NONSPESİFİK BOYUN AĞRILI HASTALARDA SERVİKAL MOBİLİZASYONUN MOBİLİTE, AĞRI, BASINÇ AĞRI EŞİĞİ VE ÖZÜR ÜZERİNE ETKİSİ

Yıl 2020, Cilt: 5 Sayı: 2, 1 - 13, 17.12.2020

Nagihan Acet Nevin Atalay Güzel Zafer Günendi

Öz

Giriş: Boyun ağrısı sık rastlanılan omurga şikayetidir ve son dönemlerde manuel terapi tedavide sıklıkla kulanılmaktadır.
Amaç: Nonspesifik boyun ağrılı hastalarda servikal omurgaya uygulanan manuel terapinin mobilite, ağrı, basınç ağrı eşiği ve dizabilite üzerine etkisini belirlemektir.
Bireyler ve Yöntem: 95 hasta basit rastgele yöntemle üç gruba ayrıldı. Grup 1’e servikal bölgeye geleneksel fizyoterapi yaklaşımları (Transkutanöz elektrik stimülasyonu ile birlikte sıcak uygulama ve ev programı) uygulanırken, Grup 2’ye ek olarak servikal mobilizasyon ve Grup 3’e ise ek olarak plasebo mobilizasyon uygulandı. Üç haftalık tedavi proğramında manuel ve placebo uygulamalar haftada iki gün, aynı süre ve pozisyonda gerçekleştirildi. Tedavi öncesi ve sonrasında, mobilite, ağrı, basınç ağrı eşiği ve dizabilite; CROM Cihazı, Vizüel Analog Skala, J-tech dijital algometre cihazı ve Boyun Özürlülük Sorgulama Anketi ile değerlendirildi.
Bulgular: Grup 2’de, tüm parametrelerde tedavi sonrası istatistiksel olarak anlamlı iyileşme olurken, bu iyileşme diğer iki gruba kıyasla daha fazla idi (p<0,05). İstatistiksel olarak, mobilite ve ağrının bazı parametrelerindeki azalma, Grup 3'te Grup 1’e kıyasla daha fazla saptandı (p<0,05).
Sonuç: Nonspesifik boyun ağrılı hastalarda servikal bölgeye uygulanan manuel terapi, mobilite, ağrı, basınç ağrı eşiği ve dizabilite üzerinde daha belirgin ve anlamlı bir etkiye sahiptir.

ABSTRACT
Introduction: Neck pain is one of the common spine problems and manual therapy has been used frequently in its treatment recently.
Objectives: To determine the effect of manual therapy applied as joint mobilization to the cervical spine on mobility, pain, pressure pain threshold and disability in patients with nonspecific neck pain.
Subjects and Methods: Ninety-five study subjects were randomly assigned to three groups by simple random method. Traditional physiotherapy approaches (Transcutaneous Electrical Stimulation, hot pack, and home-based exercise program) were applied to the cervical region for Group 1, while both traditional physiotherapy approaches and cervical mobilization were applied for Group 2 and both traditional physiotherapy approaches and placebo joint mobilization were applied for Group 3. In the three-week treatment program, manual and placebo applications were executed two days in a week, for the same duration and position. Before and at the end of the treatment program, mobility, pain, pressure pain threshold and disability were evaluated with CROM device, Visual Analogue Scale, J-tech digital algometer device and Neck Disability Index.
Results: While there was a statistically significant improvement after treatment in Group 2 in all parameters, this improvement was greater than the other two groups (p <0.05). The decrease in some parameters of mobility and pain was found more in Group 3 compared to Group 1, statistically (p <0.05).
Conclusion: Manual therapy has a more pronounced and significant effect on mobility, pain, pressure pain threshold, and disability in patients with nonspecific neck pain.
Key Words: Manuel therapy, mobility, pressure pain threshold, function.

Anahtar Kelimeler

manuel terapi, eklem hareket açıklığı, basınç ağrı eşiği, fonksiyon

Kaynakça

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