KRONİK BEL AĞRISI OLAN BİREYLERDE GELENEKSEL MAT EGZERSİZLERİ İLE REFORMER PİLATES VE HAMAK YOGA’NIN AĞRI, DAYANIKLILIK, DENGE, ENGELLİK VE YAŞAM KALİTESİ ÜZERİNDEKİ ETKİSİ

Öz

Özet Amaç; Geleneksel mat egzersizleri, Reformer Pilates (RP) ve Hamak Yogası (HY) yaklaşımlarının Kronik bel ağrılı bireylerin ağrı, dayanıklılık, denge, engellilik ve yaşam kalitesi üzerindeki etkilerini incelemek. Yöntem; Kronik bel ağrısı olan 60 birey çalışmaya katıldı ve rastgele RP grubu (n=20, ortalama yaş:31.85±8.89 yıl), HY grubu (n=20, ortalama yaş:29.90±6.70 yıl) ve mat grubu (n=20, ortalama yaş:30.40±8.21 yıl) olmak üzere 3 gruba ayrıldı. Tüm egzersiz eğitimleri 4 hafta boyunca haftada iki kez (45 dakika) uygulandı. Ağrı; VAS ve McGill ile, endurans; plank testi ve tek bacak kalça köprüsü testi ile, statik denge; tek ayak üzerinde durma testi ile ve dinamik denge; yıldız denge testi ile değerlendirildi. Engelilik; Oswestry Özürlülük Anketi ile, yaşam kalitesi ise Dünya Sağlık Örgütü Yaşam Kalitesi (WHOQOL-Bref) ile değerlendirildi. Bulgu; Değerlendirilen tüm parametreler gruplarda iyileşti (p<0.05). Mat grubunda McGill skoru HY grubuna göre, Oswestry ve WHOQOL-Bref skorları ise HY ve RP gruplarına göre daha fazla iyileşti (p<0.05). Tek ayak üzerinde durma performansı HY grubunda mat grubuna göre daha fazla iyileştiği görüldü (p<0.05). Sonuç; Kısa vadede, geleneksel mat egzersizleri kronik bel ağrısı olan bireylerin engelliliğini azaltmak ve yaşam kalitesini artırmak için öncelikle tercih edilebilir. Denge gelişimi için bireysel egzersiz programlarının içeriğine RP veya HY eklenebilir. Anahtar Kelimeler; Bel Ağrısı, Pilates Eğitimi, Hamak Yoga, Engelilik, Yaşam Kalitesi

Anahtar Kelimeler

• Bel Ağrısı
• Pilates Eğitimi
• Hamak Yoga
• Engellilik
• Yaşam Kalitesi

THE EFFECT OF TRADITIONAL MAT EXERCISES VERSUS REFORMER PILATES AND HAMMOCK YOGA ON PAIN, ENDURANCE, BALANCE, DISABILITY, AND QUALITY OF LIFE IN INDIVIDUALS WHO HAD CHRONIC BACK PAIN

Öz

Objective: The aim of this study to examine the effects of traditional mat exercises, Reformer Pilates (RP) and Hammock Yoga (HY) approaches on pain, endurance, balance, disability, and quality of life of individuals who had Chronic low back pain (LBP). Method: 60 individuals who had Chronic LBP were participated and randomly attended into 3 groups as RP group (n=20, mean age:31.85±8.89 years), HY group (n=20, mean age:29.90±6.70 years), and mat group (n=20, mean age:30.40±8.21 years). All exercise training was applied twice a week for 4 weeks (45 minutes). The pain was evaluated with VAS and McGill, endurance was evaluated with plank tests and single leg hip bridge test, static balance was assessed with standing on single leg, and dynamic balance was assesed with the Star Excursion Balance Test. The Oswestry Disability Questionnaire and World Health Organization Quality of Life (WHOQOL-Bref) were used for disability and quality of life measurements, respectively. Results: Improvements were observed on a group basis in all evaluated parameters (p<0.05). In the mat group, the McGill score improved more than the HY group, and Oswestry and WHOQOL-Bref improved more than the HY and RP groups (p<0.05). The performance of standing on single leg improved in the HY group more than the mat group (p<0.05). Conclusion: Traditional mat exercises can be preferred primarily to reduce disability and improve the quality of life in individuals with Chronic LBP in a short time. The HY can be added to the content of individual exercise programs for the development of balance.

