The Comparison of Jaw Muscle Exercises and Neck Isometric Exercises in the Treatment of Chronic Neck Pain: A Randomised, Controlled Trial

Yıl 2020, Cilt: 10 Sayı: 1, 12 - 21, 31.01.2020

Buket Akıncı Birce Zorlutuna

https://doi.org/10.33631/duzcesbed.590675

Öz

Aim: The aim of our
study is to compare the effects of neck isometric exercises and jaw muscles
exercises on pain severity, neck and temporomandibular joint motions, quality
of life (QoL) and disability status in patients with chronic neck pain.

Material and Methods: Forty subjects were randomized into 2 groups (Group A, mean age:
39.6±10.4; Group B, mean age: 41.4±12.2). The cervical and temporomandibular
joint range of motions (ROMs), pain severity, disability status and QoL were
evaluated. The patients in Group A were included in the home programs that
included 5 cervical isometric exercises and the patients in Group B included 5
chin exercises. Both groups continued their own programs for three-weeks. All
evaluations were repeated at the end of the treatment.

Results: In Group
A; pain severity was decreased, cervical flexion, extention, left lateral
flexion, right and left rotation ROMs and maximum mouth opening were increased,
QoL and disability were improved (p<0.05). In Group B; pain severity was
decreased, cervical flexion, extention, right and left lateral flexion, right
and left rotation ROMs and maximum mouth opening, mandibular movements were
increased, improvements in QoL and disability were observed (p<0.05). The
obtained change in mandibular protrusion (p=0.009) and right lateral deviation
(p=0.032) were better in Group B compared with Group A.

Conclusion: Our results showed that jaw muscles and isometric neck exercises had
similar effects on pain, cervical ROMs, maximum mouth opening, QoL and
disability, and jaw muscles exercises may provide more increase in mandibular
movements in subjects with chronic neck pain.

Anahtar Kelimeler

Neck pain, rehabilitation, exercise, temporomandibular joint

Kronik Boyun Ağrısı Tedavisinde Çene Kasları Egzersizleri İle Boyun İzometrik Egzersizlerinin Etkinliklerinin Karşılaştırılması: Randomize, Kontrollü Çalışma

Öz

Amaç: Çalışmamızın
amacı, kronik boyun ağrılı bireylerde, boyun izometrik egzersizleri ile çene
kasları egzersizlerinin; ağrı şiddeti, boyun ve temporomandibular eklem
hareketleri, yaşam kalitesi ve özürlülük durumu üzerindeki etkilerini karşılaştırmaktır.

Gereç ve
Yöntemler:
Kırk kronik boyun ağrılı birey 2 gruba randomize edildi (Grup A, ortalama yaş:
39,6±10,4; Grup B, ortalama yaş: 41,4±12,2). Servikal ve temporomandibular
eklem hareket açıklıkları (EHA), ağrı şiddetleri, özürlülük durumu ve yaşam
kaliteleri değerlendirildi. Grup A’daki olgular 5 adet servikal izometrik
egzersizini, Grup B’deki olgular ise 5 adet çene egzersizini içeren ev
programlarına dâhil edildi. Her grup için tedavi programları 3 hafta boyunca
sürdürüldü. Tedavi sonunda değerlendirmeler tekrarlandı.

Bulgular: Grup A’da; ağrı
şiddeti azaldı, servikal fleksiyon, ekstansiyon, sol lateral fleksiyon, sağ ve
sol rotasyon EHA ve maksimum ağız açıklığı arttı, yaşam kalitesi ve özürlülük
durumu iyileşti (p<0,05). Grup B’de; ağrı şiddeti azaldı, servikal
fleksiyon, ekstansiyon, sağ ve sol lateral fleksiyon, sağ ve sol rotasyon EHA,
maksimum ağız açıklığı ve mandibula hareketleri arttı, yaşam kalitesi ve
özürlülük durumunda iyileşme gözlendi (p<0,05). Mandibula protrüzyonu (p=0,009)
ve mandibula sağ lateral deviasyonu’nda (p=0,032) elde edilen değişim Grup
B’de, Grup A’ya göre daha iyiydi. 

Sonuç: Sonuçlarımız,
kronik boyun ağrılı bireylerde, çene kasları ve izometrik boyun
egzersizlerinin; ağrı, servikal EHA, maksimum ağız açıklığı, yaşam kalitesi ve
özürlülük üzerinde benzer etkileri olduğunu ve çene kasları egzersizlerinin
mandibula hareketlerinde daha çok artış sağlayabileceğini göstermektedir.

Anahtar Kelimeler

Boyun ağrısı, rehabilitasyon, egzersiz, temporomandibular eklem

Kaynakça

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