Comparative Analysis of Scapula Position, Balance, and Proprioception in Chronic Low Back Pain Patients and Healthy Individuals

Yıl 2024, Cilt: 13 Sayı: 4, 1934 - 1941, 25.12.2024

Şirin Çiftçi , Hazal Genç

https://doi.org/10.37989/gumussagbil.1410691

Öz

The aim of our study was to analyze the scapula position of healthy individuals and individuals with chronic low back pain and to determine its relationship with balance functioning and proprioception.
Chronic low back pain patients (n=40, age: 31.13) and healthy individuals (n=41, age: 28.37) with similar age and physical characteristics were included in the study. Pain intensity was assessed using a visual analog scale and pain tolerance was assessed using an algometer. Lateral scapular shift test was performed for scapular position assessment. Functionality in activities of daily living was evaluated with the Oswestry Disability Index. Biodex Balance System was used to evaluate the dynamic and static balance of the individuals. Proprioception was measured using an inclinometer device in lumbar flexion and extension positions with eyes open/closed.
As a result of the study, when the difference between healthy and chronic low back pain groups was examined, no significant relationship was found in terms of proprioception (p=0.084), pain tolerance (p=0.64) and scapula position (p=0.570). However, a significant difference was found in the balance parameters between individuals in left foot dynamic (p=0.036), static (p=0.035) and dynamic bipedal (p=0.039).
According to the findings obtained as a result of the study, there were differences in balance parameters between individuals with chronic low back pain and individuals of similar age group. However, no differences were found between scapula position, pain and proprioception. We think that more effective results will be obtained in future studies with older age groups.

Anahtar Kelimeler

Low Back Pain, Postural Balance, Proprioception, Pain Assessment

Comparative Analysis of Scapula Position, Balance, and Proprioception in Chronic Low Back Pain Patients and Healthy Individuals

Öz

Çalışmamızın amacı kronik bel ağrısı olan bireyler ile sağlıklı bireylerin skapula pozisyonunu incelemek, denge fonksiyonellik ve propriosepsiyon ile ilişkisini belirlemek amacıyla tasarlanmıştır.
Çalışma en az 3 ay süreli ağrı şikâyeti olan kronik bel ağrılı (n=40, yaş: 31.13) ve benzer yaş grubu ve fiziksel özelliklerdeki sağlıklı bireyler (n=41, yaş: 28.37) dahil edildi. Bireylerin ağrı şiddeti vizüel analog skala ve ağrı toleransı algometreyle değerlendirildi. Skapular pozisyon değerlendirmesi için lateral skapular kayma testi uygulandı. Bireylerin günlük yaşam aktivitelerindeki fonksiyonelliği Oswestry Disabilite İndeksi ile değerlendirildi. Bireylerin dinamik ve statik dengelerini değerlendirmek için Biodex Denge Sistemi kullanıldı. Proprioseopsiyonu, gözler açık/kapalı koşullarda lumbal fleksiyon ve ekstansiyon pozisyonlarında inklinometre cihazı kullanılarak ölçüm yapıldı.
Çalışma sonucumuzda sağlıklı ve kronik bel ağrılı gruplar arasındaki fark incelendiğinde propriosepsiyon (p=0.084), ağrı toleransı (p=0.64) ve skapula pozisyonu (p=0.570) açısından anlamlı ilişki bulunamamıştır. Ancak bireyler arasında sol ayak dinamik (p=0.036) ve statik (p=0.035) ve dinamik çift ayak (p=0.039) dengede anlamlı fark bulunmuştur.
Çalışma sonucunda elde edilen bulgulara göre kronik bel ağrısı olan bireyler ve benzer yaş grubundaki bireylerde arasında denge parametrelerde farklılık bulundu. Ancak skapula poziyonu, ağrı ve propriosepsiyon arasında farklılıklar bulunmadı. Gelecekte daha ileri yaş grupkarıyla yapılan çalışmalarda daha etkili sonuçlar elde edileceği düşüncesindeyiz.

Anahtar Kelimeler

Bel ağrısı, Postüral balance, propriosepsiyon, Ağrı değerlendirmesi

Kaynakça

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