Bel Ağrısında Farklı Fizyoterapi Programlarının Ağrı, Endurans ve Yaşam Kalitesi Üzerine Etkinliği

Amaç: Çalışmamız, bel ağrısında farklı fizyoterapi programlarının ağrı, kas kuvveti, endurans ve yaşam kalitesi üzerine etkinliğini belirlemek amacıyla yapıldı. Gereç ve Yöntem: Çalışmaya 18-65 yaş arası, klinik ve radyolojik incelemeler sonucunda MBA tanısı konan 40 kadın olgu alındı. Çalışmamıza alınan olgular basit rastgele örnekleme yöntemi ile 20 kişilik 2 gruba ayrıldı. Çalışmaya dahil edilen olguların sosyo demografik verileri kaydedildi. Kas kuvveti (manuel kas testi), kassal endurans (curl-up ve modifiye sorenson testi), ağrı (VAS) ile fonksiyonel yetersizlik (Oswestry Bel Ağrısı Anketi), yaşam kalitesi (SF-36) değerlendirildi. Gruplar tedavi öncesi ve sonrası değerlendirildi. Birinci gruba ilk 2 hafta haftada 5 gün 10 seans, hotpack (HP), ultrason ve Proprioseptif Nöromuskuler Fasilitasyon (PNF) egzersizleri ve endurans eğitimi uygulandı. Devamında haftada 3 gün 4 hafta PNF egzersizlerine ve endurans eğitimine devam edildi. İkinci gruba ilk 2 hafta haftada 5 gün 10 seans, hotpack(HP), ultrason uygulandı ve PNF egzersizleri yaptırıldı. Devamında haftada 3 gün 4 hafta PNF egzersizlerine devam edildi. Bulgular: Tedavi sonrası iki grupta da ağrı şiddeti, kas kuvveti, gövde enduransı, fonksiyonel düzey ve yaşam kalitesi değerlendirmelerinde düzelme olduğu görüldü (p0,05). Sonuç: Bu çalışmamızda her iki fizyoterapi programının ağrıyı azalttığı, esnekliği, lumbal bölge hareket genişliği, kas kuvveti, gövde enduransını arttırdığı, yaşam kalitesinde iyileşme sağladığı ve fonksiyonel kapasiteyi arttırdığı görüldü

Effectiveness of Various Physiotherapy Programmes of Low Back Pain on; Pain, Endurance and Quality of Life

Purpose: The purpose of the study was to identify the effectiveness of various physiotherapy programmes of low back pain on; pain, muscle strength, endurance and quality of life. Material and Method: The subjects were 40 women from the ages between 18 and 65, diagnosed with low back pain according to clinical and radiological results. Subjects were divided into two groups by simple randomization. Subjects' socio-demographic data were recorded. All subjects were evaluated for muscle strength (manual muscle test), muscle endurance (Curl-up, Modify Sorenson Test), pain severity (VAS), functional level (Oswestry Disability Index) and quality of life (SF-36). Groups were assessed before and after treatment. The first group was treated with hotpack, ultrasound, Proprioceptive Neuromuscular Facilitation (PNF), and endurance training 5 days a week for 2 weeks (10 sessions), then 3 days a week for 4 weeks with PNF exercise and endurance training only. The second group was treated with hotpack, ultrasound, and PNF exercise 5 days a week for 2 weeks (10 sessions), then 3 days a week for 4 weeks with PNF exercise only. Results: After treatment; pain severity, muscle strength, trunk endurance, functional disability and SF-36 improvements were observed for both groups (p<0.05). When the groups were compared no significant difference was found (p>0.05). Conclusion: This study shows that both of these two physiotherapy programs are effective in terms of decreasing pain, increasing range of motion, flexibility, muscle strength, trunk endurance, functional capacity, and improving quality of life.

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