Araştırma Makalesi
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KRONIK BEL AĞRILI HASTALARDA ALET DESTEKLI YUMUŞAK DOKU MOBILIZASYONU VE KINEZYOLOJIK BANTLAMANIN AĞRI, FONKSIYONEL YETERSIZLIK VE DEPRESYON ÜZERINE ETKILERI: RANDOMIZE BIR ÇALIŞMA

Yıl 2022, , 179 - 186, 20.12.2022
https://doi.org/10.21653/tjpr.1018016

Öz

Amaç: Bel ağrısı kronikleşebilen, fonksiyonel yetersizlik ve depresyona neden olarak hastanın yaşam kalitesini düşüren yaygın bir durumdur. Bu çalışma, kronik nonspesifik bel ağrısı (KNBA) olan hastalarda konservatif tedaviye ek olarak uygulanan Enstrüman Destekli Yumuşak Doku Mobilizasyonu (EDYDM) ve Kinezyolojik Bantlama (KB) yöntemlerinin etkilerini araştırmayı amaçladı.
Yöntem: Çalışmaya dâhil edilen 30-50 yaş arası toplam 30 kronik bel ağrılı hasta randomize olarak EDYDM (n=15) ve KB (n=15) gruplarına ayrıldı. Her iki gruba da sıcak paket, ultrason, transkutanöz elektriksel sinir stimülasyonu (TENS) ve ev egzersizlerinden oluşan konservatif tedavi uygulandı. Bu çalışmada Görsel Analog Skalası (VAS), Roland Morris Engellilik Anketi (RMEA) ve Beck Depresyon Envanteri (BDE) kullanılarak değerlendirmeler yapılmıştır. Ölçümler tedavinin başında ve sonunda yapıldı.
Sonuçlar: Çalışma sonucunda EDYDM yöntemi ağrı (p<0,05), işlevsellik (p=0.001) ve depresyon (p<0,05) gibi parametrelerde iyileşme sağladı. Çalışma sonucunda KB grubu ağrı, fonksiyonel yetersizlik ve depresyon gibi parametrelerde tedavi öncesine göre iyileşme sağladı (p<0,05). Ancak iki tedavinin ağrı (p=0,241), işlevsellik (p=0,687) ve depresyon (p=0,699) parametrelerinde birbirlerine üstünlükleri yoktu.
Tartışma: KNBA olan hastalarda her iki tedavinin de ağrı, yeti yitimi, depresyon ve ruhsal durum gibi birçok parametre üzerinde olumlu etkilerinin olduğu görülmüştür. Bu çalışma, EDYDM ve KB tedavilerinin KNBA'lı hastalarda terapatik etkileri desteklemek amacıyla kullanılabileceğini göstermektedir.

