Nonspesifik Kronik Boyun Ağrılı Hastalarda Mulligan Mobilizasyon Tekniği ve Kinezyolojik Bantlamanın Ağrı ve Kinezyofobi Üzerine Akut Etkisi: Prospektif Randomize Kontrollü Çalışma

Yıl 2024, , 489 - 504, 31.08.2024

Sevde Betül Yiğit , Cem Erçalık

https://doi.org/10.38079/igusabder.1410182

Öz

Amaç: Bu çalışmanın amacı, Non-spesifik Kronik Boyun Ağrılı (NKBA) hastalarda Mulligan Mobilizasyon Tekniğinin (MMT) ve Kinezyolojik Bantlamanın (KB) ağrı ve kinezyofobi üzerine akut etkisini araştırmaktır.
Yöntem: Non-spesifik kronik boyun ağrısı tanılı, 18-65 yaş aralığındaki 66 gönüllü hasta, 3 gruba ayrıldı. 1. gruba MMT ve KB, 2. gruba MMT ve plasebo KB, 3. gruba plasebo KB uygulandı. Hastaların uygulama öncesi ve sonrası ağrı düzeyi (boyun fleksiyonda ve boyun ekstansiyonda) Sayısal Değerlendirme Skalasıyla (NRS), hareket korkusu ise Tampa Kinezyofobi Ölçeği (TKÖ) ile değerlendirildi.
Bulgular: Grup içi yapılan değerlendirmelerde ağrı düzeyleri grup 1 ve grup 2’de istatistiksel olarak anlamlı azalma gösterirken (p<0,05) grup 3’te klinik olarak anlamlı bir değişim saptandı (p>0,05). Uygulama sonrası gruplar arası değerlendirmelerde grup 1 ve grup 2 ağrı düzeyi skorları arasında anlamlı bir fark yoktu (p>0,05). Uygulama sonrası hiçbir grupta kinezyofobi düzeylerinde anlamlı bir değişim elde edilmezken (p>0,05) gruplar arası incelemelerde istatiksel olarak anlamlı fark bulunmadı (p>0,05).
Sonuç: Bu çalışmada non-spesifik kronik boyun ağrılı hastalarda, mulligan mobilizasyon tekniğinin ve kinezyolojik bantlamanın olumlu etki sağladığı gösterilmiştir. Araştırma sonucunda, MMT tek veya KB ile uygulandığında boyun fleksiyon ve ektansiyon ağrısında olumlu akut etki sağlarken kinezyofobi üzerinde akut etki sağlamamıştır.

Anahtar Kelimeler

Kas-iskelet ağrısı, kronik ağrı, rehabilitasyon

Teşekkür

Bu çalışmaya 2211-A Genel Yurtiçi Doktora Burs Programı kapsamında finansal destek sağlayan TÜBİTAK BİDEB’e teşekkürlerimi sunarım.

Acute Effect of Mulligan Mobilization Technique and Kinesio-Taping on Pain and Kinesiophobia in Patients with Nonspecific Chronic Neck Pain: Prospective Randomized Controlled Study

Öz

Aim: The aim of this study is to investigate the acute effect of Mulligan Mobilization Technique (MMT) and Kinesio-Taping (KT) on pain and kinesiophobia in patients with Non-specific Chronic Neck Pain (NCCP).
Method: 66 volunteer aged 18-65 patients, diagnosed with non-specific chronic neck pain, were divided into 3 groups. MMT and KT were applied to the group 1, MMT and placebo KT were applied to the group 2, and placebo KT was applied to the group 3. The pain level of the patients before and after the application (in neck flexion and neck extension) was evaluated with the Numerical Rating Scale (NRS), and the fear of movement was evaluated with the Tampa Kinesiophobia Scale (TKS).
Results: In intra-group evaluations, pain levels showed a statistically significant decrease in group 1 and group 2 (p<0.05), while no clinically significant change was detected in group 3 (p>0.05). There was no significant difference between the pain level scores of group 1 and group 2 in the intergroup evaluations after the application (p>0.05). While no significant change was observed in kinesiophobia levels in any group after the application (p>0.05), no statistically significant difference was found in the examinations between the groups (p>0.05).
Conclusion: In this study, it has been shown that mulligan mobilization technique and kinesio-taping are positively effective in patients with non-specific chronic neck pain. As a result of the investigation, while MMT provided a positive acute effect on neck flexion and extension pain when applied alone or with KT, it did not provide an acute effect on kinesiophobia.

