Turgay ALTINBİLEK, TUĞBA KURU ÇOLAK, ELİF ELÇİN DERELİ, Yekta PEHLİVAN, Süheyla ÇAVUN SANCAK

Mekanik özellikte kronik bel ağrısı olan hastaların tedavisinde bel ağrısı okulu programının etkinliği

Amaç: Bu araştırma mekanik özellikte kronik bel ağrısı olan hastaların tedavisinde bel ağrısı okulu programının etkinliğini araştırmayı amaçlamaktadır. Hastalar ve Yöntem: Kronik mekanik bel ağrısı tanısı konulan 59 hasta (35 kadın, 24 erkek) iki gruba ayrıldı. Her iki gruba üç hafta (15 seans) sıcak paket, konvansiyonel transkutanöz elektriksel sinir stimülasyonu (TENS), terapotik ultrason uygulamalarıyla birlikte Williams ve mobilizasyon egzersizlerinden oluşan geleneksel fizik tedavi programı uygulandı. 1. gruba dahil edilen hastalara bu tedavi yöntemine ek olarak bel ağrısı okulu eğitimi verildi. Hastaların ağrısı (Görsel Analog Skala), depresyon (Beck Depresyon Ölçeği) ve fonksiyonel yetersizlik (Oswestry Sorgulama Formu) düzeyleri tedavi öncesi, sonrası ve tedavi bitiminden 4 hafta sonra değerlendirildi. Bulgular: Bel ağrısı okulu eğitimi verilen grubun ağrı skorları tedavi sonrası ve takip değerlendirmelerinde anlamlı düzeyde azaldı (p=0,000). Depresyon skorları her iki grupta da istatistiksel olarak anlamlı değişiklik göstermedi. Fonksiyonel yetersizlik düzeyi bel okulu eğitimi verilen grupta gelişme gösterdi (p=0,000). Takip değerlendirmesinde ağrı ve fonksiyonellik bakımından bel ağrısı okulu grubu daha üstün sonuçlara sahipti. Sonuç: Kronik mekanik bel ağrılı hastaların tedavisinde geleneksel fizik tedavi uygulamalarına ek olarak bel ağrısı okulu eğitimi verilmesi özellikle uzun dönemde ağrı ve fonksiyonelliğin iyileşmesinde olumlu etkiler sağlamaktadır.

Anahtar Kelimeler:

Bel ağrısı okulu, Fizik tedavi, Kronik bel ağrısı

Efficiency of back pain-school program in the treatment of patients with chronic mechanical back pain

Objective: The aim of the study was to investigate the efficiency of back pain-school programs in the treatment of patients with chronic mechanical back pain. Patients and Methods: Fifty nine (35 females, 24 males) patients diagnosed with chronic mechanical back pain were divided into two groups. Both groups received traditional physical therapy consisting of hot pack, conventional transcutaneous electrical nerve stimulation (TENS), therapeutic ultrasound, Williams and mobilization exercises for three weeks (15 sessions). Patients in the 1st group received back pain-school program in addition. Patients were evaluated for pain (Visual Analogue Scale), depression (Beck Depression Scale) and functional disability (Oswestry Disability Index) before, after and 4 weeks after the treatment. Results: Pain scores were significantly reduced after treatment and in the follow up assessments (p=0.000) in the back painschool group. The depression scores did not differ significantly in both groups. Functional disability improved in the back painschool group (p=0.000). The back pain-school group had superior results in pain and function scores in the follow up assessment. Conclusion: Attending the back pain-school program in addition to traditional physical therapy in the management of patients with chronic back pain has positive effects on improving pain and function, especially in the long term.

Keywords:

Back pain-school, Physical therapy, Chronic back pain,

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