Kaynakça

  • 1. Hoy D, Bain C, Williams G, March L, Brooks P, Blyth F, Woolf A, Vos T, Buchbinder R. A systematic review of the global prevalence of low back pain. Arthritis Rheum. 2012; 64(6):2028-37.
  • 2. Maher C, Underwood M, Buchbinder R. Non-specific low back pain. Lancet. 2017; 389(10070):736-747.
  • 3. Alahmari KA, Rengaramanujam K, Reddy RS, Samuel PS, Tedla JS, Kakaraparthi VN, Ahmad I. The immediate and short-term effects of dynamic taping on pain, endurance, disability, mobility and kinesiophobia in individuals with chronic non-specific low back pain: A randomized controlled trial. PLoS One. 2020; 15(9):e0239505.
  • 4. da Silva T, Mills K, Brown BT, Pocovi N, de Campos T, Maher C, Hancock MJ. Recurrence of low back pain is common: a prospective inception cohort study. J Physiother. 2019; 65(3):159-165.
  • 5. Portillo-Soto A, Eberman LE, Demchak TJ, Peebles C. Comparison of blood flow changes with soft tissue mobilization and massage therapy. J Altern Complement Med. 2014; 20(12):932-6.
  • 6. Fousekis K, Eid K, Tafa E, Gkrilias P, Mylonas K, Angelopoulos P, Koumoundourou D, Billis V, Tsepis E. Can the application of the Ergon® IASTM treatment on remote parts of the superficial back myofascial line be equally effective with the local application for the improvement of the hamstrings' flexibility? A randomized control study. J Phys Ther Sci. 2019; 31(7):508-511.
  • 7. Seffrin CB, Cattano NM, Reed MA, Gardiner-Shires AM. Instrument-Assisted Soft Tissue Mobilization: A Systematic Review and Effect-Size Analysis. J Athl Train. 2019; 54(7):808-821.
  • 8. Ikeda N, Otsuka S, Kawanishi Y, Kawakami Y. Effects of Instrument-assisted Soft Tissue Mobilization on Musculoskeletal Properties. Med Sci Sports Exerc. 2019; 51(10):2166-2172.
  • 9. Hammer WI. The effect of mechanical load on degenerated soft tissue. J Bodyw Mov Ther. 2008; 12(3):246-56.
  • 10. Choi IR, Lee JH. Effect of kinesiology tape application direction on quadriceps strength. Medicine (Baltimore). 2018; 97(24):e11038.
  • 11. Slevin ZM, Arnold GP, Wang W, Abboud RJ. Immediate effect of kinesiology tape on ankle stability. BMJ Open Sport Exerc Med. 2020; 6(1):e000604.
  • 12. Yam ML, Yang Z, Zee BC, Chong KC. Effects of Kinesio tape on lower limb muscle strength, hop test, and vertical jump performances: a meta-analysis. BMC Musculoskelet Disord. 2019; 20(1):212.
  • 13. Cools AM, Witvrouw EE, Danneels LA, Cambier DC. Does taping influence electromyographic muscle activity in the scapular rotators in healthy shoulders? Man Ther. 2002; 7(3):154-62.
  • 14. Moon JH, Jung JH, Won YS, Cho HY. Immediate effects of Graston Technique on hamstring muscle extensibility and pain intensity in patients with nonspecific low back pain. J Phys Ther Sci. 2017; 29(2):224-227.
  • 15. Sevier TL, Stegink-Jansen CW. Astym treatment vs. eccentric exercise for lateral elbow tendinopathy: a randomized controlled clinical trial. PeerJ. 2015; 3:e967.
  • 16. Stevens ML, Lin CC, Maher CG. The Roland Morris Disability Questionnaire. J Physiother. 2016; 62(2):116.
  • 17. Küçükdeveci AA, Tennant A, Elhan AH, Niyazoglu H. Validation of the Turkish version of the Roland-Morris Disability Questionnaire for use in low back pain. Spine (Phila Pa 1976). 2001; 26(24):2738-43.
  • 18. Calvo-Lobo C, Vilar Fernández JM, Becerro-de-Bengoa-Vallejo R, Losa-Iglesias ME, Rodríguez-Sanz D, Palomo López P, López López D. Relationship of depression in participants with nonspecific acute or subacute low back pain and no-pain by age distribution. J Pain Res. 2017; 10:129-135.
  • 19. Hisli N. Beck Depresyon Envanterinin geçerliği üzerine bir çalışma. Turk Psikiyatri Derg. 1988; 6:118–26.
  • 20. El-Hafez HM, Hamdy HA, Takla MK, Ahmed SEB, Genedy AF, Abd El-Azeim ASS. Instrument-assisted soft tissue mobilisation versus stripping massage for upper trapezius myofascial trigger points. J Taibah Univ Med Sci. 2020; 15(2):87-93.
  • 21. Castro-Sánchez AM, Lara-Palomo IC, Matarán-Peñarrocha GA, Fernández-Sánchez M, Sánchez-Labraca N, Arroyo-Morales M. Kinesio Taping reduces disability and pain slightly in chronic non-specific low back pain: a randomised trial. J Physiother. 2012; 58(2):89-95.
  • 22. Luz Júnior MA, Sousa MV, Neves LA, Cezar AA, Costa LO. Kinesio Taping® is not better than placebo in reducing pain and disability in patients with chronic non-specific low back pain: a randomized controlled trial. Braz J Phys Ther. 2015; 19(6):482-90.
  • 23. Macedo LB, Richards J, Borges DT, Melo SA, Brasileiro JS. Kinesio Taping reduces pain and improves disability in low back pain patients: a randomised controlled trial. Physiotherapy. 2019; 105(1):65-75.
  • 24. Kafa N, Citaker S, Omeroglu S, Peker T, Coskun N, Diker S. Effects of kinesiologic taping on epidermal-dermal distance, pain, edema and inflammation after experimentally induced soft tissue trauma. Physiother Theory Pract. 2015; 31(8):556-61.
  • 25. Hanley MA, Jensen MP, Ehde DM, Hoffman AJ, Patterson DR, Robinson LR. Psychosocial predictors of long-term adjustment to lower-limb amputation and phantom limb pain. Disabil Rehabil. 2004; 26(14-15):882-93.

