Kronik obstrüktif akciğer hastalığı olan hastalarda boyun ağrısının değerlendirilmesi

Year 2022, , 151 - 160, 31.12.2022

Ayşenur Yılmaz , Ayşe Ünal , Orçin Telli Atalay , Filiz Altuğ , Göksel Altınışık Ergur

https://doi.org/10.24998/maeusabed.1211858

Abstract

Kronik obstrüktif akciğer (KOAH) hastaları ventilasyonu kolaylaştırmak için sıklıkla trapezin üst parçası ve skalen gibi yardımcı solunum kaslarını kullanmaktadır. Bu durum üst gövdenin mobilitesini ve boyun hareketlerini kısıtlayarak ağrıya sebep olur. Bu çalışma, KOAH’lı hastalarda boyun ağrısını değerlendirmek ve sağlıklı bireylerle karşılaştırmak amacıyla yapılmıştır. Çalışmaya altmış iki KOAH hastası (KOAH grubu) ve altmış iki sağlıklı gönüllü birey (kontrol grubu) dahil edildi. Ağrı şiddetini belirlemek için Görsel Analog Skala kullanıldı. Boyun özür derecesi ve ağrının günlük yaşama etkileri Boyun Özür Göstergesi ve Nordic Kas-iskelet Sistemi Anketi ile değerlendirildi. Göğüs mobilitesi değerlendirmek için göğüs çevre ölçümü yapıldı. KOAH grubunun ağrı şiddeti kontrol grubuna göre daha yüksekti. KOAH grubunda boyun ağrısına bağlı hafif özürlülük saptanırken, kontrol grubunda yetersizlik yoktu (p<0,05). Aksillar, epigastrik ve subkostal bölgelerden ölçülen göğüs çevresi ölçümlerinde KOAH grubu değerleri istatistiksel olarak daha düşük bulundu (p<0,05). KOAH'lı bireylerde boyun ağrısı görülmektedir. Bu hastalar rehabilitasyon programına alındığında boyun ağrısı gibi kas-iskelet sistemi sorunları göz önünde bulundurulmalı ve buna yönelik tedaviler rehabilitasyon programına eklenmelidir.

Keywords

boyun ağrısı, boyun özür düzeyi, Kronik obstrüktif akciğer hastalığı

Supporting Institution

yok

Evaluation of neck pain in patients with chronic obstructive pulmonary disease

Abstract

In chronic obstructive pulmonary disease(COPD) patients use extensively supplementary respiratory muscles such as trapezium and scalenes muscles in order to facilitate ventilation. These situations cause pain restricting by the upper body mobility and neck movements. This study was conducted to investigate the presence of neck pain in individuals with COPD and to compare it with healthy individuals. The study included sixty-two patients with COPD(COPD group) and sixty-two healthy volunteer subjects(control group). Visual Analog Scale(VAS) to determine pain intensity were used. Severity of neck disability level and the effects of pain on daily life were evaluated by Neck Disability Index and Nordic Musculoskeletal System Questionnaire. Chest mobility was assessed by circumference measurement. VAS of the COPD group was higher than the control group (p<0.05). While mild disability was found due to neck pain in the COPD group, there was no impairment in the control group (p<0.05). In chest circumference measurements measured from axillary, epigastric and subcostal parts, the COPD group values were found to be statistically lower (p<0.05). Individuals with COPD have neck pain. When these patients rehabilitate, musculoskeletal problems, such as neck pain should be considered.

