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

Kronik obstrüktif akciğer hastalığı olan hastalarda boyun ağrısının değerlendirilmesi

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

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