Yoganın Kronik Bel Ağrısı Üzerine Etkisi

Yıl 2023, , 388 - 393, 30.05.2023

Gülşah Yaşa Öztürk , İbrahim Başhan

https://doi.org/10.31020/mutftd.1284263

Öz

Amaç: Bu çalışmanın amacı, yoganın, kronik bel ağrısı olan hastalarda ağrı düzeyi, bel engellilik düzeyi ve yaşam kalitesi üzerine etkisini değerlendirmektir.
Gereç: Kesitsel olarak planlanan bu çalışmada, kronik bel ağrısı tanısı alan bireylerde yoga öncesi ve sonrasında ağrı için Vizüel Analog Skala skorlaması, bel engellilik düzeyi için Quebec Bel Ağrısı Engellilik İndeksi, yaşam kalitesinin değerlendirilmesi için Kısa Form SF-36 kullanılmıştır.
Bulgular: Yoga sonrası Vizüel Analog Skala ve Quebec Bel Ağrısı Engellilik İndeksi değerlerinde istatistiksel olarak anlamlı derecede bir azalış gözlemlenirken, Kısa Form SF-36 toplam değerlerinde ise, istatistiksel olarak anlamlı derecede bir artış tespit edilmiştir. SF-36’nın tüm alt gruplarında da istatistiksel olarak anlamlı derecede bir artış bulunmuştur.
Sonuç: Bu çalışmada yoganın, kronik bel ağrısı olan bireylerde ağrıyı ve bel engelliliğini azaltabileceği, bireylerin yaşam kalitesini ise artırabileceğini göstermesi açısından önemlidir. Bu etkilerini, kas gerginliğini ve stresi azaltarak ve omurga postürüne katkı sağlayarak gerçekleştirdiği düşünülmektedir. Bu yönüyle yoga tek başına veya medikal tedavi ve fizik tedaviye rağmen kronik bel ağrısı devam eden hastalarda tedaviye ek bir seçenek olarak düşünülebilir.

Anahtar Kelimeler

Yoga, Kronik Bel Ağrısı, Bel Engellilik Düzeyi, Yaşam Kalitesi

Destekleyen Kurum

Yok

Proje Numarası

Yok

Teşekkür

Yok

The Effect of Yoga on Chronic Low Back Pain

Öz

Object: To evaluate the effect of yoga on pain, low back disability and quality of life in individuals with chronic low back pain.
Materials and Methods: In this cross-sectional study, before and after yoga the Visual Analogue Scale scoring for pain, Quebec Low Back Pain Disability Index for low back disability level, and the Short Form SF-36 for assessing quality of life were applied to individuals diagnosed with chronic low back pain.
Results: While a statistically significant decrease was observed in the Visual Analogue Scale and Quebec Low Back Pain Disability Index values after yoga, a statistically significant increase was found in the Short Form SF-36 total values. A statistically significant increase was also found in all subgroups of SF-36.
Conclusion: In this study, it is important to show that yoga can reduce pain and low back disability with chronic low back pain and increase the quality of life of individuals. It is thought to achieve these effects by reducing muscle tension and stress and contributing to spinal posture. In this respect, yoga alone or in patients with chronic low back pain despite medical treatment and physical therapy can be considered as an additional treatment option.

