Kronik bel ağrısında yenilikçi yaklaşımlar: Kendi kendine miyofasyal gevşetme ve enstrüman destekli yumuşak doku mobilizasyonunun etkisi

Yıl 2024, Cilt: 17 Sayı: 3, 410 - 419

Gamze Güngör , Emine Atıcı , Özgür Sürenkök

Öz

Amaç: Kronik bel ağrısı (KBA), dünya çapında en yaygın kas-iskelet sistemi problemlerinden biridir. KBA'lı kişilerde psikolojik stres, günlük yaşam aktivitelerini yerine getirmede zorluk ve ağrı gibi önemli sağlık problemlerine yol açmaktadır. Ek olarak, iş gücü ve performans kaybından dolayı dünya çapında sosyal ve ekonomik bir yük oluşturmaktadır. Bu çalışmanın amacı kendi kendine miyo-fasyal gevşetme tekniğinin (KKMG) ve enstrüman destekli yumuşak doku mobilizasyon tekniğinin (EDYDM) KBA'lı hastalarda ağrı, esneklik ve fonksiyon üzerine etkisini araştırmaktır. Yöntem: Çalışmaya 18-60 yaş arası kronik bel ağrısı olan 32 hasta dahil edilmiştir. Hastalar rastgele 16'şar kişilik iki gruba ayrılmıştır. Katılımcıların demografik ve fiziksel özellikleri kaydedilmiştir. Birinci gruba KKMG, ikinci gruba ise EDYDM uygulanmıştır. Her iki gruba da 6 hafta boyunca haftada iki kez tedavi uygulanmıştır. Uygulamalar 90 saniye süreyle bel bölgesine bilateral olarak yapılmıştır. Ağrı şiddeti Vizüel Analog Skala (VAS) ile, hamstring kısalığı Düz Bacak Kaldırma Testi (DBKT) ile, bel bölgesi esnekliği Oturma-Uzanma Testi (OUT) ile ve bel fonksiyon kaybı derecesi Oswestry Engellilik Indeksi (ODI) ile değerlendirilmiştir. Ölçümler tedavi öncesi ve sonrasında tekrarlanmıştır. Bulgular: Her iki tekniğin de ağrıyı önemli ölçüde azalttığı (p<0.05) ve DPKT ve OUT değerlerini önemli ölçüde artırdığı (p<0.05) bulunmuştur. ODI skorlarının da her iki tedavi ile de önemli ölçüde azaldığı gözlemlenmiştir (p<0.05). Gruplar arasında herhangi bir parametrede istatistiksel olarak anlamlı bir fark gözlemlenmemiştir (p>0.05). Sonuç: KKMG ve EDYDM'nin KBA'lı hastalarda ağrıyı azaltmada ve esnekliği artırmada önemli bir etkiye sahip olduğu görülmüştür. İki teknik arasında anlamlı bir fark bulunmamıştır.

Anahtar Kelimeler

Bel ağrısı, ağrı, miyofasiyal gevşeme tedavisi

Innovative approaches in chronic low back pain: The effect of self-myofascial release and ınstrument assisted soft tissue mobilization

Öz

Aim: Chronic low back pain (CLBP) is a prevalent musculoskeletal issue causing significant psychological stress, functional limitations, and pain. It also presents a global social and economic burden due to workforce loss and decreased performance. This study investigated the effectiveness of self-myofascial release technique (SMRT) and instrument-assisted soft tissue mobilization technique (IASTM) on pain, flexibility and function in CLBP patients. Method: A randomized controlled trial involving 32 patients (18-60 years) with CLBP was conducted. Participants were randomly assigned to two groups (n=16) with demographic and physical characteristics documented. The first group received SMRT, while the second received IASTM. Both groups received bilateral applications to the lumbar region for 90 seconds, twice weekly for 6 weeks. Pain intensity (Visual Analogue Scale. VAS), hamstring shortness (Straight Leg Raise Test. SLR), lumbar flexibility (Sit-Reach Test. SRT) and functional loss (Oswestry Disability Index. ODI) were evaluated before and after treatment. Resuls: Both techniques significantly reduced pain (p<0.05) and increased SLR and SRT values (p<0.05). ODI scores also showed significant improvement with both treatments (p<0.05). No statistically significant differences were observed between the groups in any parameters (p>0.05). Conclusion: Both SMRT and IASTM effectively reduced pain and improved flexibility in CLBP patients, with no significant difference between the techniques.

Anahtar Kelimeler

Back pain, pain, myofascial release therapy

Kaynakça

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