler sırasıyla Sayısal Derecelendirme Ölçeği (SDÖ), Ağrıyı Merkezleştirme Ölçeği (AMÖ), Rahatsızlığa İntolerans Testi (RİT), Omurga Fonksiyon İndeksi (OFİ) ve Fonseca Anamnestik İndeks (FAİ) kullanılarak yapıldı. Parametreler arasındaki ilişkiler Pearson korelasyon analizi ile incelendi ve cinsiyetler arasındaki farklar Çok Değişkenli Kovaryans Analizi kullanılarak değerlendirildi. Bulgular: KİA ile BA (0.518) ve BeA (0.520) arasındaki ilişki ve OFİ ile AMÖ (-0.593) arasındaki ilişki orta ila iyi düzeydeydi. KİA ile AMÖ (0.485), OFİ (-0.372) ve FAİ (0.332) arasındaki ilişki; BA ile BeA (0.495) ve FAİ (0.453) arasındaki ilişki; BeA ile AMÖ (0.412), OFİ (-0.409) ve FAİ (0.366) arasındaki ilişki ve FAİ ile AMÖ (0.377) ve OFİ (-0.352) arasındaki ilişki düşük ila zayıf düzeydeydi. Kadın ve erkek bireyler arasında Mini Mental Test, KİA, BA, BeA, AMÖ, RİT, OFİ ve FAİ skorları açısından farklılıklar gözlendi (p< 0.05). Sonuç: KİA'nın, BA ve BeA artışıyla birlikte artabileceği ve ağrı algısının artmasıyla omurga fonksiyonelliğinin azalabileceği dikkate alınmalıdır.

Anahtar Kelimeler

• Yaşlı yetişkinler
• Bel
• Boyun
• Omurga
• Temporomandibular bozukluklar

The Relationship among Pain Perception, Severity of Temporomandibular Disorders, and Spinal Health in Older Adults: Cross-sectional Study

Öz

Aim; It was aimed to determine pain perception, temporomandibular disorders (TMD) severity, and spine functionality and the relationship between them in older adults. Method; A total of 301 individuals (177 women and 124 men) with an average age of 71.57±6.30 years (range 65-95) participated in the study. Musculoskeletal pain (MP), neck pain (NP), and low back pain (LBP) were each assessed separately, along with pain perception, tolerance to discomfort, spinal functional status, and temporomandibular disorders severity. These were measured using the Numeric Rating Scale (NRS), Centrality of Pain Scale (COPS), Discomfort Intolerance Test (DIT), Spine Functional Index (SFI), and Fonseca Anamnestic Index (FAI), respectively. Relationships between parameters were analyzed with Pearson correlation analysis, and gender differences were examined using Multivariate Analysis of Covariance. Results; The relationship between MP with NP (0.518) and LBP (0.520) and between SFI with COPS (-0.593) was moderate to good. The relationship between MP with COPS (0.485), SFI (-0.372), FAI (0.332); and between NP with LBP (0.495) and FAI (0.453); between LBP with COPS (0.412), SFI (-0.409) and FAI (0.366); and between FAI with COPS (0.377) and SFI (-0.352) was low to fair. Differences were observed between female and male individuals in terms of Mini Mental Test, MP, NP, LBP, COPS, DIT, SFI, and FAI scores (p< 0.05). Conclusion; It should be taken into consideration that MP may increase with the increase in NP and LBP, and spinal functionality may decrease with the increase in pain perception.

Anahtar Kelimeler

• Older adults
• Low back
• Neck
• Spine
• Temporomandibular disorders

Kaynakça

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