Tuğba KURU ÇOLAK, Gönül ACAR, Umut BAHÇACI

Fizyoterapistlerin bel ağrısına yaklaşımları

Amaç: Türkiye’deki fizyoterapistlerin bel ağrısına yaklaşımlarını, konuyla ilgili bilgi düzeylerini, bakış açılarını, tedavi tercihlerini ortaya koymak ve güncel bir bakış açısı oluşturabilmektir.Yöntem: Araştırmacılar tarafından fizyoterapistlere yönelik 18 soruluk bir anket hazırlandı. Anket, “Türkiye Fizyoterapistler Derneği’nin mail grubuna birer hafta arayla 4 kere gönderildi. Sosyal medyada yer alan fizyoterapi ile ilgili gruplara da anketin ulaştırılması sağlandı ve fizyoterapistler tarafından doldurulan tüm formlar analiz edildi.Bulgular: Ankete toplam 115 fizyoterapist katıldı. Çalışmada fizyoterapistlerin, daha çok kronik bel ağrısıyla karşılaştığı, sakroiliak eklem değerlendirmesini büyük oranda yaptığı, mobilizasyon manipulasyon yöntemlerinden daha çok “McKenzie, Cyriax ve Mulligan” konseptlerini tercih ettikleri, elektroterapi modalitelerinden en çok “TENS, ultrason ve enterferans akımı” tercih ettiği, tedavi seçeneklerinde daha çok germe ve postür egzersizlerini, elektroterapi modalitelerini ve spinal mobilizasyonu kullandıkları bulunmuştur.Sonuç: Çalışmamızdan elde ettiğimiz sonuçlar Türkiye'deki fizyoterapistlerin bel ağrısına yaklaşımlarını ortaya koymaktadır. Çalışmanın daha net sonuçlar verebilmesi için daha çok sayıda fizyoterapiste ulaşılması gerektiğini düşünmekteyiz.

Anahtar Kelimeler:

Bel ağrısı, Fizyoterapistler, Fizik tedavi modaliteleri

Low back pain approaches by physiotherapists

Purpose: The aim of this study was to determine how physiotherapists approach to low back pain in Turkey and what is the knowledge of physiotherapists about it.Methods: A questionnaire survey, include 18 different questions that dispute the preference of treatment and the knowledge of low-back pain, was prepared for physiotherapists. The survey form was sent to the Turkish Physiotherapists Association's mail group, with one-week intervals 4 times. Also, the form was shared on some physiotherapist groups on social media.Results: The survey form was recorded by 115 physiotherapists. Physiotherapists reported that they more encounter with chronic low-back pain patients, many of them are evaluating the sacroiliac joint, they most commonly use “Mc-Kenzie, Cyriax and Mulligan” concepts for manipulation and mobilizations, they more use “TENS, ultrasound and interferential stimulation” as electrotherapy modalities, and the most preferred treatments are stretching and posture exercises, electrotherapy modalities and lumbar spinal mobilization and manipulation.Conclusion: The main treatment preference and knowledge of low-back pain of physiotherapists in Turkey was demonstrated in this study. However, a smaller number of physiotherapists were completed the survey form, future researches should reach wider groups for more clear information.

Keywords:

Low Back Pain, Physiotherapists, Physical therapy modalities,

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