Melda Soysal TOMRUK, Alp Tunca YAPICI, Nihal GELECEK, Orhan KALEMCİ

Lumbal Disk Hernili Hastalarda Hastalık Evresi Postüral Kontrolü Etkiler Mi?

Amaç: Lumbal disk hernisi (LDH) genellikle L5-S1 düzeyinde meydana gelen, ağrı ve somatosensöriyel kayıplara neden olan bir durumdur. Bu nedenle hastalarda postüral kontrolde azalmalar meydana gelir. Çalışmanın amacı LDH hastalarında hastalık evresinin postüral kontrole etkisini araştırmaktı. Yöntemler: Çalışma kesitsel bir araştırmadır. Çalışmaya bulging evresinde 22, protrüzyon evresinde ise 33 hasta olmak üzere L5-S1 seviyesinde LDH olan 55 hasta dahil edildi. Hastaların ağrı, özürlülük ve postüral kontrolleri sırasıyla; Görsel Ağrı Skala (GAS), Oswestry Özürlülük İndeksi ve Biodex denge cihazı ile ölçüldü. Postüral kontrol değerlendirmesi için kararlılık sınırları (KS) ve duyusal etkileşim denge testi (DEDT) kullanıldı. Gruplar arası farklar, Student’s t test testi ile belirlendi. Bulgular: Gruplar arasında yaş, hastalık süresi, ağrı ve özürlülük düzeyi açısından anlamlı fark yoktu (p>0.05). Bulgingi olan grubun sol yön KS test skoru protrüzyon evresinde olan hastalardan anlamlı ölçüde düşüktü (p

Does Disease Stage Affect Postural Control In Patients With Lumbar Disc Herniation?

Objective: Lumbar disc herniation (LDH) is a condition that usually occurs at the L5-S1 level, causing pain and somatosensory loss. Therefore, decreases in postural control in patients come to the fore. The aim of the study was to investigate the effect of disease stage on postural control in patients with LDH. Methods: The study was a cross-sectional study. Fifty-five patients with LDH at the L5-S1 level, 22 of them in the bulging phase and 33 in the protrusion phase, were included in the study. Pain, disability and postural control of the patients were measured with Visual Pain Scale (VAS), Oswestry Disability Index and Biodex balance device; respectively. Limits of stability (LOS) and sensory interaction balance test (SIBT) were used for postural control evaluation. Between groups differences were determined by Student's t test. Results: There was no significant difference between groups in terms of age, disease duration, pain and disability level (p>0.05). Left-side LOS test score of bulging group was significantly lower than the patients’ with protrusion stage (p

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