Nesrin YAĞCI, İsmail SARAÇOĞLU, Serbay ŞEKERÖZ, Yasemin ÖZKAN

KRONİK BEL AĞRISINDA SAKROİLİAK EKLEM FONKSİYON BOZUKLUĞUNUN İNCELENMESİ

Amaç: Sakroiliak eklem fonksiyon bozukluğunun, bel ağrısının önemli bir nedeni olabileceği bildirilmektedir. Bu çalışma, kronik bel ağrısı olan katılımcılarda sakroiliak eklem fonksiyon bozukluğunun araştırılması ve sakroiliak eklem fonksiyon bozukluğunun travma öyküsü ile ilişkisini incelemek amacıyla gerçekleştirildi. Yöntem: Çalışmaya 25-60 yıl yaş aralığında kronik bel ağrısı şikâyeti olan 323 katılımcı (189 kadın, 134 erkek; yaş=47,58±11,78 yıl) dahil edildi. Katılımcıların demografik bilgileri, travma/ düşme geçmişi kaydedildi. Ağrı şiddeti Görsel Analog Skalası (GAS) ile değerlendirildi. Sakroiliak eklem fonksiyon bozukluğunu değerlendirmek amacıyla eklem provokasyon ve hareketlilik testleri kullanıldı. Sonuçlar: Çalışmaya alınan katılımcıların 174’ünde (% 53,9) sakroiliak eklem fonksiyon bozukluğu olduğu belirlendi. Travma/düşme geçmişinin, sakroiliak eklem fonksiyon bozukluğu görülme oranını olumsuz yönde etkilediği görüldü (p=0,001). Sakroiliak eklem fonksiyon bozukluğu olan katılımcıların ağrı şiddeti, eklem fonksiyon bozukluğu olmayanlara göre daha yüksek olarak bulundu (p=0,002). Tartışma: Çalışma sonuçlarımız, kronik bel ağrılı katılımcılarda sakroiliak eklem fonksiyon bozukluğu görülme oranının yüksek olduğunu ve eklem fonksiyon bozukluğu olan katılımcıların daha şiddetli ağrı deneyimlediklerini gösterdi. Ayrıca, travma/düşme geçmişinin sakroiliak eklem fonksiyon bozukluğunu artırdığı sonucuna ulaşıldı. Kronik bel ağrısı olan hastaların sakroiliak eklem fonksiyon bozukluğu yönünden de araştırılması ve tedavi programının bu doğrultuda düzenlenmesi gerektiğini düşünmekteyiz.

Anahtar Kelimeler:

Bel ağrısı, sakroiliak eklem, travma

INVESTIGATION OF SACROILIAC JOINT DYSFUNCTION IN CHRONIC LOW BACK PAIN

Purpose: Sacroiliac joint dysfunction has been reported to be an important source of low back pain. The aim of this study was to investigate the presence of sacroiliac joint dysfunction in participants with chronic low back pain and to investigate the relationship between sacroiliac joint dysfunction and trauma history. Methods: Three hundred twenty-three participants with chronic low back pain, age between 25-60 years (189 females, 134 males; age=47.58±11.78 years) were included in the study. Demographic data, history of trauma/fall of the participants were recorded. Pain intensity was evaluated using Visual Analogue Scale (VAS). Joint provocation and mobility tests were used to evaluate sacroiliac joint dysfunction. Results: Sacroiliac joint dysfunction was detected in 174 (53.9%) of the participants included in the study. The history of trauma/fall was associated with a negative impact on the incidence of sacroiliac joint dysfunction (p=0.001). Pain severity of participants with sacroiliac joint dysfunction was higher than participants without joint dysfunction (p=0.002). Conclusion: Our results showed that participants with chronic low back pain had higher rates of sacroiliac joint dysfunction and participants with joint dysfunction experienced more severe pain. Trauma/fall history increases sacroiliac joint dysfunction. Patients with chronic low back pain should also be investigated in terms of sacroiliac joint dysfunction, and the treatment program should be planned accordingly.

Keywords:

Low back pain, sacroiliac joint, trauma,

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