THE EFFECTS OF INSTRUMENT-ASSISTED SOFT TISSUE MOBILIZATION AND KINESIO TAPING ON PAIN, FUNCTIONAL DISABILITY AND DEPRESSION IN PATIENTS WITH CHRONIC LOW BACK PAIN: A RANDOMIZED TRIAL

Yıl 2022, , 179 - 186, 20.12.2022
https://doi.org/10.21653/tjpr.1018016

Öz

Purpose: Low back pain is a common condition that can become chronic, which reduces the life quality of the patient by causing functional disability and depression. This study aimed to investigate the effects of instrument-assisted soft tissue mobilization (IASTM) and kinesio taping (KT) along with conservative treatment in patients with chronic nonspecific low back pain (CNLBP).
Methods: A total of 30 patients with chronic low back pain aged between 30-50 years included in the study were randomized to IASTM (n=15) and KT (n=15) groups. Both the groups underwent conservative treatment that comprised of a hot pack, ultrasound, transcutaneous electrical nerve stimulation (TENS) and home exercises. In this study, assessments were made using the Visual Analogue Scale (VAS), Roland Morris Disability Questionnaire (RMDQ), and Beck Depression Inventory (BDI). The measurements were carried out at the beginning and end of the treatment.
Results: As a result of the study, IASTM method improved in parameters such as pain (p<0.05), functionality (p=0.001) and depression (p<0.05). As a result of the study, the KT group improved in parameters such as pain, functionality and depression compared to pre-treatment (p<0.05). However, the two treatments were not superior to each other in pain (p=0.241), functionality (p=0.687) and depression (p=0.699) parameters.
Conclusion: It has been observed that both treatments have positive effects on many parameters such as pain, disability, depression and mental state in patients with CNLBP. This study demonstrates that IASTM and KT treatments can be used to support therapeutic effects in patients with CNLBP.

