OMUZ AĞRISI OLAN KADINLARIN UMUTSUZLUK DÜZEYLERİNİN KARŞILAŞTIRILMASI

Öz

Amaç: Bu çalışmanın amacı miyofasyal ve travmatik omuz ağrısı olan kadınların umutsuzluk düzeylerini değerlendirmek ve karşılaştırmaktı.
Gereç ve yöntem: Çalışmaya yaş ortalaması 40.1 yıl olan 60 gönüllü kadın katıldı. Bireylerin sosyoekonomik özellikleri araştırmacılar tarafından hazırlanan form yardımıyla incelendi. Umutsuzluk düzeyini belirlemek için Beck Umutsuzluk Ölçeği (BUÖ) kullanıldı. Bu prospektif çalışmada veriler bir hemşire tarafından yüz yüze görüşme tekniği ile toplandı.
Bulgular: Çalışmadaki ortalama BUÖ skoru miyofasyal grup için 7.4 ve travmatik grup için 3.8 idi ve gruplar arasındaki fark istatistiksel olarak anlamlıydı (p=0.02).
Sonuç: Miyofasyal grupta düşük eğitim düzeyi, düşük gelir seviyesi, eşler arasında geçimsizlik ile umutsuzluk arasında bir ilişki vardı. Miyofasyal omuz ağrısı olan kadınların umutsuzluk düzeylerinin değerlendirilmesi önemlidir. Çünkü şikayetlerinin üstesinden gelmek için tıbbi tedaviye ek olarak sosyal ve psikolojik desteğe ihtiyaç duyabilirler.

Anahtar Kelimeler

• Beck Umutsuzluk Ölçeği
• miyofasiyal tetik nokta ağrısı
• omuz ağrısı

COMPARISON OF HOPELESSNESS LEVEL OF WOMEN WITH SHOULDER PAIN

Öz

Objective: The purpose of this study was to evaluate and compare the hopelessness status of women with myofascial and traumatic shoulder pain.
Materials and method: 60 volunteer women with an average age of 40.1 years participated in the study. Socioeconomic characteristics of the individuals were examined with the help of the form prepared by the researchers. Beck Hopelessness Scale (BHS) was used to determine the hopelessness level. Data were collected with face to face interview technique by a nurse in this prospective study.
Results: The average score of BHS in the study was 7.4 for the myofascial group and 3.8 for the traumatic group and the difference between groups was statistically significant (p=0.02).
Conclusion: There was a relationship between low education level, low income level, dissension between spouses, and the hopelessness in the myofascial group. It is important to evaluate the hopelessness level of women with myofascial shoulder pain. Because they may need social and psychological support in addition to medical treatment to overcome their complaints.

Anahtar Kelimeler

• Beck Hopelessness Scale
• myofascial trigger point pain,
• shoulder pain

Kaynakça

1. 1. Reilingh ML, Kuijpers T, Tanja-Harfterkamp AM, et al. Course and prognosis of shoulder symptoms in general practice. Rheumatology (Oxford) 2008;47(5):724-730.
2. 2. Kuijpers T, van Tulder MW, van der Heijden GJ, et al. Costs of shoulder pain in primary care consulters: a prospective cohort study in The Netherlands. BMC Musculoskelet Disord 2006;7:83.
3. 3. Bron C, Dommerholt J, Stegenga B, et al. High prevalence of shoulder girdle muscles with myofascial trigger points in patients with shoulder pain. BMC Musculoskeletal Disorders 2011;12:139.
4. 4. Gerwin RD, Shannon S, Hong CZ, et al. Interrater reliability in myofascial trigger point examination. Pain 1997;69:65–73.
5. 5. Simons DG. Understanding effective treatments of myofascial trigger points. J Bodywork Movement Therapy 2002;6:81–88.
6. 6. Skootsky SA, Jaeger B, Oye RK. Prevalence of myofascial pain in general internal medicine practice. West J Med 1989;151:157–160.
7. 7. Koester MC, George MS, Kuhn JE. Shoulder impingement syndrome. Am J Med 2005; 118:452-455.
8. 8. Morrison DS, Frogameni AD, Woodworth P. Non-operative treatment of subacromial impingement syndrome. J Bone Joint Surg Am 1997; 79:732-737.