Keywords

neck pain, neck disability level, Kronik obstrüktif akciğer hastalığı

References

• Aslan, E., Karaduman, A., Yakut, Y., Aras, B., Simsek, I.E., Yağlı, N., 2008. The cultural adaptation, reliability and validity of neck disability index in patients with neck pain: a Turkish version study. Spine 33 (11), 362-365.
• Bentsen, S. B., Rustøen, T., & Miaskowski, C., 2011. Prevalence and characteristics of pain in patients with chronic obstructive pulmonary disease compared to the Norwegian general population. The Journal of Pain 12(5), 539-545.
• Blindermann CD, Homel P, Billings A, Tennstedt S, Portenoy RK., 2009. Symptom, distress and quality of life in patients with advanced chronic obstructive pulmonary disease. J Pain Symptom Manage 38,115-23,
• Borge, C. R., Wahl, A. K., & Moum, T., 2011. Pain and quality of life with chronic obstructive pulmonary disease. Heart & lung 40(3), e90-e101.
• Dimitriadis Z, Kapreli E, Strimpakos N, Oldham J., 2014. Pulmonary function of patients with chronic neck pain: a spirometry study. Respir Care 59(4), 543-9
• Dimitriadis Z, Kapreli E, Strimpakos N, Oldham J., 2013. Respiratory weakness in patients with chronic neck pain. Man Ther 18(3), 248-53.
• Fuentes-Alonso, M., López-de-Andrés, A., Palacios-Ceña, D., Jimenez-Garcia, R., Lopez-Herranz, M., Hernandez-Barrera, V., Perez-Farinos, N., Ji, Z., de-Miguel-Diez, J., 2017. COPD is Associated with Higher Prevalence of Back Pain: Results of a Population-Based Case–Control Study. Journal of Pain Research 13, 2763.
• Global Initiative for Chronic Obstructive Lung Disease (GOLD), 2018. Global strategy for the diagnosis, management of chronic obstructive pulmonary disease. NHLBI/WHOWorkshop Report 2018. www.goldcopd.com/workshop/index.html. Date last updated: November 2021.
• Gupta, N., Sarkar, A., & Kumar, D., 2019. Risk Factors Associated with Onset of Neck Pain: A Review. Scopus Ijphrd Citation Score 10(7), 361.
• Habraken, J. M., van der Wal, W. M., ter Riet, G., Weersink, E. J., Toben, F., & Bindels, P. J., 2011. Health-related quality of life and functional status in end-stage COPD: a longitudinal study. European Respiratory Journal 37(2), 280-288.
• HajGhanbari, B., Holsti, L., Road, J.D., & Reid, W.D., 2012. Pain in people with chronic obstructive pulmonary disease (COPD). Respiratory Medicine 106(7), 998-1005.
• Heneghan, N., Adab, P., Jackman, S., & Balanos, G. 2015. Musculoskeletal dysfunction in chronic obstructive pulmonary disease (COPD): An observational study. International Journal of Therapy and Rehabilitation 22(3), 119-128.
• Kahraman, T., Genç A., Göz, E., 2015. The Nordic Musculoskeletal Questionnaire: Cross-Cultural Adaptation into Turkish Assessing its Psychometric Properties. Disability and Rehabilitation 37, 1-8,
• Kapreli, E., Vourazanis, E., Billis, E., Oldham, J.A., Strimpakos N., 2009. Respiratory dysfuction in chronic neck pain patients. A pilot study. Cephalalgia 29, 701-10.
• Kendall F.P., 2005. Postural Examinations. Muscles Testing and Function with Posture and Pain: Lippincott Williams & Wilkins 86-95
• Kesiktas, N., Ozcan, E., & Vernon, H., 2012. Clinimetric properties of the Turkish translation of a modified neck disability index. BMC musculoskeletal disorders 13(1), 25.
• Kuorinka, I., Jonsson, B., Kilbom, A., Vinterberg, H., Biering-Sørensen, F., Andersson, G., Andersson, G., & Jørgensen, K., 1987. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon 18, 233-7.
• Lee, A.L., Goldstein, R.S., Chan, C., Rhim, M., Zabjek, K., & Brooks, D., 2018. Postural deviations in individuals with chronic obstructive pulmonary disease COPD). Canadian Journal of Respiratory, Critical Care, and Sleep Medicine 1-8.
• Lee, A. L., Harrison, S. L., Goldstein, R. S., & Brooks, D., 2015. Pain and its clinical associations in individuals with COPD: a systematic review. Chest 147(5), 1246-1258.
• Lohne, V., Heer, H.C.D, Andersen, M., Miaskowski, C., Kongerud, J., Rustøen, T., 2010. Qualitative study of pain of patients with chronic obstructive pulmonary disease. Heart & Lung 39, 226–234.
• Lunardi, A.C., Marques da Silva, C.C.B., Rodrigues Mendes, F.A., Marques, A.P., Stelmach, R., & Fernandes Carvalho, C.R. 2011. Musculoskeletal dysfunction and pain in adults with asthma. Journal of Asthma 48 (1), 105-110.
• Maltais, F., Decramer, M., Casaburi, R., Barreiro, E., Burelle, Y., Debigare, R., 2014. An official American Thoracic Society/European Respiratory Society statement: update on limb muscle dysfunction in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 189(9):e15-62.
• Neder, J.A., Andreoni, S., Lerario, M.C., & Nery, L.M. 1999. Reference values for lung function tests: II. Maximal respiratory pressures and voluntary ventilation. Brazilian journal of medical and biological research 32(6), 719-727.
• Neder, J.A., Pablo de-Torres, J., Milne, K.M., & O’Donnell, D.M., 2020. Lung function testing in chronic obstructive pulmonary disease. Clinics in Chest Medicine 41(3), 347–366.
• Reddy, R.S., Alahmari, K.A., Silvian, P.S., Ahmad, I.A., Kakarparthi, V.N., Rengaramanujam, K., 2019. Reliability of chest wall mobility and its correlation with lung functions in healthy nonsmokers, healthy smokers, and patients with COPD. Canadian respiratory journal 2019,11.
• Tsiligianni, I., Kocks, J., Tzanakis, N., Siafakas, N., van der Molen, T., 2011. Factors that influence disease-specific quality of life or health status in patients with COPD: a review and meta-analysis of Pearson correlations. Primary care respiratory journal: journal of the General Practice Airways Group 20(3), 257-268.
• Vardar-Yagli, N., Saglam, M., Calik-Kutukcu, E., Inal-Ince, D., Arikan, H., & Coplu, L., 2019. Increased pain sensitivity, postural abnormalities, and functional balance impairment in obstructive lung disease compared to healthy subjects. Heart & Lung 48(4), 351-355.
• Viitanen JV, Suni J, Kautiainen H, Liimatainen M, Takala, H., 1992. Effect of physiotherapy on spinal mobility in ankylosing spondylitis. Scand J Rheumatol 21(1), 38-41.
• Wirth, B., Amstalden, M., Perk, M., Boutellier, U., Humphreys, B. K., 2014. Respiratory dysfunction in patients with chronic neck pain–Influence of thoracic spine and chest mobility. Manual Therapy 19(5), 440-444.