Neck pain and disability: Eye drop ınstallation technique as a causative factor

Amaç: Bu çalışmada uzun süreli göz damlası kullanımı ve boyun ağrısı arasındaki muhtemel ilişki araştırıldı ve göz damlası kullanılırken boynun olması gereken pozisyonunu belirlendi. Hastalar ve yöntemler: Çalışmaya göz sağlığı ve hastalıkları polikliniğine başvuran ve glokom tanısı ile en az bir yıl süreyle göz damlası kullanan 18-80 yaş arası 67 hasta çalışma grubu (grup 1) olarak dahil edildi (n=31). Kontrol grubu (grup 2, n=36), aynı yaş grubunda göz damlası kullanmayan bireylerden seçildi. Boyun disabilite indeksi (NDI) ile hastaların demografik verileri ve göz damlası kullanma yöntemini içeren çalışma formları dolduruldu. Bulgular: Hastaların yaş ortalaması grup 1 ve grup 2 için sırasıyla 55.7±11.5 ve 53.5±17.1 yıldı. Yaş ve cinsiyet açısından gruplar arasında istatistiksel olarak anlamlı fark yoktu (sırasıyla, p=0.526 ve p=0.396). Kontrollere kıyasla, kronik göz damlası kullanılması ve kullanma yöntemi NDI’de anlamlı bir farklılığa neden oldu (p

Boyun ağrısı ve disabilite: Etkileyen bir etmen olarak göz damlasını kullanma tekniği

Objectives: This study aims to investigate a possible relationship between long standing eye drop usage and neck pain and to determine the optimal neck position while instilling the eye drop. Patients and methods: Sixty-seven patients who admitted to the ophthalmology outpatient clinic with the diagnosis of glaucoma and using eye drops for at least one year were included in the study as group 1 (n=31). The ages of the patients were between 18 to 80 years. A control group (group 2, n=36) was selected from age-matched individuals who did not use eye drops. The neck disability index form and a study form which included demographic data and the method of eye drop usage of patients were filled. Results: The mean age of the patients were 55.7±11.5 and 53.5±17.1 years for group 1 and group 2, respectively. There was no significant difference in the age and sex between the groups (p=0.526 and p=0.396, respectively). Compared to the controls, the chronic eye drop usage and its application method produced significant difference in neck disability index (p<0.001). Also, there was a positive correlation between neck disability index and number of eye drop usage per a day and period of eye drop usage (p=0.003 and p=0.004, respectively). Conclusion: Neck posture which is not placed in hyperextension position during administration of eye drop may reduce postural neck malposition- related neck disability. Patients who are on eye drop for a long time should be informed about postural disorders and instructed to correct the administration of eye drop technique to avoid neck pain.

Kaynakça

Ariëns GA, van Mechelen W, Bongers PM, Bouter LM, van der Wal G. Physical risk factors for neck pain. Scand J Work Environ Health 2000;26:7-19.

Ariëns GA, Bongers PM, Douwes M, Miedema MC, Hoogendoorn WE, van der Wal G, et al. Are neck flexion, neck rotation, and sitting at work risk factors for neck pain? Results of a prospective cohort study. Occup Environ Med 2001;58:200-7.

Edmondston SJ, Sharp M, Symes A, Alhabib N, Allison GT. Changes in mechanical load and extensor muscle activity in the cervico-thoracic spine induced by sitting posture modification. Ergonomics 2011;54:179-86.

Szeto GP, Straker L, Raine S. A field comparison of neck and shoulder postures in symptomatic and asymptomatic office workers. Appl Ergon 2002;33:75-84.

Eltayeb S, Staal JB, Hassan A, de Bie RA. Work related risk factors for neck, shoulder and arms complaints: a cohort study among Dutch computer office workers. J Occup Rehabil 2009;19:315-22.

Leske MC, Heijl A, Hyman L, Bengtsson B, Komaroff E. Factors for progression and glaucoma treatment: the Early Manifest Glaucoma Trial. Curr Opin Ophthalmol 2004;15:102-6.

Heijl A, Peters D, Leske MC, Bengtsson B. Effects of argon laser trabeculoplasty in the Early Manifest Glaucoma Trial. Am J Ophthalmol 2011;152:842-8.

Gedde SJ, Singh K, Schiffman JC, Feuer WJ. The Tube Versus Trabeculectomy Study: interpretation of results and application to clinical practice. Curr Opin Ophthalmol 2012;23:118-26.

Katz G, Dubiner H, Samples J, Vold S, Sall K. Three-month randomized trial of fixed-combination brinzolamide, 1%, and brimonidine, 0.2%. JAMA Ophthalmol 2013;131:724-30.

Thieme H, van der Velden KK. Preservatives from the perspective of glaucoma surgery. Ophthalmologe 2012;109:1073-6.

Bicer A, Yazici A, Camdeviren H, Erdogan C. Assessment of pain and disability in patients with chronic neck pain: reliability and construct validity of the Turkish version of the neck pain and disability scale. Disabil Rehabil 2004;26:959-62.

Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther 1991;14:409-15.

Cagnie B, Danneels L, Van Tiggelen D, De Loose V, Cambier D. Individual and work related risk factors for neck pain among office workers: a cross sectional study. Eur Spine J 2007;16:679-86.

Picavet HS, Schouten JS. Musculoskeletal pain in the Netherlands: prevalences, consequences and risk groups, the DMC(3)-study. Pain 2003;102:167-78.

Andersen JH, Kaergaard A, Mikkelsen S, Jensen UF, Frost P, Bonde JP, et al. Risk factors in the onset of neck/shoulder pain in a prospective study of workers in industrial and service companies. Occup Environ Med 2003;60:649-54.

