Servikal miyofasiyal ağrı sendromunun tedavisinde mobilizasyon tedavisinin etkinliği

Yıl 2018, Cilt: 5 Sayı: 1, 25 - 32, 04.06.2018

Emel Sönmezer Emine Handan Tüzün Levent Eker İnci Yüksel

Öz

Amaç: Bu çalışmanın amacı, servikal miyofasiyal ağrı sendromunun (MAS) tedavisinde servikal mobilizasyonun anlık etkinliğini araştırmaktı.

Yöntem: MAS tanısı alan toplam 46 hasta rasgele olarak iki tedavi grubuna ayrıldı. Her iki gruba da hot pack, masaj ve ev egzersiz programı uygulandı. İkinci gruba bu modalitelere ek olarak servikal mobilizasyon teknikleri uygulandı. Tüm katılımcılar, ağrı şiddeti, tetik noktalarının sayısı ve hassasiyeti, eklem hareket açıklığı ve yetersizlik açısından tedavi öncesinde ve sonrasında değerlendirildi.

Bulgular: Başlangıçta gruplar birbirinden farklı değildi (p>0,05). Tedavi öncesi değerlerle karşılaştırıldığında, tedaviden sonra her iki grupta da ağrı yakınmalarında anlamlı iyileşme, eklem hareket açıklığında artma ve yeti yitiminde azalma saptandı (p<0,05). Ek olarak her iki grupta tetik nokta sayısında ve hassasiyetinde azalma bulundu (p<0,05).

Sonuç: Bu çalışmanın sonuçları, hot pack, masaj ve bir ev egzersiz programı içeren kombine bir fizyoterapi yaklaşımının servikal MAS’li hastalarda ağrıyı, tetik nokta sayısını ve hassasiyetini azalttığını, eklem hareket açıklığını ve kronik boyun ağrısından kaynaklanan yeti yitimini iyileştirdiğini gösterdi. Servikal omurga mobilizasyonunun tedavi protokolüne eklenmesi hastaların sonuçlarını değiştirmedi.

Anahtar Kelimeler

Boyun ağrısı, Manuel tedavi, Konservatif tedavi

Effectiveness of mobilization therapy for treating cervical myofascial pain syndrome

Öz

Purpose: The aim of this study was to investigate the initial effectiveness of cervical mobilization for treating cervical Myofascial Pain Syndrome (MPS).

Methods: A total of 46 subjects diagnosed with MPS were randomly allocated in two treatment groups. Hot pack, massage and a home exercise program were applied to both groups. Mobilization techniques were additionally applied to these modalities in the second group. All subjects were assessed before and after treatment for pain intensity, number and tenderness of trigger points, range of motion and disability.

Results: The groups were not different from each other at baseline (p>0.05). When compared with pre-treatment values, a significant decrease in pain complaints, increase in range of motion and reduce in disability was found in both groups after treatment (p<0.05). It was also found that the number and tenderness of trigger points were decreased in both groups.

Conclusion: The results of this study shows that combined physiotherapy applications including hot pack, massage and a home exercise program decrease the pain, number and tenderness of trigger point, and improve the range of motion and the disability caused by chronic neck pain in patients with cervical MPS. Adding cervical spine mobilization to this treatment protocol did not change patients’ outcomes.

Anahtar Kelimeler

Neck pain, Manual therapy, conservative treatment

Kaynakça

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