Fibromiyaljinin Eşlik Ettiği Kronik Servikal Disk Hernisi Tanısı Alan Hastalarda Fizik Tedavi Etkinliğinin Araştırılması

Amaç: Fibromiyalji kronik yaygın kas-iskelet ağrısı, uyku bozuklukları, yorgunluk ve ağrı eşiğinin azalması ile karakterize bir hastalıktır. Çalışmamızın amacı, fibromiyaljinin eşlik ettiği kronik servikal disk hernisi olan hastalarda fizik tedavinin ağrı, depresyon ve boyun fonksiyonları üzerine etkisini araştırmaktır. Gereç ve Yöntem: Çalışmamıza 2010 Amerikan Romatoloji Derneği tanı kriterlerine göre fibromiyalji tanısı alan 20 kronik servikal disk herni hastası ve fibromiyaljisi olmayan 20 kronik servikal disk herni hastası dahil edildi. Ağrı, depresyon ve boyun fonksiyonlarını değerlendirmek için sırasıyla görsel analog skalası (VAS), Beck depresyon ölçeği (BDÖ), boyun özürlülük indeksi (BÖİ) yapıldı. Hastalar bu veriler için tedavi öncesi, tedavinin hemen sonrası ve 1. ay kontrolü olmak üzere 3 kez değerlendirildi. Bulgular: Her iki grupta da VAS, BDÖ ve BÖİ skorları tedavi sonrası dönemde ve 1 aylık kontrolde, tedavi öncesi döneme göre anlamlı derecede azaldı. Tedavi öncesi ve sonrası iki grup arasında VAS, BDÖ ve BÖİ skorları açısından istatistiksel bir fark gözlenmedi. Bununla birlikte, fibromiyaljisi olan servikal disk hernili hastaların VAS, BDÖ ve BÖİ skorlarının tedaviden önce, tedaviden sonra ve 1 aylık kontrolde fibromiyaljisi olmayan servikal disk hernisi olan hastalardan anlamlı derecede yüksek olduğu saptandı. Sonuç: Fibromiyaljili grupta fizik tedavinin ağrı, depresyon ve boyun fonksiyonu üzerindeki etkisinin fibromiyaljisi olmayan gruba göre aynı olduğu bulundu.

Evaluation of the Effectiveness of Physical Therapy in Patients with Chronic Cervical Disc Hernia Associated with Fibromyalgia

Aim: Fibromyalgia is a disease that is characterized by chronic widespread musculoskeletal pain, sleep disorders, fatigue and decreased pain threshold. The purpose of our study was to investigate the effect of physiotherapy on pain, depression and neck functions in patients with chronic cervical disc hernia accompanied by fibromyalgia. Materials and Methods: In total, 20 chronic cervical disc hernia patients who were diagnosed with fibromyalgia according to the 2010 American College of Rheumatology diagnostic criteria and 20 chronic cervical disc hernia patients without fibromyalgia were included in our study. Visual analogue scale (VAS), Beck depression inventory (BDI), and neck disability index (NDI) were performed to evaluate pain, depression and neck functions respectively. Patients were evaluated before therapy, immediately after therapy, and at 1-month control follow-up. Results: In both groups, VAS, BDI and NDI scores were significantly decreased in the period after therapy and at 1-month control follow-up compared to the pre-treatment period. No statistical difference was observed between two groups in terms of VAS, BDI and NDI scores before and after treatment. However, we found that VAS, BDI and NDI scores of cervical disc hernia patients with fibromyalgia were significantly higher than cervical disc hernia patients without fibromyalgia before treatment, after treatment and at 1-month control follow-up. Conclusion: We demonstrated that the effect of physical therapy on pain, depression, and neck function was the same in the group with fibromyalgia compared to the group without fibromyalgia

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