Servikal lordoz açıları ve boyun ağrısı ilişkisinin değerlendirilmesi

Year 2014, Volume: 27 Issue: 2, 112 - 115, 20.05.2014

Fatma Nur Soylu Boy Feyza Ünlü Özkan Selda Erdem Gülşah Özdemir Duygu Geler Külcü Pınar Akpınar İlknur Aktaş

Abstract

Amaç: Kronik boyun ağrısında servikal lordozun Cobb, Tanjant ve
efektif servikal lordoz yöntemlerinin değerlendirilmesi ve bu
parametrelerin boyun ağrısı ile ilişkisinin araştırılması.
Hastalar ve Yöntem: Bu çalışmada boyun ağrısı ile
hastanemize başvuran 44 hasta değerlendirildi. Klinik muayenede
VAS gündüz ve gece skorları ile sağ rotasyon, sol rotasyon,
fleksiyon, ekstansiyon, sağ lateral fleksiyon ve sol lateral fleksiyon
açıları not edildi. Hastaların lateral servikal grafilerinde Cobb and
Tanjant açıları hesaplandı ve efektif lordoz varlığı değerlendirildi.
İstatistiksel analizde bulguların korelasyonu Spearman testi ile
değerlendirildi.
Bulgular: Cobb ve Tanjant metodları arasında pozitif yönlü
yüksek korelasyon bulundu (r=0,92, p<0,01).Cobb ve efektif lordoz
metodları arasında orta düzeyli (r=0,60, p<0,01), Tanjant ile efektif
lordoz metodları arasında ise yüksek düzeyli korelasyon saptandı
(r=0,71, p<0,01). VAS skorları ile Cobb, Tanjant açıları ve efektif
lordoz arasında istatistiksel olarak anlamlı ilişki bulunmadı. Sağ
rotasyon, sol rotasyon, sağ lateral fleksiyon ve sol lateral fleksiyon
açıları ile Cobb, Tanjant açıları ve efektif lordoz arasında istatistiksel
olarak anlamlı ilişki bulunmadı.
Sonuç: Tanjant metodunun efektif lordoz ile ilişkisinin Cobb
metoduna göre daha yüksek olması ve ölçüm tekniğinin daha pratik
olması nedeniyle, servikal lordoz ölçümünde Tanjant metodu
kolaylıkla ve güvenilirlikle kullanılabilir. Araştırmamızda boyun
ağrısı ile servikal lordoz açıları arasında anlamlı ilişki bulunmamıştır.

Keywords

Servikal lordoz, Cobb metodu, Direkt grafi, Efektif servical lordoz, Tanjant metodu

Evaluation of cervical lordosis and its relation to cervical pain

Abstract

Objective: To evaluate cervical lordosis with Cobb, Tangent and
effective cervical lordosis methods and the correlation of these
parameters with chronic neck pain.
Patients and Methods: Forty-four patients who applied to
the outpatient clinic with the complaint of chronic neck pain were
included. Neck pain was evaluated by visual analogue scale
(VAS) and cervical rotation, flexion, extention, and right and left
lateral flexion angles were noted. Cobb and Tangent angles were
measured and effective lordosis was evaluated with lateral
cervical roentgenogram. The correlation analysis was made with
Spearman’s test.
Results: High correlations were found between the Cobb and
Tangent methods (r=0.92, p<0.01). The correlation between the
Cobb and effective lordosis methods was moderate (r=0.60,
p<0.01). High correlation was noted between the Tangent and
effective lordosis methods (r=0.71, p<0.01). No correlation was
found between the VAS scores and the Cobb, Tangent and effective
lordosis methods. Also, no correlations were found between
rotation, flexion, extension, right and left lateral flexions and the
Cobb, Tangent and effective lordosis methods.
Conclusion: Since the Tangent method is more practical than
the Cobb method and has a higher correlation with effective
lordosis, the Tangent method can be used to measure cervical
lordosis easily and reliably. We found no correlation between neck
pain and cervical lordosis.

Keywords

Cervical lordosis, Cobb method, Direct graphy, Effective cervical lordosis, Tangent method

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