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KRONİK BOYUN AĞRISI OLAN BİREYLERDE AĞRI, FONKSİYONEL DURUM VE BOYUN FARKINDALIĞI ARASINDAKİ İLİŞKİ

Yıl 2022, Cilt: 33 Sayı: 2, 106 - 113, 20.08.2022

Şule Şimşek Nesrin Yağcı Ayşe Nur Oymak Soysal Atiye Kaş Özdemir Merve Bergin

https://doi.org/10.21653/tjpr.979737
Cited By: 1

Öz

Amaç: Ağrı şiddeti ve fonksiyonel durum birbiriyle ilişkilidir fakat bu ilişkinin doğrudan olmadığı öne sürülmektedir. Bu çalışmanın amacı, kronik boyun ağrılı bireylerde ağrı, fonksiyonel durum ve boyun farkındalığı arasındaki ilişkiyi ve fonksiyonel durum ile ağrı şiddeti ilişkisine boyun farkındalığının katkısını araştırmaktır.
Yöntem: Kronik boyun ağrısı olan 766 birey [509 (%66,4) kadın, 257 (%33,6) erkek] çalışmaya dahil edildi. Boyun ağrısı şiddeti, fonksiyonel durum ve boyun farkındalığı sırası ile Görsel Analog Skala (GAS), Bournemouth Boyun Ağrı Anketi (BBAA) ve Fremantle Boyun Farkındalık Anketi (FBFA) ile değerlendirildi.
Sonuçlar: Kronik boyun ağrılı bireylerin yaş ortalaması 39,47±13,93 yıldı. Çok değişkenli regresyon analizine göre, fonksiyonel duruma esas etkisi olan değişkenler GAS skoru (20-39 yaş grubu: ß=0,918, p<0,001, 40-60 yaş grubu: ß=0,909, p<0,001) ve FBFA skoru (20-39 yaş grubu: ß=0,008, p=0,035, 40-60 yaş grubu: ß=0,124, p<0,001) idi. İlk aşama hiyerarşik analizde GAS skorunun açıklayıcılık oranı 20-39 yaş grubunda %91, 40-60 yaş grubunda %89,7 idi. İkinci adımda FBFA skorunun eklenmesi bu orana 20-39 yaş grubunda %0,6, 40-60 yaş grubunda %1,5 katkı sağladı.
Tartışma: Çalışmamız sonucunda kronik boyun ağrısı olan bireylerde fonksiyonel duruma esas etki eden faktörlerin ağrı şiddeti ve boyun farkındalığı olduğu tespit edildi.

Anahtar Kelimeler

Kronik Boyun Ağrısı Farkındalık Fonksiyonel Durum Ağrı şiddeti Doğrusal regresyon

