Depresyon Düzeyinin Boyun Ağrısı, Eklem Hareket Açıklığı ve Servikal Eklem Pozisyon Hissine Etkisi

Yıl 2019, Cilt: 6 Sayı: 3, 555 - 563, 01.10.2019

Eda Akbaş , Emin Ulaş Erdem , Banu Ünver

Öz

DOI: 10.5152/hsp.2019.517803

Amaç: The aim of the present study was to
investigate the effect of the depression level on neck pain, range of motion,
and cervical joint position sense.

Materials and methods: A total of 160 (80
women) healthy, sedentary volunteers between age 18 and 25 years participated
in this cross-sectional research. The Beck Depression Inventory was used to
determine the depression level of the participants. Cervical range of motion
and joint position sense were assessed using an inclinometer, whereas Neck Pain
and Disability Scale (NPDS) was used to evaluate neck pain and disability.

Results: When NPDS scores were compared
according to the depression levels of subgroups, there was a significant
difference (p<0.05). Binary comparisons revealed that the difference was
between the normal and moderately depressed groups (p<0.05). There was no
significant difference between the range of motion and joint position sense
findings of the subgroups according to the depression levels (p>0.05). Joint
position sense findings of the subgroups according to the NPDS showed that the
joint position sense during 30° extension of the moderately painful group was
lesser than that of the minimal painful group (p<0.05).

Conclusion: Our results showed that
cervical symptoms increased as the depression level increased in young adults.
Additionally, it was found that the joint position sense of participants with
moderate neck pain during extension was less than that of participants with
minimal neck pain. We conclude that our study may contribute to understand the
psychogenic factors associated with neck pain.

Cite this article as: Akbaş E, Erdem EU,
Ünver B. The Effect of the Depression Level on Neck Pain, Range of Motion, and
Cervical Joint Position Sense. Journal of Health Science and Profession 2019;
6(3): 555-63.

Anahtar Kelimeler

Depresyon, servikal eklem hareket açıklığı, servikal eklem pozisyon hissi

The Effect of the Depression Level on Neck Pain, Range of Motion, and Cervical Joint Position Sense

Öz

DOI: 10.5152/hsp.2019.517803

Objective: Bu çalışmanın amacı genç
yetişkinlerde depresyon düzeyinin boyun ağrısı, eklem hareket açıklığı ve
servikal eklem pozisyon hissine etkisini araştırmaktı.

Gereç ve Yöntem: Bu kesitsel araştırmaya
18-25 yaşları arasında 160 (80 kadın) 
sağlıklı, sedanter gönüllü katıldı. Katılımcıların depresyon düzeyini
belirlemede Beck Depresyon Ölçeği kullanıldı. Boyun ağrısı ve yetersizliğinin
değerlendirilmesinde Boyun Ağrı ve Özürlülük Skalası kullanılırken, servikal
eklem hareket açıklığı ve eklem pozisyon hissi inklinometre kullanılarak
değerlendirildi.

Bulgular: Alt grupların depresyon
düzeylerine göre Boyun Ağrı ve Özürlülük Skalası skorları karşılaştırıldığında
anlamlı fark saptandı (p<0,05). İkili karşılaştırmalar, farkın normal ve
orta derecede depresif gruplar arasında olduğunu ortaya koydu (p<0,05).
Depresyon düzeylerine göre alt grupların eklem hareket açıklığı ve eklem
pozisyon hissi bulguları arasında anlamlı fark bulunmadı (p>0,05). Boyun
Ağrı ve Özürlülük Skalasına göre alt grupların eklem pozisyon hissi bulguları;
orta düzeyde ağrılı grubun 30° ekstansiyondaki eklem pozisyon hissinin, minimal
ağrılı gruptan daha az olduğunu gösterdi (p<0,05).

Sonuç: Bu çalışmanın sonuçları, genç
erişkinlerde depresyon düzeyi arttıkça servikal semptomlarda artış olduğunu
göstermiştir. Ayrıca, orta düzeyde boyun ağrısı olan katılımcıların ekstansiyon
hareketi sırasındaki eklem pozisyon hissinin minimal boyun ağrılı
katılımcılardan az olduğu bulundu. Bu çalışmanın, boyun ağrısıyla ilişkili
psikojenik faktörleri anlamaya katkı sağlayabileceği görüşündeyiz.

Cite this article as: Akbaş E, Erdem EU,
Ünver B. The Effect of the Depression Level on Neck Pain, Range of Motion, and
Cervical Joint Position Sense. Journal of Health Science and Profession 2019;
6(3): 555-63.

