KRONİK BOYUN AĞRILI AKADEMİSYENLERDE AĞRI ŞİDDETİ, SERVİKAL LORDOZ, BOYUN FARKINDALIĞI VE BOYUN ÖZÜR DÜZEYİNİN İNCELENMESİ

ABSTRACT Background: Academics are considered to be among the occupational groups where the risk of experiencing chronic neck pain is the highest due to factors such as ergonomic conditions and stress. The purpose of this study is to look into the relationship between pain severity and cervical lordosis angle, neck awareness, and neck disability level in academics with chronic neck pain, and to see if the results differ by gender. Methods: 106 volunteer academicians participated in this study. The severity of pain was assessed using the Visual Analogue Scale. Cervical lordosis measurements were made using a flexible ruler. Neck awareness was evaluated with the Fremantle Neck Awareness Questionnaire. Results: Neck disability levels were evaluated with the Neck Disability Questionnaire .Female academicians had a higher mean severity of neck pain than male academicians and the difference was statistically significant. Conclusions: Pain severity was associated with neck disability and neck awareness. Neck awareness is slightly decreased. More studies on chronic neck pain in academic staff are needed.

KRONİK BOYUN AĞRILI AKADEMİSYENLERDE AĞRI ŞİDDETİ, SERVİKAL LORDOZ, BOYUN FARKINDALIĞI VE BOYUN ÖZÜR DÜZEYİNİN İNCELENMESİ (ANALYSIS OF PAIN INTENSITY, CERVICAL LORDOSIS, NECK AWARENESS AND NECK DISABILITY LEVEL IN ACADEMICS WITH CHRONIC NECK PAIN )

Background: Academics are considered to be among the occupational groups where the risk of experiencing chronic neck pain is the highest due to factors such as ergonomic conditions and stress. The purpose of this study is to look into the relationship between pain severity and cervical lordosis angle, neck awareness, and neck disability level in academics with chronic neck pain, and to see if the results differ by gender. Methods: 106 volunteer academicians participated in this study. The severity of pain was assessed using the Visual Analogue Scale. Cervical lordosis measurements were made using a flexible ruler. Neck awareness was evaluated with the Fremantle Neck Awareness Questionnaire. Results: Neck disability levels were evaluated with the Neck Disability Questionnaire .Female academicians had a higher mean severity of neck pain than male academicians and the difference was statistically significant. Conclusions: Pain severity was associated with neck disability and neck awareness. Neck awareness is slightly decreased. More studies on chronic neck pain in academic staff are needed. Amaç: İçinde bulunduğu ergonomik koşullar, stres ve anksiyete gibi nedenlerden dolayı akademisyenler, kronik boyun ağrısı yaşama riskinin en fazla olduğu meslek gruplarından olan biridir. Bu çalışmanın amacı,kronik boyun ağrılı akademisyenlerde ağrı şiddetinin servikal lordoz açısı, boyun farkındalığı ve boyun özür düzeyi ile ilişkisini araştırmaktır. Gereç ve Yöntem: Bu çalışmaya 25-27 yaş aralığında, doktor tarafından kronik boyun ağrısı teşhisi almış 106 gönüllü akademisyen katılmıştır. Akademisyenlerin tanımlayıcı bilgileri alındıktan sonra ağrı şiddetleri Görsel Analog Skalası ile değerlendirilmiştir. Servikal bölge lordoz ölçümleri flexible ruler kullanılarak yapılmıştır. Ardından Fremantle Boyun Farkındalık Anketi ve Boyun Özür Anketi uygulanmıştır. Bulgular: Ağrı şiddeti ile servikal lordoz arasında ilişki olmadığı bulunmuştur. Ağrı şiddeti, boyun özür düzeyi ve boyun farkındalığı ile ilişkilidir Kadın akademisyenlerin boyun ağrı şiddeti ortalamaları erkeklerden daha yüksektir. Sonuç: : Akademisyenlerde boyun özrü hafif derecede olup boyun farkındalığı az düzeyde etkilenmiştir. Kronik boyun ağrısı, kadın akademisyenlerde erkeklere oranla daha sık ve şiddetli görülmektedir. Bu durum kadın akademisyenlerin boyun özür düzeyinin erkeklere göre daha yüksek, boyun farkındalığının daha az olmasını beraberinde getirmektedir. Kronik boyun ağrısı yaşama riski bakımından önemli bir meslek grubu olan akademik personel ile ilgili daha fazla çalışmaya ihtiyaç duyulmaktadır.