Anahtar Kelimeler

Musculoskeletal pain, chronic pain, rehabilitation

Kaynakça

• 1. Genebra C, Maciel NM, Bento TPF, Simeao S, Vitta A. Prevalence and factors associated with neck pain: A population-based study. Braz J Phys Ther. 2017;21(4):274-280. doi: 10.1016/j.bjpt.2017.05.005.
• 2. Fejer R, Kyvik KO, Hartvigsen J. The prevalence of neck pain in the world population: A systematic critical review of the literature. Eur Spine J. 2006;15(6):834-48. doi: 10.1007/s00586-004-0864-4.
• 3. Popescu A, Lee H. Neck pain and lower back pain. Med Clin North Am. 2020;104(2):279-292. doi: 10.1016/j.mcna.2019.11.003.
• 4. Okur SÇ, Firdin F, Kılıç Öztürk S, ve ark. Non-spesifik boyun ağrısında manipülasyonun eklem hareket açıklığı ve ağrıya etkisi: Erken dönem sonuçlar. Barnat. 2018;12:11–13.
• 5. Cheng CH, Su HT, Yen LW, Liu WY, Cheng HY. Long-term effects of therapeutic exercise on nonspecific chronic neck pain: A literature review. J Phys Ther Sci. Apr 2015;27(4):1271-6. doi: 10.1589/jpts.27.1271.
• 6. Martin-Gomez C, Sestelo-Diaz R, Carrillo-Sanjuan V, Navarro-Santana MJ, Bardon-Romero J, Plaza-Manzano G. Motor control using cranio-cervical flexion exercises versus other treatments for non-specific chronic neck pain: A systematic review and meta-analysis. Musculoskelet Sci Pract. 2019;42:52-59. doi: 10.1016/j.msksp.2019.04.010.
• 7. Beltran-Alacreu H, Lopez-de-Uralde-Villanueva I, Fernandez-Carnero J, La Touche R. Manual therapy, therapeutic patient education, and therapeutic exercise, an effective multimodal treatment of nonspecific chronic neck pain: a randomized controlled trial. Am J Phys Med Rehabil. 2015;94(10 Suppl 1):887-97. doi: 10.1097/PHM.0000000000000293.
• 8. Saavedra-Hernandez M, Castro-Sanchez AM, Arroyo-Morales M, Cleland JA, Lara-Palomo IC, Fernandez-de-Las-Penas C. Short-term effects of kinesio taping versus cervical thrust manipulation in patients with mechanical neck pain: A randomized clinical trial. J Orthop Sports Phys Ther. 2012;42(8):724-30. doi: 10.2519/jospt.2012.4086.
• 9. Pourahmadi MR, Mohsenifar H, Dariush M, Aftabi A, Amiri A. Effectiveness of mobilization with movement (Mulligan concept techniques) on low back pain: A systematic review. Clin Rehabil. 2018;32(10):1289-1298. doi: 10.1177/0269215518778321.
• 10. Vicenzino B, Paungmali A, Teys P. Mulligan's mobilization-with-movement, positional faults and pain relief: Current concepts from a critical review of literature. Man Ther. 2007;12(2):98-108. doi: 10.1016/j.math.2006.07.012.
• 11. Andrews DP, Odland-Wolf KB, May J, Baker R, Nasypany A, Dinkins EM. Immediate and short-term effects of mulligan concept positional sustained natural apophyseal glides on an athletic young-adult population classified with mechanical neck pain: An exploratory investigation. J Man Manip Ther. 2018;26(4):203-211. doi: 10.1080/10669817.2018.1460965.
• 12. Zemadanis K. The short and mid-term effects of Mulligan concept in patients with chronic mechanical neck pain. Journal of Novel Physiotherapy and Rehabilitation. 2017;2:022-035. doi: 10.29328/journal.jnpr.1001018.
• 13. Lopez-Lopez A, Alonso Perez JL, Gonzalez Gutierez JL, et al. Mobilization versus manipulations versus sustain apophyseal natural glide techniques and interaction with psychological factors for patients with chronic neck pain: Randomized controlled trial. Eur J Phys Rehabil Med. 2015;51(2):121-32.
• 14. Hidalgo B, Pitance L, Hall T, Detrembleur C, Nielens H. Short-term effects of mulligan mobilization with movement on pain, disability, and kinematic spinal movements in patients with nonspecific low back pain: A randomized placebo-controlled trial. J Manipulative Physiol Ther. 2015;38(6):365-74. doi: 10.1016/j.jmpt.2015.06.013.
