KRONİK BOYUN AĞRISI OLAN BİREYLERDE AĞRI, FONKSİYONEL DURUM VE BOYUN FARKINDALIĞI ARASINDAKİ İLİŞKİ

Öz

Amaç: Ağrı şiddeti ve fonksiyonel durum birbiriyle ilişkilidir fakat bu ilişkinin doğrudan olmadığı öne sürülmektedir. Bu çalışmanın amacı, kronik boyun ağrılı bireylerde ağrı, fonksiyonel durum ve boyun farkındalığı arasındaki ilişkiyi ve fonksiyonel durum ile ağrı şiddeti ilişkisine boyun farkındalığının katkısını araştırmaktır. Yöntem: Kronik boyun ağrısı olan 766 birey [509 (%66,4) kadın, 257 (%33,6) erkek] çalışmaya dahil edildi. Boyun ağrısı şiddeti, fonksiyonel durum ve boyun farkındalığı sırası ile Görsel Analog Skala (GAS), Bournemouth Boyun Ağrı Anketi (BBAA) ve Fremantle Boyun Farkındalık Anketi (FBFA) ile değerlendirildi. Sonuçlar: Kronik boyun ağrılı bireylerin yaş ortalaması 39,47±13,93 yıldı. Çok değişkenli regresyon analizine göre, fonksiyonel duruma esas etkisi olan değişkenler GAS skoru (20-39 yaş grubu: ß=0,918, p<0,001, 40-60 yaş grubu: ß=0,909, p<0,001) ve FBFA skoru (20-39 yaş grubu: ß=0,008, p=0,035, 40-60 yaş grubu: ß=0,124, p<0,001) idi. İlk aşama hiyerarşik analizde GAS skorunun açıklayıcılık oranı 20-39 yaş grubunda %91, 40-60 yaş grubunda %89,7 idi. İkinci adımda FBFA skorunun eklenmesi bu orana 20-39 yaş grubunda %0,6, 40-60 yaş grubunda %1,5 katkı sağladı. Tartışma: Çalışmamız sonucunda kronik boyun ağrısı olan bireylerde fonksiyonel duruma esas etki eden faktörlerin ağrı şiddeti ve boyun farkındalığı olduğu tespit edildi.

Anahtar Kelimeler

• Kronik Boyun Ağrısı
• Farkındalık
• Fonksiyonel Durum
• Ağrı şiddeti
• Doğrusal regresyon

THE RELATION BETWEEN PAIN, FUNCTIONAL STATUS, AND NECK AWARENESS IN INDIVIDUALS WITH CHRONIC NECK PAIN

Abstract

Purpose: Pain intensity and functional status are interrelated, but it is suggested that this relationship is not direct. The aim of this study was to investigate the relationship between pain, functional status, and neck awareness in individuals with chronic neck pain, and the contribution of neck awareness to the relationship between functional status and pain intensity. Methods: Seven hundred and sixty-six individuals (509 (%66.4) females; 257 (%33.6) males) with chronic neck pain were included in the study. Neck pain intensity, functional status, and neck awareness were evaluated with the Visual Analog Scale (VAS), Bournemouth Neck Pain Questionnaire (BNPQ), and Fremantle Neck Awareness Questionnaire (FNAQ), respectively. Results: The mean age of individuals with chronic neck pain was 39.47 ± 13.93 years. According to multivariate regression analysis, the variables that had the main effect on functional status were VAS score (20-39 age group: ß=0.918, p<0.001, 40-60 age group: ß=0.909, p<0.001) and FNAQ score (20-39 age group: ß=0.008, p=0.035, 40-60 age group: ß=0.124, p<0.001). In the first stage of the hierarchical analysis, the explanatory rate of the VAS score was 91% in the 20-39 age group and 89.7% in the 40-60 age group. Adding the FNAQ score in the second step contributed to this ratio by 0.6% in the 20-39 age group and 1.5% in the 40-60 age group. Discussion: As a result of our study, it was determined that the main factors affecting the functional status of individuals with chronic neck pain were pain intensity and neck awareness.

Keywords

• Chronic neck pain
• Awareness
• Functional Status
• Linear regression
• Pain intensity

Kaynakça

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