___

  • 1. Chiu TTW, Ku WY, Lee MH, Sum WK, Wan MP, Wong CY, et al. A study on the prevalence of and risk factors for neck pain among university academic staff in Hong Kong. J Occup Rehabil. 2002;12(2):77–91.
  • 2. Norasi H, Tetteh E, Sarker P, Mirka GA, Hallbeck SM. Exploring the relationship between neck flexion and neck problems in occupational populations: a systematic review of the literature. Ergonomics 2022; 65(4):587-603.
  • 3. James C, James D, Nie V, Schumacher T, Guest M, Tessier J et al. Musculoskeletal discomfort and use of computers in the university environment. Appl. Ergon. 2018; 69:128-135. 4. Cagnie B, Danneels L, Van Tiggelen D, De Loose V, Cambier D. Individual and work related risk factors for neck pain among office workers: A cross sectional study. Eur Spine J. 2007;16(5):679–686.
  • 5. Valenzuela-Moguillansky C, Reyes-Reyes A, Gaete MI. Exteroceptive and interoceptive body-self awareness in fibromyalgia patients. Front Hum Neurosci. 2017;11:117.
  • 6. Onan D, Gokmen D, Ulger O. The fremantle neck awareness questionnaire in chronic neck pain patients: Turkish version, validity and reliability study. Spine 2020; 45(3): E163-E169
  • 7. Gard G, Nyboe L, Gyllensten AL. Clinical reasoning and clinical use of basic body awareness therapy in physiotherapy–a qualitative study? Eur. J. Physiother. 2020; 22(1):29-35.
  • 8. Tan LA, Straus DC, Traynelis VC. Cervical interfacet spacers and maintenance of cervical lordosis. J. Neurosurg 2015; ;22(5):466–469.
  • 9. Been E, Shefi S, Soudack M. Cervical lordosis: the effect of age and gender. Spine J. 2017; 17(6):880–888
  • 10. Bakhtadze MA, Vernon H, Karalkin A V, Pasha SP, Tomashevskiy IO, Soave D. Cerebral perfusion in patients with chronic neck and upper back pain: preliminary observations. J Manipulative Physiol Ther. 2012;35(2):76– 85.
  • 11. Price DD, McGrath PA, Rafii A, Buckingham B. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain. 1983; 17(1):45–56.
  • 12. Rheault W, Ferris S, Foley JA, Schaffhauser D, Smith R. Intertester reliability of the flexible ruler for the cervical spine. J Orthop Sports Phys Ther. 1989; 10(7):254-256.
  • 13. Elabd A, Ibrahim A, Elhafez H. Kinesio taping versus postural correction exercises on mechanically triggered neck dysfunction. Int J Ther Rehabil. 2017;24(4):155–162.
  • 14. Telci EA, Karaduman A, Yakut Y, Aras B, Simsek IE, Yağlı N. The cultural adaptation, reliability, and validity of neck disability index in patients with neck pain: a Turkish version study. Spine 2009; 33(11):E362-E365.
  • 15. Schober P, Boer C, Schwarte LA. Correlation coefficients: appropriate use and interpretation. Anesth. Analg. 2018;126(5): 1763-1768.
  • 16. Ojoawo OA, Awotidebe OT, Akinola GA. Prevalence of work related musculoskeleal pain among academic and non academic staff of a Nigerian university.Gulhane Med.J. 2016;58(4):341.
  • 17. Paksaichol A, Janwantanakul P, Purepong N, Pensri P, van der Beek AJ. Office workers’ risk factors for the development of non-specific neck pain: a systematic review of prospective cohort studies. Occup Environ Med. 2012; 69(9):610-618.
  • 18. Özsoy S, Gültekin T, Erkin Ö. Determining the exposure level of nurse academicians to risk factors for work-related musculoskeletal disorders and their relationship with pain and fatigue. Int. J. Sci. Res. 2019; 75(12/1).
  • 19. Meaza H, Temesgen HM, Redae G, Hailemariam TT, Alamer A.Prevalence of musculoskeletal pain among academic staff of Mekelle University, Ethiopia. Clin. Med. Insights. 2020; 13:1179544120974671.
  • 20. Côté JN. A critical review on physical factors and functional characteristics that may explain a sex/gender difference in work-related neck/shoulder disorders. Ergonomics. 2012; 55(2), 173-182.
  • 21. Been E, Shefi S, Soudack M. Cervical lordosis: the effect of age and gender. Spine J. 2017;17(6):880–888.
  • 22. Harrison DD, Harrison DE, Janik TJ, Cailliet R, Ferrantelli JR, Haas JW, et al. Modeling of the sagittal cervical spine as a method to discriminate hypolordosis: results of elliptical and circular modeling in 72 asymptomatic subjects, 52 acute neck pain subjects, and 70 chronic neck pain subjects. Spine 2004; 29(22), 2485-2492.
  • 23. Soylu Boy FN, Özkan Ünlü F, Erdem S, Özdemir G, Külcü Geler D, Akpınar P, et al. Servikal lordoz açıları ve boyun ağrısı ilişkisinin değerlendirilmesi. Marmara Med J. 2014;27(2):112–115.
  • 24. Grob D, Frauenfelder H, Mannion AF. The association between cervical spine curvature and neck pain. Eur spine J Off Publ Eur Spine Soc Eur Spinal Deform Soc Eur Sect Cerv Spine Res Soc. 2007;16(5):669–678.
  • 25. Yamashita Y, Nishigami T, Mibu A, Tanaka K, Wand BM,Catley M et al. Development and psychometric testing of the Japanese version of the fremantle neck awareness questionnaire: A cross sectional study. J Pain Res .2021;311-324
  • 26. Kristjansson E, Treleaven J.Sensorimotor function and dizziness in neck pain: implications for assessment and management. J. Orthop. Sports. Phys. Ther. 2009; 39(5), 364-377.
  • 27. Luo X, Edwards CL, Richardson W, Hey L. Relationships of clinical, psychologic, and individual factors with the functional status of neck pain patients. Value Heal J Int Soc Pharmacoeconomics Outcomes Res. 2004;7(1):61–69.
  • 28. Young SB, Aprill C, Braswell J, Ogard WK, Richards JS, McCarthy JP. Psychological factors and domains of neck pain disability. Pain Med. 2009;10(2):310–318.
  • 29. Rojas VEA, Pluma AF, Pecos-Martín D, Achalandabaso-Ochoa A, Fernandez-Matias R, Martinez-Merinero P et al. Relationship between neuromuscular mechanosensitivity and chronic neck pain in guitarists: A cross sectional study. Int. J. Environ. Res. Public Health.2021; 18(5):2673
  • 30. Hwang S, Mun MH. Relationship of neck disability index, shoulder pain and disability index, and visual analogue scale in individuals with chronic neck pain. Phys Ther Rehabil Sci. 2013;2(2):111–4.