• 15. Jaraczewska E, Long C. Kinesio taping in stroke: improving functional use of the upper extremity in hemiplegia. Top Stroke Rehabil. 2006;13(3):31-42. doi: 10.1310/33KA-XYE3-QWJB-WGT6.
• 16. Dawood R, Kattabei O, Nasef S, Battarjee K, Abdelraouf O. Effectiveness of kinesio taping versus cervical traction on mechanical neck dysfunction. International Journal of Therapies and Rehabilitation Research. 2013;2:1. doi: 10.5455/ijtrr.00000019.
• 17. Uzunkulaoglu A, Gunes Aytekin M, Ay S, Ergin S. The effectiveness of Kinesio taping on pain and clinical features in chronic non-specific low back pain: A randomized controlled clinical trial. Turk J Phys Med Rehabil. 2018;64(2):126-132. doi: 10.5606/tftrd.2018.1896.
• 18. Pysny L, Pyšná J, Petrů D. Kinesio taping use in prevention of sports injuries during teaching of physical education and sport. Procedia - Social and Behavioral Sciences. 2015;186:618-623. doi: 10.1016/j.sbspro.2015.04.039.
• 19. McCaffery M, Pasero C. Pain: Clinical Manual. St. Louis (MI): Mosby; 1999.
• 20. Ferraz MB, Quaresma MR, Aquino LR, Atra E, Tugwell P, Goldsmith CH. Reliability of pain scales in the assessment of literate and illiterate patients with rheumatoid arthritis. J Rheumatol. 1990;17(8):1022-4.
• 21. Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual analog scale for pain (VAS Pain), numeric rating scale for pain (NRS Pain), mcgill pain questionnaire (MPQ), short-form mcgill pain questionnaire (SF-MPQ), chronic pain grade scale (CPGS), short form-36 bodily pain scale (SF-36 BPS), and measure of intermittent and constant osteoarthritis pain (ICOAP). Arthritis Care Res (Hoboken). 2011;63 Suppl 11:S240-52. doi: 10.1002/acr.20543.
• 22. Vlaeyen JWS, Kole-Snijders AMJ, Boeren RGB, van Eek H. Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance. Pain. 1995;62(3):363-372. doi: 10.1016/0304-3959(94)00279-N.
• 23. Tunca Yilmaz Ö, Yakut Y, Uygur F, Ulug N. Tampa Kinezyofobi Ölçeği’nin Türkçe versiyonu ve test-tekrar test güvenirliği. Fizyoter Rehabil. 2011;22(1):44-49.
• 24. Borenstein DG, Wiesel SW, Scott D, Boden MB. Low Back and Neck Pain: Comprehensive Diagnosis and Management: Third Edition. 2004:1-921.
• 25. Gross A, Miller J, D'Sylva J, et al. Manipulation or mobilisation for neck pain: A Cochrane Review. Man Ther. 2010;15(4):315-33. doi: 10.1016/j.math.2010.04.002.
• 26. Cassidy JD, Lopes AA, Yong-Hing K. The immediate effect of manipulation versus mobilization on pain and range of motion in the cervical spine: A randomized controlled trial. J Manipulative Physiol Ther. 1992;15(9):570-5.
• 27. Gotlib A, Thiel H. A selected annotated bibliography of the core biomedical literature pertaining to stroke, cervical spine, manipulation and head/neck movement. J Can Chiropr Assoc. 1985;29.
• 28. Ünal E. Romatizmal Hastalıklarda Biyopsikososyal Model: Bilişsel Egzersiz Terapi Yaklaşımı (BETY). Ankara: Pelikan Yayıncılık;2014.
• 29. Nederhand MJ, Ijzerman MJ, Hermens HJ, Turk DC, Zilvold G. Predictive value of fear avoidance in developing chronic neck pain disability: Consequences for clinical decision making. Arch Phys Med Rehabil. 2004;85(3):496-501. doi: 10.1016/j.apmr.2003.06.019.
• 30. Asiri F, Reddy RS, Tedla JS, et al. Kinesiophobia and its correlations with pain, proprioception, and functional performance among individuals with chronic neck pain. PLOS ONE. 2021;16(7):e0254262. doi: 10.1371/journal.pone.0254262.
• 31. Alahmari KA, Rengaramanujam K, Reddy RS, et al. The immediate and short-term effects of dynamic taping on pain, endurance, disability, mobility and kinesiophobia in individuals with chronic non-specific low back pain: A randomized controlled trial. PLoS One. 2020;15(9):e0239505. doi: 10.1371/journal.pone.0239505.