Servikal Mekanik İntermitant Traksiyonun Servikal Disk Hernili Hastalarda Klinik ve Fonksiyonel Durum Üzerine Etkisi

Giriş: Servikal disk hernisi yaygındır ve toplum için maliyetlidir. Fiziksel modaliteler genellikle boyun rehabilitasyon programlarına dahil edilir. Müdahaleler termal, elektroterapi, ultrason, mekanik traksiyon, lazer ve akupunkturu içerebilir. Servikal Disk Hernisi için mekanik aralıklı traksiyona ilişkin kesin bilgiler sınırlıdır. Amaç: Bu çalışmanın amacı, servikal disk hernisi tedavisinde konvansiyonel tedaviye ek olarak uygulanan mekanik intermittant traksiyonun ağrı, yaşam kalitesi, engellilik ve fonksiyonel durum üzerine etkilerini araştırmaktır. Gereç ve Yöntemler: Çalışmaya toplam 60 hasta dahil edildi. Çalışma grupları; sıcak paket (HP), transkutanöz elektriksel sinir stimülasyonu (TENS), ultrason (US) ve egzersiz (Grup 1, n=17), HP, TENS, US, traksiyon ve egzersiz tedavisi (Grup 2, n=22) ve sadece ev programı verilen (Grup 3, n=21) olarak belirlendi. Tedavi öncesi ve sonrası hastaların ağrısı Visüel Analog Skalası (VAS), fonksiyonel durumu Northwick Park Boyun Ağrısı Anketi (NPBAA), sağlıkla ilişkili yaşam kalitesi Notthingham Sağlık Profili (NSP), engellilik durumu Boyun Ağrı ve Disabilite İndeksi (BADİ) ile değerlendirildi. Bulgular: Fonksiyonel durum ve sağlıkla ilişkili yaşam kalitesi alt parametrelerinden duygusal reaksiyon açısından gruplar arası anlamlı fark bulundu (p<0.05). Sonuç ve Öneriler: Traksiyon tedavisi eklenerek uygulanan konvansiyonel tedavi fonksiyonel durum ve duygusal reaksiyonlar üzerinde tedavi edici yönde olumlu etkiye sahiptir.

Anahtar Kelimeler:

ağrı, boyun ağrısı, traksiyon

The Effect of Cervical Mechanical Intermittent Traction on Clinical and Functional Status in Patients with Cervical Disc Hernia

Introduction: Cervical disc hernia is common and costly to society. Physical modalities are often included in neck rehabilitation programs. Interventions may include thermal, electrotherapy, ultrasound, mechanical traction, laser and acupuncture. Definitive knowledge regarding mechanical ıntermittent traction for cervical disc hernia is limited. Aim: The aim of this study was to investigate the effect of mechanical intermitant traction in addition to conventional treatment on pain, daily living activities, disability and functional status in the treatment of cervical disc hernia. Materials and Methods: Sixty patients were included in the study. Study groups; Hotpack, TENS, Ultrasound and exercise (Group , n=17), Hotpack, TENS, Ultrasound, traction and exercise therapy (Group 2, n=22) and the only home program was determined as the control group (Group 3, n=21). In pre-and post-treatment, Visual Analogue Scale (VAS) for pain, Northwick Park Neck Pain Questionnaire (NHQ) for functional status, Notthingham Health Profile (NHP) for health-related quality of life and Neck Pain and Disability Index (NPDI) for disability status in neck pain were used for assessments. Results: There was a significant difference between the groups in terms of emotional reaction, which is one of the sub-parameters of functional status and health-related quality of life (p <0.05). Conclusion and Suggestions: Conventional treatment applied by adding traction treatment has a positive therapeutic effect on functional status and emotional reaction.

Keywords:

pain, cervical pain, traction,

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