Kaynakça

  • 1. Hoy D, Bain C, Williams G, March L, Brooks P, Blyth F, Woolf A, Vos T, Buchbinder R. A systematic review of the global prevalence of low back pain. Arthritis Rheum. 2012; 64(6):2028-37.
  • 2. Maher C, Underwood M, Buchbinder R. Non-specific low back pain. Lancet. 2017; 389(10070):736-747.
  • 3. Alahmari KA, Rengaramanujam K, Reddy RS, Samuel PS, Tedla JS, Kakaraparthi VN, Ahmad I. The immediate and short-term effects of dynamic taping on pain, endurance, disability, mobility and kinesiophobia in individuals with chronic non-specific low back pain: A randomized controlled trial. PLoS One. 2020; 15(9):e0239505.
  • 4. da Silva T, Mills K, Brown BT, Pocovi N, de Campos T, Maher C, Hancock MJ. Recurrence of low back pain is common: a prospective inception cohort study. J Physiother. 2019; 65(3):159-165.
  • 5. Portillo-Soto A, Eberman LE, Demchak TJ, Peebles C. Comparison of blood flow changes with soft tissue mobilization and massage therapy. J Altern Complement Med. 2014; 20(12):932-6.
  • 6. Fousekis K, Eid K, Tafa E, Gkrilias P, Mylonas K, Angelopoulos P, Koumoundourou D, Billis V, Tsepis E. Can the application of the Ergon® IASTM treatment on remote parts of the superficial back myofascial line be equally effective with the local application for the improvement of the hamstrings' flexibility? A randomized control study. J Phys Ther Sci. 2019; 31(7):508-511.
  • 7. Seffrin CB, Cattano NM, Reed MA, Gardiner-Shires AM. Instrument-Assisted Soft Tissue Mobilization: A Systematic Review and Effect-Size Analysis. J Athl Train. 2019; 54(7):808-821.
  • 8. Ikeda N, Otsuka S, Kawanishi Y, Kawakami Y. Effects of Instrument-assisted Soft Tissue Mobilization on Musculoskeletal Properties. Med Sci Sports Exerc. 2019; 51(10):2166-2172.
  • 9. Hammer WI. The effect of mechanical load on degenerated soft tissue. J Bodyw Mov Ther. 2008; 12(3):246-56.
  • 10. Choi IR, Lee JH. Effect of kinesiology tape application direction on quadriceps strength. Medicine (Baltimore). 2018; 97(24):e11038.
  • 11. Slevin ZM, Arnold GP, Wang W, Abboud RJ. Immediate effect of kinesiology tape on ankle stability. BMJ Open Sport Exerc Med. 2020; 6(1):e000604.
  • 12. Yam ML, Yang Z, Zee BC, Chong KC. Effects of Kinesio tape on lower limb muscle strength, hop test, and vertical jump performances: a meta-analysis. BMC Musculoskelet Disord. 2019; 20(1):212.
  • 13. Cools AM, Witvrouw EE, Danneels LA, Cambier DC. Does taping influence electromyographic muscle activity in the scapular rotators in healthy shoulders? Man Ther. 2002; 7(3):154-62.
  • 14. Moon JH, Jung JH, Won YS, Cho HY. Immediate effects of Graston Technique on hamstring muscle extensibility and pain intensity in patients with nonspecific low back pain. J Phys Ther Sci. 2017; 29(2):224-227.
  • 15. Sevier TL, Stegink-Jansen CW. Astym treatment vs. eccentric exercise for lateral elbow tendinopathy: a randomized controlled clinical trial. PeerJ. 2015; 3:e967.
  • 16. Stevens ML, Lin CC, Maher CG. The Roland Morris Disability Questionnaire. J Physiother. 2016; 62(2):116.
  • 17. Küçükdeveci AA, Tennant A, Elhan AH, Niyazoglu H. Validation of the Turkish version of the Roland-Morris Disability Questionnaire for use in low back pain. Spine (Phila Pa 1976). 2001; 26(24):2738-43.
  • 18. Calvo-Lobo C, Vilar Fernández JM, Becerro-de-Bengoa-Vallejo R, Losa-Iglesias ME, Rodríguez-Sanz D, Palomo López P, López López D. Relationship of depression in participants with nonspecific acute or subacute low back pain and no-pain by age distribution. J Pain Res. 2017; 10:129-135.
  • 19. Hisli N. Beck Depresyon Envanterinin geçerliği üzerine bir çalışma. Turk Psikiyatri Derg. 1988; 6:118–26.
  • 20. El-Hafez HM, Hamdy HA, Takla MK, Ahmed SEB, Genedy AF, Abd El-Azeim ASS. Instrument-assisted soft tissue mobilisation versus stripping massage for upper trapezius myofascial trigger points. J Taibah Univ Med Sci. 2020; 15(2):87-93.
  • 21. Castro-Sánchez AM, Lara-Palomo IC, Matarán-Peñarrocha GA, Fernández-Sánchez M, Sánchez-Labraca N, Arroyo-Morales M. Kinesio Taping reduces disability and pain slightly in chronic non-specific low back pain: a randomised trial. J Physiother. 2012; 58(2):89-95.
  • 22. Luz Júnior MA, Sousa MV, Neves LA, Cezar AA, Costa LO. Kinesio Taping® is not better than placebo in reducing pain and disability in patients with chronic non-specific low back pain: a randomized controlled trial. Braz J Phys Ther. 2015; 19(6):482-90.
  • 23. Macedo LB, Richards J, Borges DT, Melo SA, Brasileiro JS. Kinesio Taping reduces pain and improves disability in low back pain patients: a randomised controlled trial. Physiotherapy. 2019; 105(1):65-75.
  • 24. Kafa N, Citaker S, Omeroglu S, Peker T, Coskun N, Diker S. Effects of kinesiologic taping on epidermal-dermal distance, pain, edema and inflammation after experimentally induced soft tissue trauma. Physiother Theory Pract. 2015; 31(8):556-61.
  • 25. Hanley MA, Jensen MP, Ehde DM, Hoffman AJ, Patterson DR, Robinson LR. Psychosocial predictors of long-term adjustment to lower-limb amputation and phantom limb pain. Disabil Rehabil. 2004; 26(14-15):882-93.
Toplam 25 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Rehabilitasyon
Bölüm Araştırma Makaleleri
Yazarlar

