3.TRİMESTİRDE GEBELİKLE İLİŞKİLİ BEL AĞRISININ AZALTILMASI, YAŞAM VE UYKU KALİTESİNİ ARTTIRILMASINDA KİNESİO-TERAPİ VE EV EGZERSİZİNİN KARŞILAŞTIRILMASI

Yıl 2018, Cilt: 5 Sayı: 3, 120 - 125, 28.09.2018

İrem Şenyuva , Meryem Kösehasanoğulları , Nihal Yılmaz , Ezel Günay , Ali Yavuz Karahan

Öz

Amaç:
Bu çalışmanın amacı gebeliğin 3.
trimestirinde gebelikle ilişkili bel ağrısını azaltması, yaşam ve uyku
kalitesini arttırılmasında Kinesio-terapi ile ev egzersizinin etkinliğinin
karşılaştırılmasıdır.

Yöntem: Retrospektif
olarak kayıtları incelenen gebeliğin 3. trimestirinde bulunan 50 gebe hasta
çalışma grubunu oluşturmuştur. Hastalar 2 gruba ayrılmıştır. Bel ağrısı için
bel bölgesine haftada bir kez 4 hafta boyunca ‘I’ şeklinde Kinesio-terapi
uygulanan hastalar Kinesio-terapi tedavi grubu (KTTG), bel ağrısı için günlük 4
hafta boyunca oturma pozisyonunda ve ayakta pelvik tilt ev egzersiz programı verilen
olgular kontrol grubunu (KG) oluşturmuştur. Her iki
grup hastalar demografik özellikler ve sosyokültürel statü, VAS (Visual
Analog Skala), SF-36(yaşam kalitesi ölçeği), PUKİ (Pittsburgh Uyku Kalite
İndeksi), Oswestry Bel Ağrısı Engellilik Anketi
skorları açısından karşılaştırılmıştır.

Bulgular: VAS
ve SF-36 skor değerleri her iki grup açısından karşılaştırıldığında istatistiksel
olarak anlamlı bulunmamıştır. (P>0,05). PUKİ ve Oswestry skor değerleri kontrol
grubu için istatistiksel olarak anlamlı bulunmuştur. (P<0,05).

Sonuç: Üçüncü
trimestirde gebelikle ilişkili bel ağrısı tedavisinde Kinesio-terapi
uygulamasının bel ağrısını azaltmada, yaşam ve uyku kalitesini arttırmada ev
egzersizine üstünlüğü gösterilememiştir. Bel ağrısı   ve uyku kalitesi üzerine olan etkisi
açısından ev egzersizleri, Kinesio-terapiye  göre üstün bulunmuştur.

COMPARISON OF KINESIO-THERAPY AND
HOME EXERCISE IN REDUCING PREGNANCY RELATED LOW BACK PAIN AND INCREASING
QUALITY OF LIFE AND SLEEP QUALITY in the THIRD TRIMESTER.

Objective: The aim of this
study is to investigate the effect of Kinesio-therapy, which is a non-pharmacological method, versus home
exercises in reducing pregnancy-related low back pain and increasing quality of
life and sleep quality in the third trimester.

Material and Method: As retrospectively fifty pregnant patients examined records were
composed in this study group. Patients were separated into 2 groups. Patients
with ‘I' shape application once a week during 4 weeks as Kinesio-Tape Treatment
Group (KTTG), patients with follow-up by sitting and standing daily
pelvic tilt home exercises during 4 weeks as a control group (CG). Two groups
were compared with demographic features and socio-cultural status, VAS (Visual
Analog Scale), Quality of life scale SF-36 (Short-form 36), PUKI (Pittsburgh
sleep quality index) and Oswestry Disability
Index (ODI).

Results: There
were no significant differences between KTTG and CG in terms of VAS and SF-36
score. (P>0,05). There were significant differences in CG for PUKI and Oswestry
score. (P<0,05).

Conclusion:
Kinesio-Therapy wasn’t more effective than home exercises in terms of reducing pregnancy-related
low back pain and increasing quality of life and sleep quality. But, home
exercises were more effective than Kinesio-Therapy in terms of low back pain
and sleep quality in the third-trimester pregnancy-related low back pain.

Anahtar Kelimeler

gebelik, kinesio-terapi, bel ağrısı, egzersiz, , pregnancy, low back pain, kinesio-therapy

Kaynakça

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