The Relationship between Core Stability, Pain and Disability in Persons with Chronic Non-Specific Low Back Pain

Yıl 2023, Cilt: 4 Sayı: 3, 420 - 431, 31.12.2023

Mehmet Akif Güler , Ertuğrul Demirdel , İlknur Albayrak , Alaaddin Nayman , Ezgi Akyıldız Tezcan

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Abstract

Purpose: In our study, we aimed to examine the relationships between lumbopelvic core stability level, pain intensity and functional disability level in persons with chronic non-specific low back pain.

Methods: This prospective cohort study was conducted with persons with chronic non-specific low back pain. A 10 cm horizontal visual analog scale was used to measure pain intensity, Oswestry Disability Index was used to measure functional disability, and Sahrmann Core Stability Test was used to assess lumbopelvic core stability. In statistical analysis, Spearman’s rank correlation coefficient was used to examine the correlations of the data. The significance value was determined as p<0.05.

Results: In our study, 36 persons with chronic non-specific low back pain with a median age of 35 years were evaluated. It was determined that there was a high negative correlation between the core stability level and pain intensity (r=-0.781; p<0.001), a moderate negative correlation between functional disability level and core stability level (r=-0.652; p<0.001) and a moderate positive correlation between functional disability level and pain intensity (r=0.656; p<0.001).

Conclusion: According to our study results, the decrease in lumbopelvic core stability in persons with chronic non-specific low back pain leads to an increase in pain intensity and functional disability. Accordingly, improvement of lumbopelvic core stability in persons with non-specific low back pain may lead to a decrease in pain intensity and functional disability.

Anahtar Kelimeler

Low back pain, Visual analog scale, Instability, Chronic pain

KRONİK NON-SPESİFİK BEL AĞRILI BİREYLERDE KOR STABİLİTE, AĞRI VE DİSABİLİTE ARASINDAKİ İLİŞKİ

Öz

Öz

Amaç: Çalışmamızda, kronik non-spesifik bel ağrısı olan bireylerde lumbopelvik kor stabilite seviyesi, ağrı şiddeti ve fonksiyonel disabilite düzeyi arasındaki ilişkileri incelemeyi amaçladık.

Yöntem: Bu prospektif kohort çalışması, kronik non-spesifik bel ağrılı bireyler ile gerçekleştirildi. Bireylerin ağrı şiddetini ölçmek için vizuel analog skala, fonksiyonel disabilite düzeyini belirlemek için Oswestry Özürlülük Skalası, lumbopelvik kor stabilite seviyesini değerlendirmek için Sahrmann Core Stabilite Testi uygulandı. İstatistiksel analizde, verilerin korelasyonları incelemek için Spearman’ın sıra korelasyon katsayısı kullanıldı. Anlamlılık değeri p<0,05 olarak belirlendi.

Bulgular: Çalışmamız kapsamında yaşlarının ortanca değeri 35 yıl olan kronik non-spesifik bel ağrılı 36 birey değerlendirildi. Bireylerin kor stabilite seviyesi ile ağrı şiddeti arasında yüksek düzeyde negatif korelasyon olduğu belirlendi (p<0,001; r=-0,781). Fonksiyonel disabilite düzeyi ile kor stabilite seviyesi arasında orta düzeyde negatif korelasyon (p<0,001; r=-0,652); fonksiyonel disabilite düzeyi ile ağrı şiddeti arasında orta düzeyde pozitif korelasyon olduğu belirlendi (p<0,001; r=0,656).

Sonuç: Çalışma sonuçlarımıza göre kronik non-spesifik bel ağrılı bireylerde lumbopelvik kor stabilitedeki azalma ağrı şiddetinin ve fonksiyonel disabilitenin artmasına yol açmaktadır. Buna göre non-spesifik bel ağrılı bireylerde lumbopelvik kor stabilitenin geliştirilmesi ile bireylerin ağrı şiddetinde ve fonksiyonel disabilite düzeyinde azalma sağlanabilir.

Anahtar Kelimeler

Bel ağrısı, Görsel analog skala, İnstabilite, Kronik ağrı

Kaynakça

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