9. 9. Simons DG, Travell JG, Simons LS. In Travell & Simons’ Myofascial Pain and Dysfunction: The Trigger Point Manual. Upper Half of Body. Volume I.. 2 edition. Baltimore, MD: Lippincott Williams & Wilkins; 1999.
10. 10. Andersen NH, Søjbjerg JO, Johannsen HV, et al. Self-training versus physiotherapist-supervised rehabilitation of the shoulder in patients treated with arthroscopic subacromial decompression: a clinical randomized study. J Shoulder Elbow Surg 1999; 8:99-101.
11. 11. Bergman GJ, Winters JC, Groenier KH, et al. Manipulative therapy in addition to usual care for patients with shoulder complaints: results of physical examination outcomes in a randomized controlled trial. J Manipulative Physiol Ther 2010; 33:96-101.
12. 12. Blair B, Rokito AS, Cuomo F, et al. Efficacy of injections of corticosteroids for subacromial impingement syndrome. J Bone Joint Surg Am 1996; 78:1685-1689.
13. 13. Camarinos J, Marinko L. Effectiveness of manual physical therapy for painful shoulder conditions: a systematic review. J Man Manip Ther 2009; 17:206-215.
14. 14. Dorrestijn O, Stevens M, Winters JC, et al. Conservative or surgical treatment for subacromial impingement syndrome? a systematic review. J Shoulder Elbow Surg 2009;18:652-660.
15. 15. Michener LA, Walsworth MK, Burnet EN. Effectiveness of rehabilitation for patients with subacromial impingement syndrome: a systematic review. J Hand Ther 2004; 17:152-164.
16. 16. Desmeules F, Côté CH, Frémont P. Therapeutic exercise and orthopedic manual therapy for impingement syndrome: a systematic review. Clin J Sport Med 2003;13:176-182.
17. 17. Beck AT, Weissman A, Lester D, et al. The measurement of pessimism: the hopelessness scale. J Consult Clin Psychol 1974;42:861-865.
18. 18. Needell SD, Zlatkin MB, Sher JS, et al. MR imaging of the rotator cuff: peritendinous and bone abnormalities in an asymptomatic population. AJR Am J Roentgenol 1996; 166(4):863-867.
19. 19. Schibany N, Zehetgruber H, Kainberger F, et al. Rotator cuff tears in asymptomatic individuals: a clinical and ultrasonographic screening study. Eur J Radiol 2004;51:263-268.
20. 20. Naranjo A, Marrero-Pulido T, Ojeda S, et al. Abnormal sonographic findings in the asymptomatic arthritic shoulder. Scand J Rheumatol 2002;31(1):17-21.
21. 21. Neumann CH, Holt RG, Steinbach LS, et al. MR imaging of the shoulder: appearance of the supraspinatus tendon in asymptomatic volunteers. AJR Am J Roentgenol 1992; 158(6):1281-1287.
22. 22. Park HB, Yokota A, Gill HS, et al. Diagnostic Accuracy of Clinical Tests for the Different Degrees of Subacromial Impingement Syndrome. The Journal of Bone and Joint Surgery 2005;87(7):1446-1455.
23. 23. MacDonald PB, Clark P, Sutherland K. An analysis of the diagnostic accuracy of the Hawkins and Neer subacromial impingement signs. J Shoulder Elbow Surg 2000;9(4):299-301.
24. 24. McFarland EG, Selhi HS, Keyurapan E. Clinical evaluation of impingement: what to do and what works. Instr Course Lect 2006;55:3-16.
25. 25. Bonsell S, Pearsall AW, Heitman RJ, et al. The relationship of age, gender, and degenerative changes observed on radiographs of the shoulder in asymptomatic individuals. J Bone Joint Surg Br 2000;82(8):1135-1139.
26. 26. Bradley MP, Tung G, Green A. Overutilization of shoulder magnetic resonance imaging as a diagnostic screening tool in patients with chronic shoulder pain. J Shoulder Elbow Surg 2005;14(3):233-237.
27. 27. Ge HY, Fernandez-de-Las-Penas C, Madeleine P, et al. Topographical mapping and mechanical pain sensitivity of myofascial trigger points in the infraspinatus muscle. Eur J Pain 2008;12(7):859-865.
28. 28. Bron C, Franssen J, Wensing M, et al. Interrater reliability of palpation of myofascial trigger points in three shoulder muscles. J Man Manip Ther 2007;15(4):203-215.
29. 29. Mystakidou K, Tsilika E, Prapa E, et al. Predictors of spirituality at the end of life. Can.Fam. Physician 2008;54:1720-1721.