Anahtar Kelimeler

• Low Back Pain
• Pilates Training
• Yoga
• Disability
• Quality of Life

Kaynakça

1. Posadzki P, Lizis P, Hagner-Derengowska M. Pilates for low back pain: a systematic review. Complement Ther Clin Pract. 2011;17(2):85-89.
2. Barros BSd, Imoto AM, O’Neil J, et al. The management of lower back pain using pilates method: assessment of content exercise reporting in RCTs. Disabil Rehabil. 2022;44(11):2428-2436.
3. Balagué F, Mannion AF, Pellisé F, Cedraschi C. Non-specific low back pain. Lancet. 2012;379(9814):482-491.
4. Krismer M, Tulder M. Strategies fοr preventiοn and management οf musculοskeletal cοnditiοns. Lοw back pain (nοnspecific). Best Pract Res Clin Rheumatοl. 2007;21:77-91.
5. Urits I, Burshtein A, Sharma M, et al. Low back pain, a comprehensive review: pathophysiology, diagnosis, and treatment. Curr Pain Headache Rep. 2019;23:1-10.
6. Owen PJ, Miller CT, Mundell NL, et al. Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis. Br J Sports Med. 2020;54(21):1279-1287.
7. Patrick N, Emanski E, Knaub MA. Acute and chronic low back pain. Med Clin North Am. 2014;98(4):777-789.
8. Edit V, Eva S, Maria K, et al. Psychosocial, educational, and somatic factors in chronic nonspecific low back pain. Rheumatol Int. 2013;33:587-592.