Özge Çakmak 0000-0002-3232-0311

Emine Atıcı 0000-0002-6547-4798

Mustafa Gülşen 0000-0002-8826-8524

Yayımlanma Tarihi 20 Aralık 2022
Yayımlandığı Sayı Yıl 2022

Kaynak Göster

APA Çakmak, Ö., Atıcı, E., & Gülşen, M. (2022). THE EFFECTS OF INSTRUMENT-ASSISTED SOFT TISSUE MOBILIZATION AND KINESIO TAPING ON PAIN, FUNCTIONAL DISABILITY AND DEPRESSION IN PATIENTS WITH CHRONIC LOW BACK PAIN: A RANDOMIZED TRIAL. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, 33(3), 179-186. https://doi.org/10.21653/tjpr.1018016
AMA Çakmak Ö, Atıcı E, Gülşen M. THE EFFECTS OF INSTRUMENT-ASSISTED SOFT TISSUE MOBILIZATION AND KINESIO TAPING ON PAIN, FUNCTIONAL DISABILITY AND DEPRESSION IN PATIENTS WITH CHRONIC LOW BACK PAIN: A RANDOMIZED TRIAL. Turk J Physiother Rehabil. Aralık 2022;33(3):179-186. doi:10.21653/tjpr.1018016
Chicago Çakmak, Özge, Emine Atıcı, ve Mustafa Gülşen. “THE EFFECTS OF INSTRUMENT-ASSISTED SOFT TISSUE MOBILIZATION AND KINESIO TAPING ON PAIN, FUNCTIONAL DISABILITY AND DEPRESSION IN PATIENTS WITH CHRONIC LOW BACK PAIN: A RANDOMIZED TRIAL”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi 33, sy. 3 (Aralık 2022): 179-86. https://doi.org/10.21653/tjpr.1018016.
EndNote Çakmak Ö, Atıcı E, Gülşen M (01 Aralık 2022) THE EFFECTS OF INSTRUMENT-ASSISTED SOFT TISSUE MOBILIZATION AND KINESIO TAPING ON PAIN, FUNCTIONAL DISABILITY AND DEPRESSION IN PATIENTS WITH CHRONIC LOW BACK PAIN: A RANDOMIZED TRIAL. Türk Fizyoterapi ve Rehabilitasyon Dergisi 33 3 179–186.
IEEE Ö. Çakmak, E. Atıcı, ve M. Gülşen, “THE EFFECTS OF INSTRUMENT-ASSISTED SOFT TISSUE MOBILIZATION AND KINESIO TAPING ON PAIN, FUNCTIONAL DISABILITY AND DEPRESSION IN PATIENTS WITH CHRONIC LOW BACK PAIN: A RANDOMIZED TRIAL”, Turk J Physiother Rehabil, c. 33, sy. 3, ss. 179–186, 2022, doi: 10.21653/tjpr.1018016.
ISNAD Çakmak, Özge vd. “THE EFFECTS OF INSTRUMENT-ASSISTED SOFT TISSUE MOBILIZATION AND KINESIO TAPING ON PAIN, FUNCTIONAL DISABILITY AND DEPRESSION IN PATIENTS WITH CHRONIC LOW BACK PAIN: A RANDOMIZED TRIAL”. Türk Fizyoterapi ve Rehabilitasyon Dergisi 33/3 (Aralık 2022), 179-186. https://doi.org/10.21653/tjpr.1018016.
JAMA Çakmak Ö, Atıcı E, Gülşen M. THE EFFECTS OF INSTRUMENT-ASSISTED SOFT TISSUE MOBILIZATION AND KINESIO TAPING ON PAIN, FUNCTIONAL DISABILITY AND DEPRESSION IN PATIENTS WITH CHRONIC LOW BACK PAIN: A RANDOMIZED TRIAL. Turk J Physiother Rehabil. 2022;33:179–186.
MLA Çakmak, Özge vd. “THE EFFECTS OF INSTRUMENT-ASSISTED SOFT TISSUE MOBILIZATION AND KINESIO TAPING ON PAIN, FUNCTIONAL DISABILITY AND DEPRESSION IN PATIENTS WITH CHRONIC LOW BACK PAIN: A RANDOMIZED TRIAL”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, c. 33, sy. 3, 2022, ss. 179-86, doi:10.21653/tjpr.1018016.
Vancouver Çakmak Ö, Atıcı E, Gülşen M. THE EFFECTS OF INSTRUMENT-ASSISTED SOFT TISSUE MOBILIZATION AND KINESIO TAPING ON PAIN, FUNCTIONAL DISABILITY AND DEPRESSION IN PATIENTS WITH CHRONIC LOW BACK PAIN: A RANDOMIZED TRIAL. Turk J Physiother Rehabil. 2022;33(3):179-86.