Croft PR, Lewis M, Papageorgiou AC, Thomas E, Jayson MI, Macfarlane GJ, et al. Risk factors for neck pain: a longitudinal study in the general population. Pain 2001;93:317-25.

Caneiro JP, O’Sullivan P, Burnett A, Barach A, O’Neil D, Tveit O, et al. The influence of different sitting postures on head/neck posture and muscle activity. Man Ther 2010;15:54-60.

Elliott JM, O’Leary SP, Cagnie B, Durbridge G, Danneels L, Jull G. Craniocervical orientation affects muscle activation when exercising the cervical extensors in healthy subjects. Arch Phys Med Rehabil 2010;91:1418-22.

Leroyer A, Edmé JL, Vaxevanoglou X, Buisset C, Laurent P, Desobry P, et al. Neck, shoulder, and hand and wrist pain among administrative employees: relation to work-time organization and psychosocial factors at work. J Occup Environ Med 2006;48:326- 33.

Falla D, Jull G, Hodges PW. Feedforward activity of the cervical flexor muscles during voluntary arm movements is delayed in chronic neck pain. Exp Brain Res 2004;157:43-8.

Falla D, O’Leary S, Fagan A, Jull G. Recruitment of the deep cervical flexor muscles during a posturalcorrection exercise performed in sitting. Man Ther 2007;12:139-43.

Jull GA, O’Leary SP, Falla DL. Clinical assessment of the deep cervical flexor muscles: the craniocervical flexion test. J Manipulative Physiol Ther 2008;31:525- 33.

Watson AW, Mac Donncha C. A reliable technique for the assessment of posture: assessment criteria for aspects of posture. J Sports Med Phys Fitness 2000;40:260-70.

Brink Y, Louw QA. A systematic review of the relationship between sitting and upper quadrant musculoskeletal pain in children and adolescents. Man Ther 2013;18:281-8.

Vos CJ, Verhagen AP, Koes BW. Reliability and responsiveness of the Dutch version of the Neck Disability Index in patients with acute neck pain in general practice. Eur Spine J 2006;15:1729-36.

Ackelman BH, Lindgren U. Validity and reliability of a modified version of the neck disability index. J Rehabil Med 2002;34:284-7.

Salo P, Ylinen J, Kautiainen H, Arkela-Kautiainen M, Häkkinen A. Reliability and validity of the finnish version of the neck disability index and the modified neck pain and disability scale. Spine (Phila Pa 1976) 2010;35:552-6.

Aslan E, Karaduman A, Yakut Y, Aras B, Simsek IE, Yaglı N. The cultural adaptation, reliability and validity of neck disability index in patients with neck pain: a Turkish version study. Spine (Phila Pa 1976) 2008;33:E362-5.

Wolfe F, Michaud K. Prevalence, risk, and risk factors for oral and ocular dryness with particular emphasis on rheumatoid arthritis. J Rheumatol 2008;35:1023-30.

Cohen S, Martin A, Sall K. Evaluation of clinical outcomes in patients with dry eye disease using lubricant eye drops containing polyethylene glycol or carboxymethylcellulose. Clin Ophthalmol 2014;8:157-64.

Kaynak Göster

1495 1018

Arşiv
Sayıdaki Diğer Makaleler

Arterial Stiffness and Anti-Tumor Necrosis Factor-Alpha Therapy in Ankylosing Spondylitis: Results With Long-Term Two Year-Follow-Up

Murat KARAKUCAK, Adem KARACA, Ferhat GÖKMEN, Abdulkadir KIRIŞ, Mürsel ŞAHİN, AHMET AYAR, Ayşegül TÜRKYILMAZ KÜÇÜKALİ

Relationship between physical disability, disease activity and osteoporosis in patients with rheumatoid arthritis

Mihailov Claudia ILEANA, Mitroi Adrian NELUTU

Neck pain and disability: Eye drop ınstallation technique as a causative factor

Erkam KÖMÜRCÜ, Umut Hatay GÖLGE, Ferdi GÖKSEL, Selçuk KARA, BURAK KAYMAZ, SEDAT ARIKAN, Baran GENCER, Ferhat GÖKMEN

A case with bilateral sacroiliitis and polyneuropathy development due to ısotretinoin use

Tuncay ÇAKIR, Adem BİLGİLİ, Rahime Nur ÜLKER, Volkan SUBAŞI, Ümit Seçkin DEMİRDAL

Management of pulmonary artery aneurysm and ıntracardiac thrombus in a young male with Behçet's disease

ÖZGÜR ULAŞ ÖZCAN, Adalet GÜRLEK, Görkem YILDIZ, İrem Müge AKBULUT, DURMUŞ ERALP TUTAR, Çetin EROL

Vitamin D levels in patients with ankylosing spondylitis and ıts relationship with disease activity

Nilgün ÜSTÜN, AYŞE DİCLE TURHANOĞLU

Increased epicardial fat tissue ıs a marker of subclinic atherosclerosis in ankylosing spondylitis

Nilgün ÜSTÜN, Erman YAĞIZ, Hayal GÜLER, AYŞE DİCLE TURHANOĞLU, Mustafa KURT, Nesrin ATÇI

Ankylosing spondylitis diagnosed after epidural hematoma and paraplegia: A case report

Şeniz YALBUZDAĞ AKÇAY, Asiye Mukaddes EROL, CANAN ÇELİK, Sezin SOLUM

Metachronous basal cell carcinoma and primary plasmacytic leukemia associated with dermatomyositis

Yuan YANG, Qibing XIE, Geng YIN

Ultrasonographic measurement of cartilage thickness in patients with leprosy

Ercan KARABACAK, Levent TEKİN, Aygün EKİNCİ POLAT, Güliz ÖZARMAĞAN, Ümit GÜZELKÜÇÜK