Mekanik özellikte kronik bel ağrısı olan hastaların tedavisinde bel ağrısı okulu programının etkinliği

Yıl 2014, Cilt: 27 Sayı: 2, 107 - 111, 20.05.2014

Turgay Altınbilek Tuğba Kuru Çolak , Elif Elçin Dereli Yekta Pehlivan Süheyla Sancak Çavun

Öz

Amaç: Bu araştırma mekanik özellikte kronik bel ağrısı olan
hastaların tedavisinde bel ağrısı okulu programının etkinliğini
araştırmayı amaçlamaktadır.
Hastalar ve Yöntem: Kronik mekanik bel ağrısı tanısı konulan
59 hasta (35 kadın, 24 erkek) iki gruba ayrıldı. Her iki gruba üç
hafta (15 seans) sıcak paket, konvansiyonel transkutanöz elektriksel
sinir stimülasyonu (TENS), terapotik ultrason uygulamalarıyla
birlikte Williams ve mobilizasyon egzersizlerinden oluşan
geleneksel fizik tedavi programı uygulandı. 1. gruba dahil edilen
hastalara bu tedavi yöntemine ek olarak bel ağrısı okulu eğitimi
verildi. Hastaların ağrısı (Görsel Analog Skala), depresyon (Beck
Depresyon Ölçeği) ve fonksiyonel yetersizlik (Oswestry Sorgulama
Formu) düzeyleri tedavi öncesi, sonrası ve tedavi bitiminden 4 hafta
sonra değerlendirildi.
Bulgular: Bel ağrısı okulu eğitimi verilen grubun ağrı skorları
tedavi sonrası ve takip değerlendirmelerinde anlamlı düzeyde azaldı
(p=0,000). Depresyon skorları her iki grupta da istatistiksel olarak
anlamlı değişiklik göstermedi. Fonksiyonel yetersizlik düzeyi bel
okulu eğitimi verilen grupta gelişme gösterdi (p=0,000). Takip
değerlendirmesinde ağrı ve fonksiyonellik bakımından bel ağrısı
okulu grubu daha üstün sonuçlara sahipti.
Sonuç: Kronik mekanik bel ağrılı hastaların tedavisinde
geleneksel fizik tedavi uygulamalarına ek olarak bel ağrısı okulu
eğitimi verilmesi özellikle uzun dönemde ağrı ve fonksiyonelliğin
iyileşmesinde olumlu etkiler sağlamaktadır.

Anahtar Kelimeler

Bel ağrısı okulu, Fizik tedavi, Kronik bel ağrısı

Efficiency of back pain-school program in the treatment of patients with chronic mechanical back pain

Öz

Objective: The aim of the study was to investigate the efficiency
of back pain-school programs in the treatment of patients with
chronic mechanical back pain.
Patients and Methods: Fifty nine (35 females, 24 males)
patients diagnosed with chronic mechanical back pain were
divided into two groups. Both groups received traditional physical
therapy consisting of hot pack, conventional transcutaneous
electrical nerve stimulation (TENS), therapeutic ultrasound,
Williams and mobilization exercises for three weeks (15 sessions).
Patients in the 1st group received back pain-school program in
addition. Patients were evaluated for pain (Visual Analogue
Scale), depression (Beck Depression Scale) and functional
disability (Oswestry Disability Index) before, after and 4 weeks
after the treatment.
Results: Pain scores were significantly reduced after treatment
and in the follow up assessments (p=0.000) in the back painschool group. The depression scores did not differ significantly in
both groups. Functional disability improved in the back painschool group (p=0.000). The back pain-school group had superior
results in pain and function scores in the follow up assessment.
Conclusion: Attending the back pain-school program in
addition to traditional physical therapy in the management of
patients with chronic back pain has positive effects on improving
pain and function, especially in the long term.

Anahtar Kelimeler

Back pain-school, Physical therapy, Chronic back pain

Kaynakça

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