sdü tıp fak derg

Medical Journal of Süleyman Demirel University

2602-2109

Süleyman Demirel Üniversitesi

10.17343/sdutfd.1309984

Health Services and Systems (Other)

Sağlık Hizmetleri ve Sistemleri (Diğer)

KRONİK BEL AĞRILI HASTALARDA LOMBER STABİLİZASYON EGZERSİZLERİNİN ETKİSİ

THE EFFECT OF LUMBAR STABILIZATION EXERCISES ON CHRONIC LOW BACK PAIN PATIENTS

https://orcid.org/0000-0002-4743-3888

Barut

Kayra

İZMİR ÖZEL EMOT PLUS HASTANESİ

https://orcid.org/0000-0001-9094-2904

Taştaban

Engin

ADNAN MENDERES UNIVERSITY, FACULTY OF MEDICINE

https://orcid.org/0000-0002-0718-9438

Şendur

Ömer

Medicana İnternational Hospital

12 30 2023

30 4 610 618 06 05 2023 10 14 2023

1994

Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi

AmaçBu çalışmanın amacı kronik bel ağrısı olan hastalardalomber stabilizasyon egzersizlerinin (LSE) ağrı,fonksiyonel kapasite, yaşam kalitesi ve denge üzerineetkisini araştırmak, ayrıca lomber multifidus kası kesitselalanına etkisini değerlendirmektir.Gereç ve YöntemÇalışmaya kronik bel ağrısı tanısı alan 66 hasta alındı.Hastalar randomize edilerek iki gruba ayrıldı. Birincigruba (Grup 1, n=28) lomber stabilizasyon egzersizleri,TENS ve Hotpack tedavileri, ikinci gruba (Grup2, n=37) ise sadece TENS, Hotpack tedavileri verildi.Hastalar tedavi öncesi ve tedavi sonrası 8. haftadadeğerlendirildi. Ağrı için Visuel Analog Skala (VAS),fonksiyonel dizabilite için Roland Morris SorgulamaAnketi ve Oswestry Özürlülük İndeksi, yaşam kalitesiiçin Kısa Form-36 (SF-36) ile değerlendirme yapıldı.Denge değerlendirmesinde Tetrax® posturografi cihazı(SunlightMedicalLtd, İsrail) kullanıldı ve düşmeindeksi (FI) hesaplandı. Multifidus kası kesit alanı ultrasonografiile ölçüldü.BulgularGruplar arası karşılaştırıldığında multifidus kası kesitselalanı, SF-36`nın fiziksel rol güçlüğü, ağrı, ruhsalsağlık ve enerji/vitalite/ canlılık alt parametrelerindeLSE alan hastalarda daha anlamlı iyileşme gözlendi(p˂0.05). Düşme indeksi, VAS skorları, Roland MorrisSorgulama Anketi ve Oswestry Özürlülük İndeksiskorlarında gruplar arasında anlamlı farklılık saptanmadı.SonuçLomber stabilizasyon egzersizleri, kronik bel ağrısıolan hastalarda multifidus kesit alanını ve yaşam kalitesiniolumlu yönde etkilemektedir. Bizim örneklemimiziçin lomber stabilizasyon egzersizlerinin konvansiyonelfizik tedavi programına eklenmesi denge, ağrıve dizabilite açısından ek katkı sağlamamaktadır.

ObjectiveThe aim of this study is to investigate the effectof lumbar stabilization exercises (LSE) on pain,functional capacity, quality of life, and balance inpatients with chronic low back pain (CLBP), and alsoto evaluate the effect on the cross-sectional area ofthe lumbar multifidus muscle.Material and MethodSixty-six patients with CLBP were enrolled,randomized, and divided into two groups. LSE,transcutaneous electrical nerve stimulation (TENS),and hot pack treatments were performed in Group1 (n=28). In Group 2 (n=37), TENS and hot packtreatments were performed only. Pre and 8-weekpost-treatment assessments were made. VisualAnalog Scale (VAS) was used to evaluate pain.Modified Oswestry Disability Index (ODI) and RolandMorris Disability Questionnaire (RMDQ) were usedto evaluate the functional disability. Short Form-36(SF-36) was used to measure the quality of life. Inthe assessment of balance, a Tetrax® posturographydevice (Sunlight Medical Ltd, Israel) was used and fallindex (FI) was calculated. The cross-sectional area ofmultifidus muscles was measured by ultrasonography.ResultsSignificant improvements regarding the crosssectionalarea of multifidus musclesand subparametersof SF-36 named physical role, pain,mental health, and energy/vitality were determined inGroup 1 compared to Group 2 (p˂0.05). No significantdifference was present between the groups regardingFI, VAS score, RMDQ, ODI, and balance.ConclusionLumbar stabilization exercises in patients with chroniclow back pain multifidus positively affects crosssectionalarea and quality of life. For our sample,the addition of lumbar stabilization exercises tothe conventional physical therapy program doesnot provides an additional contribution in terms ofbalance, pain and disability.

Lumbar stabilization exercises chronic low back pain quality of life balance multifidus muscle

Denge Kronik bel ağrısı Lomber stabilizasyon egzersizleri Multifidus kası Yaşam kalitesi

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