Kronik Boyun Ağrısı Olan Bireylerde Eklem Hareket Açıklığı, Disabilite, Üst Ekstremite Fonksiyonelliği ve Solunum Kas Kuvvetinin İncelenmesi

Öz

Amaç: Kronik boyun ağrısı halk arasında çok yaygın görülmekle birlikte boyun çevresindeki kaslar kinetik zincir olarak yumuşak dokuları etkileyerek fonksiyonelliği bozmaktadır. Çalışmamızın amacı, kronik boyun ağrısı olan bireylerde, boyun eklem hareket açıklığını, disabilitesini, üst ekstremite fonksiyonelliğini ve solunum kas kuvvetini sağlıklı bireyler ile karşılaştırmaktır. Gereç ve Yöntem: Çalışmaya kronik boyun ağrısı tanısı almış 25 birey ve sağlıklı 21 birey dahil edildi. Bireylerin demografik bilgileri ve klinik bilgiler kaydedildi. Bireylerin boyun eklem hareket açıklığı Gonyometre ile, boyun bölgesi disabilite durumu Boyun Özürlülük Sorgulama Anketi, üst ekstremite fonksiyonelliği Kol, Omuz ve El sorunları Anketi (DASH), solunum kas kuvvetleri (maksimum inspirasyon (MIP) ve ekspirasyon ağız içi basıncı (MEP)) Micro RPM cihazı ile değerlendirilerek kaydedildi. Bulgular: Çalışmaya katılan kronik boyun ağrısı olan bireylerin 22’i kadın, yaş ortalamaları 42,2±2,26 yıl ve sağlıklı bireylerin 15’i kadın, yaş ortalamaları 36,3± 2,26 yıl idi. Kronik boyun ağrısı olan bireylerde boyun fleksiyon, ekstansiyon, sol ve lateral fleksiyon ve rotasyon değerlerinin anlamlı derecede daha kısıtlı olduğu bulundu (p<0.001). Ayrıca kronik boyun ağrılı bireylerde Boyun Özürlülük Sorgulama Anketi (p<0.001) ve DASH (p<0.001) puanlarının anlamlı derecede daha düşük olduğu görüldü. İki grup solunum kas kuvvetleri açısından değerlendirildiğinde, iki grupta da hem MIP (p=0,856) hem de MEP (p=0,674) değerleri açısından istatistiksel olarak bir fark olmadığı saptandı. Sonuç: Kronik boyun ağrılı bireylerde, boyun eklem hareket açıklığında kısıtlılık, disabilite ve üst ekstremite fonksiyonelliğinde etkilenme daha fazla olmaktadır. Ancak inspiratuar ve ekspiratuar kas kuvvetlerinde herhangi bir etkilenim görülmemiştir. Bu sonuçların oluşturulacak fizyoterapi programında göz önünde bulundurulmasını önermekteyiz.

Anahtar Kelimeler

• eklem hareket açıklığı
• disabilite
• fonksiyonellik
• solunum

Investigation of Range of Motion, Disability, Upper Extremity Functionality and Respiratory Muscle Strength in Individuals with Chronic Neck Pain

Öz

Purpose: Chronic neck pain is very common among the population, but the muscles around the neck affect the soft tissues as a kinetic chain and impair functionality. The aim of our study was to compare neck range of motion, disability, upper extremity functionality and respiratory muscle strength in individuals with chronic neck pain with healthy individuals. Material and Method: The study included 25 individuals diagnosed with chronic neck pain and 21 healthy individuals. Demographic and clinical information were recorded. Neck range of motion was assessed using a goniometer, neck disability status was assessed using the Neck Disability Questionnaire, upper extremity functionality was assessed using the Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH), and respiratory muscle strength (maximum inspiratory (MIP) and expiratory intraoral pressure (MEP)) was assessed using the Micro RPM device. Results: The mean age of the individuals with chronic neck pain was 42.2±2.26 years, 22 of whom were female, and the mean age of the healthy individuals was 36.3±2.26 years, 15 of whom were female. Neck flexion, extension, left and lateral flexion and rotation values were found to be significantly more limited in individuals with chronic neck pain (p<0.001). In addition, Neck Disability Questionnaire (p<0.001) and DASH (p<0.001) scores were significantly lower in individuals with chronic neck pain. When the two groups were evaluated in terms of respiratory muscle strength, it was found that there was no statistical difference in both MIP (p=0.856) and MEP (p=0.674) values in both groups. Conclusion: In individuals with chronic neck pain, limitation in neck range of motion, disability and upper extremity functionality are more likely to be affected. However, inspiratory and expiratory muscle strengths were not affected. We suggest that these results should be taken into consideration in the physiotherapy program.

Anahtar Kelimeler

• range of motion
• disability
• functionality
• respiratory

Kaynakça

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