Anahtar Kelimeler

Cervical range of motion, cervical joint position sense, depression

Kaynakça

• 1. Blozik, E, Laptinskaya D, Herrmann-Lingen C, Schaefer H, Kochen MM, Himmel, W et al. Depression and anxiety as major determinants of neck pain: a cross-sectional study in general practice. BMC Musculoskelet Disord 2000; 10(1): 13.
• 2. Côté P, Cassidy JD, Carroll LJ, Kristman V. The annual incidence and course of neck pain in the general population: a population-based cohort study. Pain 2004; 112(3): 267-273.
• 3. Tsang A, Von Korff M, Lee S, Alonso J, Karam E, Angermeyer MC et al. Common chronic pain conditions in developed and developing countries: gender and age differences and comorbidity with depression-anxiety disorders. J Pain 2008; 9(10): 883-891.
• 4. Hogg-Johnson S, Van Der Velde G, Carroll LJ, Holm LW, Cassidy JD, Guzman J et al. The burden and determinants of neck pain in the general population. Eur Spine J 2008; 17(1): 39-51.
• 5. Lee H, Nicholson LL, Adams RD. Cervical range of motion associations with subclinical neck pain. Spine 2004; 29(1):33-40.
• 6. Linton SJ. A review of psychological risk factors in back and neck pain. Spine 2000; 25(9): 1148-1156.
• 7. Carroll LJ, Cassidy JD, Côté P. Depression as a risk factor for onset of an episode of troublesome neck and low back pain. Pain 2004; 107(1-2): 134-139.
• 8. Demyttenaere K, Bruffaerts R, Lee S, Posada-Villa J, Kovess V, Angermeyer MC et al. Mental disorders among persons with chronic back or neck pain: results from the World Mental Health Surveys. Pain 2007; 129(3): 332-342.
• 9. Murphy S, Buckle P, Stubbs D. A cross-sectional study of self-reported back and neck pain among English schoolchildren and associated physical and psychological risk factors. Appl Ergon 2007; 38(6): 797-804.
• 10. Sjölander P, Michaelson P, Jaric S, Djupsjöbacka M. Sensorimotor disturbances in chronic neck pain-range of motion, peak velocity, smoothness of movement, and repositioning acuity. Man ther 2008; 13(2): 122-131.
• 11. Lee H, Nicholson LL, Adams RD. Cervical range of motion associations with subclinical neck pain. Spine 2004; 29(1): 33-40.
• 12. Lee H, Nicholson LL, Adams RD. Neck muscle endurance, self-report, and range of motion data from subjects with treated and untreated neck pain. J Manipulative Physiol Ther 2005; 28(1): 25-32.
• 13. de Vries J, Ischebeck BK, Voogt LP, Van der Geest JN, Janssen M, Frens MA et al. Joint position sense error in people with neck pain: a systematic review. Man ther 2015; 20(6): 736-744.
• 14. Beinert K, Preiss S, Huber M, Taube W. Cervical joint position sense in neck pain. Immediate effects of muscle vibration versus mental training interventions: a RCT. Eur J Phys Rehabil Med 205; 51(6): 825-832.
• 15. Kristjansson E, Treleaven J. Sensorimotor function and dizziness in neck pain: implications for assessment and management. J Orthop Sports Phys Ther. 2009; 39(5): 364-377.
• 16. Vuillerme N, Pinsault N, Bouvier B. Cervical joint position sense is impaired in older adults. Aging clinical and experimental research 2008; 20(4): 355-358.
• 17. Pinsault N, Vuillerme N. Degradation of cervical joint position sense following muscular fatigue in humans. Spine 2010; 35(3): 294-297.
• 18. Hisli N. Beck Depresyon Ölçeği’nin bir Türk örnekleminde geçerlilik ve güvenilirliği. Psikoloji Dergisi 1988; 6: 118-122.
• 19. Bicer A, Yazici A, Camdeviren H, Erdogan C. Assessment of pain and disability in patients with chronic neck pain: reliability and construct validity of the Turkish version of the neck pain and disability scale. Disabil Rehabil 2004;26(16):959–62.
• 20. Yıldız M, Tuna H, Kokino S. Kronik Boyun Ağrılı Olgularda Spinal Mobilite, Ağrı ve Özürlülük İlişlkisinin Değerlendirilmesi. Türk Fiz Tıp Rehab Derg 2005;51(4):127-130.
• 21. Fletcher JP, Bandy WD. Intrarater reliability of CROM measurement of cervical spine active range of motion in persons with and without neck pain. J Orthop Sports Phys Ther 2008; 38(10): 640-645.
• 22. Revel M, Andre-Deshays C, Minguet M. Cervicocephalic kinesthetic sensibility in patients with cervical pain. Arch Phys Med Rehabil 1991;72:288-91.
• 23. Rix GD, Bagust J. Cervicocephalic kinesthetic sensibility in patients with chronic, nontraumatic cervical spine pain. Arch Phys Med Rehabil 2001;82:911-9.
• 24. Kristjansson E, Dall'Alba P, Jull G. A study of five cervicocephalic relocation tests in three different subject groups. Clin Rehabil 2003;17:768-74.
• 25. Cheng CH, Wang JL, Lin JJ, Wang SF, Lin KH. Position accuracy and electromyographic responses during head reposition in young adults with chronic neck pain. J Electromyogr Kinesiol 2010;20:1014-20.