9. Bhadauria EA, Gurudut P. Comparative effectiveness of lumbar stabilization, dynamic strengthening, and Pilates on chronic low back pain: randomized clinical trial. J Exerc Rehabil. 2017;13(4):477.
10. Evcik D, Yücel A. Lumbar lordosis in acute and chronic low back pain patients. Rheumatol Int. 2003;23:163-165.
11. La Touche R, Escalante K, Linares MT. Treating non-specific chronic low back pain through the Pilates Method. J Bodyw Mov Ther. 2008;12(4):364-370.
12. Stieglitz DD, Vinson DR, Hampton MDC. Equipment-based Pilates reduces work-related chronic low back pain and disability: A pilot study. J Bodyw Mov Ther. 2016;20(1):74-82.
13. Sorosky S, Stilp S, Akuthota V. Yoga and pilates in the management of low back pain. Curr Rev Musculoskelet Med. 2008;1:39-47.
14. Berk Aydogdu ES, Ersin A, Kelecek S, Melek M, Ozunlu Pekyavas N. Effects of multi-gravitational suspension-based therapy on posture, physical fitness, quality of life, depression, and sleep quality in women without regular exercise habits. Somatosens Mot Res. 2023;1-6.
15. Rydeard R, Leger A, Smith D. Pilates-based therapeutic exercise: effect on subjects with nonspecific chronic low back pain and functional disability: a randomized controlled trial. J Orthop Sports Phys Ther. 2006;36(7):472-484.
16. Zhu F, Zhang M, Wang D, Hong Q, Zeng C, Chen W. Yoga compared to non-exercise or physical therapy exercise on pain, disability, and quality of life for patients with chronic low back pain: A systematic review and meta-analysis of randomized controlled trials. PloS one. 2020;15(9):0238544.
17. Tekur P, Nagarathna R, Chametcha S, Hankey A, Nagendra H. A comprehensive yoga programs improves pain, anxiety and depression in chronic low back pain patients more than exercise: an RCT. Complement Ther Med. 2012;20(3):107-118.
18. Yakut Y, Yakut E, Bayar K, Uygur F. Reliability and validity of the Turkish version short-form McGill pain questionnaire in patients with rheumatoid arthritis. Clin Rheumatol. 2007;26:1083-1087.
19. Tong TK, Wu S, Nie J. Sport-specific endurance plank test for evaluation of global core muscle function. Phys Ther Sport. 2014;15(1):58-63.
20. Tobey K, Mike J. Single-leg glute bridge. Strength Cond J. 2018;40(2):110-114.
21. Penney T, Ploughman M, Austin MW, Behm DG, Byrne JM. Determining the activation of gluteus medius and the validity of the single leg stance test in chronic, nonspecific low back pain. Arch Phys Med Rehabil. 2014;95(10):1969-1976.
22. Ganesh GS, Chhabra D, Mrityunjay K. Efficacy of the star excursion balance test in detecting reach deficits in subjects with chronic low back pain. Physiother Res Int. 2015;20(1):9-15.
23. Yakut E, Düger T, Öksüz Ç, et al. Validation of the Turkish version of the Oswestry Disability Index for patients with low back pain. Spine. 2004;29(5):581-585.
24. Eser E, Fidaner H, Fidaner C, Eser SY, Elbi H, Göker E. WHOQOL-100 ve WHOQOL-BREF'in psikometrik özellikleri. Psikiyatri Psikoloji Psikofarmakoloji (3P) Dergisi. 1999;7(Suppl 2):23-40.
25. Lee C-W, Hyun J, Kim SG. Influence of pilates mat and apparatus exercises on pain and balance of businesswomen with chronic low back pain. J Phys Ther Sci. 2014;26(4):475-477.
26. Fatoye F, Gebrye T, Odeyemi I. Real-world incidence and prevalence of low back pain using routinely collected data. Rheumatol Int. 2019;39:619-626.
27. Stevans JM, Delitto A, Khoja SS, et al. Risk factors associated with transition from acute to chronic low back pain in US patients seeking primary care. JAMA network open. 2021;4(2):2037371-2037371.
28. Lim ECW, Poh RLC, Low AY, Wong WP. Effects of Pilates-based exercises on pain and disability in individuals with persistent nonspecific low back pain: a systematic review with meta-analysis. J Orthop Sports Phys Ther. 2011;41(2):70-80.
29. Pereira LM, Obara K, Dias JM, et al. Comparing the Pilates method with no exercise or lumbar stabilization for pain and functionality in patients with chronic low back pain: systematic review and meta-analysis. Clin Rehabil. 2012;26(1):10-20.
30. Hwangbo G, Lee CW, Kim SG, Kim HS. The effects of trunk stability exercise and a combined exercise program on pain, flexibility, and static balance in chronic low back pain patients. J Phys Ther Sci. 2015;27(4):1153-1155.
31. Taş G. Farklı stabilizasyon egzersiz eğitimlerinin denge, endurans ve kas kuvveti üzerine etkileri Hasan Kalyoncu University, Grade Educational Institute, Department of Phyical Therapy and Rehabilitation, Master Thesis. 2020.
32. Lopes S, Correia C, Félix G, Lopes M, Cruz A, Ribeiro F. Immediate effects of Pilates based therapeutic exercise on postural control of young individuals with non-specific low back pain: A randomized controlled trial. Complement Ther Med. 2017;34:104-110.
33. Valenza M, Rodríguez-Torres J, Cabrera-Martos I, Díaz-Pelegrina A, Aguilar-Ferrándiz M, Castellote-Caballero Y. Results of a Pilates exercise program in patients with chronic non-specific low back pain: a randomized controlled trial. Clin Rehabil. 2017;31(6):753-760.
34. Irez GB, Ozdemir RA, Evin R, Irez SG, Korkusuz F. Integrating Pilates exercise into an exercise program for 65+ year-old women to reduce falls. J Sci Med Sport. 2011;10(1):105.
35. Johnson EG, Larsen A, Ozawa H, Wilson CA, Kennedy KL. The effects of Pilates-based exercise on dynamic balance in healthy adults. J Bodyw Mov Ther. 2007;(3):238-242.
36. Park JH, Hwangbo G. The effect of trunk stabilization exercises using a sling on the balance of patients with hemiplegia. J Phys Ther Sci. 2014;26(2):219-221.