Anahtar Kelimeler

Yoga, Chronic Low Back Pain, Low Back Disability Level, Quality of life

Proje Numarası

Yok

Kaynakça

• 1. Andersson, Gunnar BJ. Epidemiological features of chronic low-back pain. The Lancet (London, England) 1999;354(9178):581-585.
• 2. Waddell G. The clinical course of low back pain. The back pain revolution, 1998.
• 3. Kovacs FM, ve ark. Correlation between pain, disability, and quality of life in patients with common low back pain. Spine 2004;29(2):206-210.
• 4. Kovacs FM, ve ark. The transition from acute to subacute and chronic low back pain: a study based on determinants of quality of life and prediction of chronic disability. Spine 2005;30(15):1786-1792.
• 5. Manchıkantı L, ve ark. Evaluation of the relative contributions of various structures in chronic low back pain. Pain physician 2001;4(4):308.
• 6. Waters SJ, Keefe FJ, Strauman TJ. Self-discrepancy in chronic low back pain: relation to pain, depression, and psychological distress. Journal of pain and symptom management 2004;27(3):251-259.
• 7. Mordenız Cengiz, Sıvacı R. Kronik bel ağrısında medikal tedavi. Kocatepe Tıp Dergisi 2010;11(1):43-55.
• 8. Ashburn MA, Staats PS. Management of chronic pain. The Lancet (London, England) 1999;353(9167):1865-1869.
• 9. Freburger JK, Carey TS, Holmes GM. Physician referrals to physical therapists for the treatment of spine disorders. Spine J 2005;5:530-41.
• 10. Staiger TO, ve ark. Systematic review of antidepressants in the treatment of chronic low back pain. Spine 2003;28(22):2540-2545.
• 11. Long A, Donelson R, Fung T. Does it matter which exercise? A randomized control trial of exercise for low back pain. Spine J 2004;29(23):2593–2602.
• 12. Poıtras S, Brosseau L. Evidence-informed management of chronic low back pain with transcutaneous electrical nerve stimulation, interferential current, electrical muscle stimulation, ultrasound, and thermotherapy. The Spine Journal 2008;8(1):226-233.
• 13. Wai EK, ve ark. Evidence-informed management of chronic low back pain with physical activity, smoking cessation, and weight loss. The spine journal 2008;8(1):195-202.
• 14. Tibrook HE, ve ark. Yoga for chronic low back pain: a randomized trial. Annals of internal medicine 2011;155(9):569-578.
• 15. Tuğba ÖZ, Demirel ÖB, Gürkan ÖC. Menopoz Semptomlarının Yönetiminde Yoganın Kanıt Temelli Kullanımı. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi 2021;11(3):420-428.
• 16. Saper RB, ve ark. Yoga, Physical Therapy, or Education for Chronic Low Back Pain: A Randomized Noninferiority Trial. Annals of internal medicine 2017;167(2):85–94.
• 17. Sorosky S, Stilp S, Akuthota V. Yoga and pilates in the management of low back pain. Current reviews in musculoskeletal medicine, 2008;1:39-47.
• 18. Woodyard C. Exploring the therapeutic effects of yoga and its ability to increase quality of life. International journal of yoga 2011;4(2):49.
• 19. Saper RB, ve ark. Yoga, physical therapy, or education for chronic low back pain: a randomized noninferiority trial. Annals of Internal Medicine 2017;167(2):85-94.
• 20. Zhu F, ve ark. Yoga compared to non-exercise or physical therapy exercise on pain, disability, and quality of life for patients with chronic low back pain: A systematic review and meta-analysis of randomized controlled trials. PloS one 2020;15(9):e0238544.
• 21. Parkitny L, ve ark. Rasch analysis supports the use of the depression, anxiety, and stress scales to measure mood in groups but not in individuals with chronic low back pain. Journal of Clinical Epidemiology 2012;65(2):189-198.
• 22. Krishnan KRR, ve ark. Chronic pain and depression. II. Symptoms of anxiety in chronic low back pain patients and their relationship to subtypes of depression. Pain 1985;22(3):289-294.
• 23. Bridges L, Sharma M. The efficacy of yoga as a form of treatment for depression. Journal of evidence-based complementary & alternative medicine 2017;22(4):1017-1028.
• 24. Sciarrino NA, ve ark. Assessing the effectiveness of yoga as a complementary and alternative treatment for post-traumatic stress disorder: A review and synthesis. The Journal of Alternative and Complementary Medicine 2017;23(10):747-755.
• 25. Cramer H, ve ark. Editorial, Yoga in prevention and therapy. Evidence-Based Complementary and Alternative Medicine 2017;1-2.
• 26. Stefane T, ve ark. Chronic low back pain: pain intensity, disability and quality of life. Acta Paulista de Enfermagem 2013;26:14-20.
• 27. Keeley P ve ark. Psychosocial predictors of health-related quality of life and health service utilisation in people with chronic low back pain. Pain® 2008;135(1-2):142-150.
• 28. Solmaz İ, Örsçelik A, Buyukluoglu G. Investigation of Musculoskeletal System Disorders of Healthcare Personnel in Ankara Province. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi 2023;13(1):151-158.
• 29. Patil NJ, ve ark. A randomized trial comparing effect of yoga and exercises on quality of life in among nursing population with chronic low back pain. International journal of yoga 2018;11(3):208.
• 30. Tekur P, ve ark. A comprehensive yoga programs improves pain, anxiety and depression in chronic low back pain patients more than exercise: an RCT. Complementary therapies in medicine 2012;20(3):107–118.