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Kronik boyun ağrılı bireylerde postüral kontrol ve dengenin incelenmesi

Yıl 2017, Cilt: 4 Sayı: 3, 97 - 104, 01.12.2017

Öz

Amaç: Bu çalışmanın amacı, kronik boyun ağrılı hastalarda postüral kontrol ve dengenin araştırılarak sağlıklı bireyler ile
karşılaştırılmasıdır.

Yöntem: Bu çalışma, 22-55 yaş aralığında (ortalama yaş: 38,0±7,2 yıl) 37 kronik boyun ağrılı hastanın katılımıyla
gerçekleştirildi. Sağlıklı kontrol grubu 21-49 yaş aralığında (ortalama yaş: 35,4±8,9 yıl) 38 sağlıklı bireyden oluşuyordu.
Kronik boyun ağrılı bireylerin ağrı şiddeti Vizüel Analog Skalası (VAS) kullanarak, özür düzeyi Boyun Özür İndeksi (BÖİ)
kullanılarak değerlendirildi. Postüral kontrol ve denge değerlendirmeleri Biodex Denge Sistemleri kullanılarak yapıldı.

Bulgular: Statik postüral kontrol testlerinde, gözler açık ve kapalı durumda, kronik boyun ağrılı hastalar ile kontrol grubunun
mediolateral stabilite skorlarının benzer olduğu bulundu (p>0,05). Her iki testte de kronik boyun ağrılı grubun kontrol grubuna
göre anteroposterior ve genel stabilite skorlarının daha yüksek olduğu bulundu (p<0,05). Her iki grupta dinamik stabilite ve
tek ayak üzerinde denge test sonuçları benzerdi (p>0,05). Hastalık süresi, VAS ve BÖİ skoru ile postüral kontrol ve denge
parametrelerinin sonuçları arasında ilişki olmadığı bulundu (r<0,20, p>0,05).

Sonuç: Kronik boyun ağrılı hastalarda, statik ayakta dik duruş pozisyonunda anteroposterior salınımlarının artmakla birlikte
mediolateral gövde salınımlarının kontrol grubu ile benzer olduğunu bulundu. Tek ayak üzerinde denge ve dinamik postüral
kontrol her iki grup için benzerdi.

