Schroth Yönteminin Adolesan İdiyopatik Skolyozlu Bireylerde Ağrı, Beden Farkındalığı ve Yaşam Kalitesi Üzerindeki Kısa Dönem Etkisi: Kontrollü Bir Çalışma

Yıl 2025, Cilt: 6 Sayı: 1, 96 - 109, 30.04.2025

Fatih Çelik , Numan Bulut , İpek Gürbüz

https://doi.org/10.59244/ktokusbd.1636181

Öz

Giriş: Skolyoz tedavisinde düzenli takip, cerrahi, korseleme, elektrik stimülasyonu ve egzersiz yöntemleri yaygın olarak kullanılmaktadır. Adolesan idiyopatik skolyoz (İS) hastalarında Schroth yönteminin ağrı üzerindeki etkinliği belirsizliğini korumaktadır. Bu çalışma, Schroth egzersizlerinin adolesan (10-18 yaş) İS’li bireylerde ağrı, beden farkındalığı ve yaşam kalitesi üzerindeki etkilerini araştırmayı amaçlamaktadır.

Yöntemler: İS tanısı konmuş toplam 31 birey iki gruba ayrılmıştır: çalışma grubu (n=16) ve kontrol grubu (n=15). Çalışma grubuna 6 hafta boyunca haftada 3 gün, günde 1 saat Schroth egzersizleri uygulanırken, kontrol grubu geleneksel egzersizleri yapmıştır. Ağrı şiddeti Görsel Analog Skala (VAS) ile, basınç-ağrı eşiği algometre ile, beden farkındalığı Beden Farkındalığı Anketi (BAQ) ile ve yaşam kalitesi Skolyoz Araştırma Derneği-22 (SRS-22) anketi ile değerlendirilmiştir.

Bulgular: Her iki grupta da ağrı şiddeti ve basınç-ağrı eşiğinde istatistiksel olarak anlamlı iyileşmeler gözlenirken, çalışma grubunda 6 hafta sonunda ağrı şiddetinde daha fazla azalma ve ağrı eşiğinde daha fazla artış kaydedilmiştir (p<0.05). BAQ sonuçları gruplar arasında anlamlı bir fark göstermemiştir (p>0.05). SRS-22 skorları her iki grupta da iyileşme göstermiştir; ancak ağrı ile ilişkili yaşam kalitesi, tedavi memnuniyeti, alt toplam ve toplam SRS-22 skorları tedavi sonrası çalışma grubunda anlamlı derecede daha yüksek bulunmuştur (p<0.05).

Sonuçlar: Schroth yönteminin kısa dönem (<6 ay) yoğun uygulanması, adolesan İS’li bireylerin tedavisinde ağrı ve yaşam kalitesi üzerinde olumlu terapötik etkiler göstermiştir

Anahtar Kelimeler

Skolyoz , Ağrı , Yaşam Kalitesi , Beden Farkındalığı , Schroth Egzersizi

Proje Numarası

Yok

Short-Term Effect of Schroth Method on Pain, Body Awareness, and Quality of Life in Adolescent Individuals with Idiopathic Scoliosis: A Controlled Trial

Öz

Introduction: Monitoring with regular follow-ups, surgery, bracing, electrical stimulation, and exercise modalities has been widely used in the treatment of scoliosis. The effectiveness of the Schroth method for pain in adolescent patients with idiopathic scoliosis (IS) remains unclear. This study aimed to investigate the effects of Schroth exercises on pain, body awareness, and quality of life in adolescents individuals (10-18 years) with IS.
Methods: A total of 31 individuals diagnosed with IS were divided into two groups: study (n=16) and control (n=15). Schroth exercises were prescribed to the study group for 1 h, 3 times a week, for 6 weeks, while the control group performed traditional exercises. Pain severity was evaluated using the Visual Analog Scale, pressure-pain threshold with an algometer, body awareness with Body Awareness Questionnaire (BAQ), and quality of life using the Scoliosis Research Society-22 (SRS22).
Results: Both groups showed statistically significant improvements in pain severity and pressure-pain threshold, while the study group showed a further decline in pain severity and increase in pain threshold after 6 weeks (p<0.05). The BAQ results did not show any significant differences between groups (p>0.05). SRS22 scores were improved in both groups, while pain-related quality of life, treatment satisfaction, and subtotal and total SRS22 scores were significantly better in the study group after treatment (p<0.05).
Conclusions: The short-term (<6 months) intensive application of the Schroth method demonstrated positive therapeutic effects on pain and quality of life in the treatment of adolescent individuals with IS.

Anahtar Kelimeler

Scoliosis , Pain , Quality Of Life , Body Awareness , Schroth Exercise

Etik Beyan

Bu proje KTO Karatay Üniversitesi Tıp Fakültesi İlaç ve Tıbbi Cihaz Dışı Araştırmalar Etik Krulu'nun 18.06.2019 tarih ve 2019/0041 sayılı kararıyla oluşturulmuştur.

Destekleyen Kurum

Yok

Proje Numarası

Yok

Kaynakça

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