Kaynakça

  • 1. Cohen SP. Epidemiology, diagnosis, and treatment of neck pain. Mayo Clin Proc. 2015;90:284-299.
  • 2. Murray CJ, Atkinson C, Bhalla K, et al. The state of US health, 1990-2010: burden of diseases, injuries, and risk factors. JAMA. 2013;310:591-608.
  • 3. Vos CJ, Verhagen AP, Passchier J, et al. Clinical course and prognostic factors in acute neck pain: an inception cohort study in general practice. Pain Med. 2008;9:572-580.
  • 4. Vasseljen O, Woodhouse A, Bjorngaard JH, et al. Natural course of acute neck and low back pain in the general population: the HUNT study. Pain. 2013;154:1237-1244.
  • 5. Lee H, Hubscher M, Moseley GL, et al. How does pain lead to disability? A systematic review and meta-analysis of mediation studies in people with back and neck pain. Pain. 2015;156:988-997.
  • 6. Coppieters I, De Pauw R, Kregel J, et al. Differences between women with traumatic and idiopathic chronic neck pain and women without neck pain: interrelationships among disability, cognitive deficits, and central sensitization. Phys Ther. 2017;97:338-353.
  • 7. Massion J. Postural control system. Curr Opin Neurobiol. 1994;4:877-887.
  • 8. Armstrong B, McNair P, Taylor D. Head and neck position sense. Sports Med. 2008;38:101-117.
  • 9. Humphreys BK. Cervical outcome measures:testing for postural stability and balance. J Manipulative Physiol Ther. 2008;31:540-546.
  • 10. Treleaven J. Sensorimotor disturbances in neck disorders affecting postural stability, head and eye movement control. Man Ther. 2008;13:2-11.
  • 11. Quek J, Brauer SG, Clark R, et al. New insights into neck-pain-related postural control using measures of signal frequency and complexity in older adults.Gait Posture. 2014;39:1069-1073.
  • 12. Field S, Treleaven J, Jull G. Standing balance: a comparison between idiopathic and whiplashinduced neck pain. Man Ther. 2008;13:183-191.
  • 13. Palmgren PJ, Andreasson D, Eriksson M, et al. Cervicocephalic kinesthetic sensibility and postural balance in patients with nontraumatic chronic neck pain–a pilot study. Chiropr Osteopat. 2009;17:6.
  • 14. Michaelson P, Michaelson M, Jaric S, et al. Vertical posture and head stability in patients with chronic neck pain. J Rehabil Med. 2003;35:229-235.
  • 15. Yahia A, Ghroubi S, Jribi S, et al. Chronic neck pain and vertigo: Is a true balance disorder present? Ann Phys Rehabil Med. 2009;52:556-567.
  • 16. Bianco A, Pomara F, Petrucci M, et al. Postural stability in subjects with whiplash injury symptoms: results of a pilot study. Acta Otolaryngol. 2014;134:947-951.
  • 17. Aslan E, Karaduman A, Yakut Y, et al. The cultural adaptation, reliability and validity of neck disability index in patients with neck pain: a Turkish version study. Spine. 2008;33:362-365.
  • 18. Glave AP, Didier JJ, Weatherwax J, et al. Testing postural stability: are the star excursion balance test and biodex balance system limits of stability tests consistent? Gait Posture. 2016;43:225-227.
  • 19. Pickerill ML, Harter RA. Validity and reliability of limits-of-stability testing: a comparison of 2 postural stability evaluation devices. J Athl Train. 2011;46:600-606.
  • 20. Arifin N, Abu Osman NA, Wan Abas WA. Intrarater test-retest reliability of static and dynamic stability indexes measurement using the Biodex Stability System during unilateral stance. J Appl Biomech. 2014;30:300-304.
  • 21. Peterson BW. Current approaches and future directions to understanding control of head movement. Prog Brain Res.2004;143:369-381.
  • 22. Poole E, Treleaven J, Jull G. The influence of neck pain on balance and gait parameters in community-dwelling elders. Man Ther. 2008;13:317-324.
  • 23. Ruhe A, Fejer R, Walker B. On the relationship between pain intensity and postural sway in patients with non-specific neck pain. J Back Musculoskelet Rehabil. 2013;26:401-409.
  • 24. Williams K, Tarmizi A, Treleaven J. Use of neck torsion as a specific test of neck related postural instability. Musculoskelet Sci Pract. 2017;29:115-119.
  • 25. Ishikawa K, Matsuzaki Z, Yokomizo M, et al. Effect of unilateral section of cervical afferent nerve upon optokinetic response and vestibular nystagmus induced by sinusoidal rotation in guinea pigs. Acta Otolaryngol Suppl. 1998;537:6-10.
  • 26. Stanton TR, Leake HB, Chalmers KJ, et al. Evidence of impaired proprioception in chronic, idiopathic neck pain: systematic review and meta-analysis. Phys Ther. 2016;96:876-887.
  • 27. Marcuzzi A, Dean CM, Wrigley PJ, et al. Early changes in somatosensory function in spinal pain: a systematic review and meta-analysis. Pain. 2015;156:203-214.
  • 28. Omori S, Isose S, Otsuru N, et al. Somatotopic representation of pain in the primary somatosensory cortex (S1) in humans. Clin Neurophysiol. 2013;124:1422-1430.
  • 29. Kavounoudias A, Gilhodes JC, Roll R, et al. From balance regulation to body orientation: two goals for muscle proprioceptive information processing? Exp Brain Res. 1999;124:80-88.
  • 30. Schieppati M, Nardone A, Schmid M. Neck muscle fatigue affects postural control in man. Neuroscience. 2003;121:277-285.
  • 31. Allum JH, Bloem BR, Carpenter MG, et al. Differential diagnosis of proprioceptive and vestibular deficits using dynamic supportsurface posturography. Gait Posture. 2001;14:217-226.
  • 32. Carpenter MG, Murnaghan CD, Inglis JT. Shifting the balance: evidence of an exploratory role for postural sway. Neuroscience. 2010;171:196-204.
  • 33. Cheng CH, Chien A, Hsu WL, et al. Changes of postural control and muscle activation pattern in response to external perturbations after neck flexor fatigue in young subjects with and without chronic neck pain. Gait Posture. 2015;41:801-807.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler
Yazarlar

Serkan TAŞ


Zafer ERDEN Bu kişi benim

Yayımlanma Tarihi 1 Aralık 2017
Yayınlandığı Sayı Yıl 2017 Cilt: 4 Sayı: 3

Kaynak Göster

Vancouver Taş S. , Erden Z. Kronik boyun ağrılı bireylerde postüral kontrol ve dengenin incelenmesi. Journal of Exercise Therapy and Rehabilitation. 2017; 4(3): 97-104.