Kaynakça

  • Genebra CVDS, Maciel NM, Bento TPF, Simeão SFAP, Vitta A. Prevalence and factors associated with neck pain: a population-based study. Braz J Phys Ther. 2017;21(4):274-280.
  • Kazeminasab S, Nejadghaderi SA, Amiri P, Pourfathi H, Araj-Khodaei M, Sullman MJM,et al. Neck pain: global epidemiology, trends and risk factors. BMC Musculoskelet Disord. 2022;23(1):26.
  • O’Riordan C, Clifford A, Van De Ven P, Nelson J. Chronic neck pain and exercise interventions: frequency, intensity, time, and type principle. Arch Phys Med Rehabil. 2014;95(4):770-83.
  • Fricton J, Anderson K, Clavel A, Fricton R, Hathaway K, Kang W, et al. Preventing Chronic Pain: A Human Systems Approach-Results From a Massive Open Online Course. Glob Adv Health Med. 2015;4(5):23-32.
  • Reddy RS, Tedla JS, Dixit S, Abohashrh M. Cervical proprioception and its relationship with neck pain intensity in subjects with cervical spondylosis. BMC Musculoskelet Disord. 2019;20(1):447.
  • De Bruin ED, Wirth B, Suica Z, McCaskey MA, Schuster-Amft C. Effects of proprioceptive exercises on pain and function in chronic neck- and low back pain rehabilitation: a systematic literature review. BMC Musculoskelet Disord. 2014; 15(1): 1-17.
  • Gallego Izquierdo T, Pecos-Martin D, Lluch Girbes E, Plaza-Manzano G, Rodriguez Caldentey R, Mayor Melus R, et al. Comparison of cranio-cervical flexion training versus cervical proprioception training in patients with chronic neck pain: A randomized controlled clinical trial. J Rehabil Med. 2016;48(1):48-55.
  • Arimi SA, Ghamkhar L, Kahlaee AH. The Relevance of Proprioception to Chronic Neck Pain: A Correlational Analysis of Flexor Muscle Size and Endurance, Clinical Neck Pain Characteristics, and Proprioception. Pain Med. 2018;19(10):2077-2088.
  • Lynch ME, Craig KD, Peng PWH. The Challenge of Pain: A Multidimensional Phenomenon. In Lynch ME, Craig KD, Peng PWH. Clinical Pain Management: A Practical Guide. Blackwell Publishing Ltd; 2010: p.1–5.
  • 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- 114.
  • Fejel R, Hartvigsen J. Neck pain and disability due to neck pain: what is the relation? Eur Spine J. 2008;17:80–88.
  • Bruijn GJ, Rhodes RE. Exploring exercise behavior, intention and habit strength relationships. Scand J Med Sci Sports 2011;21 (3):482–491.
  • Boonstra AM, Schiphorst Preuper HR, Balk GA, Stewart RE. Cut-off points for mild, moderate, and severe pain on the visual analogue scale for pain in patients with chronic musculoskeletal pain. Pain. 2014;155(12):2545-2550.
  • Bolton JE, Humphreys BK. The Bournemouth Questionnaire: a short-form comprehensive outcome measure, II: psychometric properties in neck pain patients. J Manipulative Physiol Ther. 2002;25(3):141-148.
  • Telci EA, Aslan UB, Yagci N, Cavlak U, Kabul EG, Kara G, et al. The Turkish version of the Neck Bournemouth Questionnaire in patients with chronic neck pain: a cultural adaptation, reliability, and validity study. Arch Med Sci. 2021;17(3):708-713.
  • Wand BM, Catley MJ, Rabey MI, O’Sullivan PB, O’Connell NE, Smith AJ. Disrupted Self-Perception in People With Chronic Low Back Pain. Further Evaluation of the Fremantle Back Awareness Questionnaire. J Pain. 2016;17(9):1001-12.
  • Onan D, Gokmen D, Ulger O. The Fremantle Neck Awareness Questionnaire in Chronic Neck Pain Patients: Turkish Version, Validity and Reliability Study. Spine (Phila Pa 1976). 2020;45(3):E163-E169.
  • Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behav Res Methods. 2009; 41: 1149-1160.
  • Schober P, Boer C, Schwarte L. Correlation Coefficients: Appropriate Use and Interpretation. Anesth Analg. 2018;126(5):1763- 1768.
  • Lee H, H€ubscher M, Moseley GL, Kamper SJ, Traeger AC, Mansell G, et al. How does pain lead to disability? A systematic review and meta-analysis of mediation studies in people with back and neck pain. Pain 2015;156(6):988-997.
  • Hwang SJ, Mee-Hyang M. 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; 2:111-114.
  • Nadri H, Ramandi F. Low back and neck pain intensity and relationship with disability among dentists. JOHE 2016;5(4):218-225.
  • Moreira C, Bassi AR, Brandão MP, Silva AG. Do patients with chronic neck pain have distorted body image and tactile dysfunction? Eur J Physiother. 2017;19(4):215-221.
  • Cramer H, Mehling WE, Saha FJ, Dobos G, Lauche R. Postural awareness and its relation to pain: validation of an innovative instrument measuring awareness of body posture in patients with chronic pain. BMC Musculoskelet Disord. 2018;19(1):109.
  • Lauche R, Wayne PM, Fehr J, Stumpe C, Dobos G, Cramer H. Does Postural Awareness Contribute to Exercise-Induced Improvements in Neck Pain Intensity? A Secondary Analysis of a Randomized Controlled Trial Evaluating Tai Chi and Neck Exercises. Spine (Phila Pa 1976). 2017;42(16):1195-1200.

THE RELATION BETWEEN PAIN, FUNCTIONAL STATUS, AND NECK AWARENESS IN INDIVIDUALS WITH CHRONIC NECK PAIN

Yıl 2022, Cilt: 33 Sayı: 2, 106 - 113, 20.08.2022

Şule Şimşek Nesrin Yağcı Ayşe Nur Oymak Soysal Atiye Kaş Özdemir Merve Bergin

https://doi.org/10.21653/tjpr.979737
Cited By: 1

Öz

Purpose: Pain intensity and functional status are interrelated, but it is suggested that this relationship is not direct. The aim of this study was to investigate the relationship between pain, functional status, and neck awareness in individuals with chronic neck pain, and the contribution of neck awareness to the relationship between functional status and pain intensity.
Methods: Seven hundred and sixty-six individuals (509 (%66.4) females; 257 (%33.6) males) with chronic neck pain were included in the study. Neck pain intensity, functional status, and neck awareness were evaluated with the Visual Analog Scale (VAS), Bournemouth Neck Pain Questionnaire (BNPQ), and Fremantle Neck Awareness Questionnaire (FNAQ), respectively.
Results: The mean age of individuals with chronic neck pain was 39.47 ± 13.93 years. According to multivariate regression analysis, the variables that had the main effect on functional status were VAS score (20-39 age group: ß=0.918, p<0.001, 40-60 age group: ß=0.909, p<0.001) and FNAQ score (20-39 age group: ß=0.008, p=0.035, 40-60 age group: ß=0.124, p<0.001). In the first stage of the hierarchical analysis, the explanatory rate of the VAS score was 91% in the 20-39 age group and 89.7% in the 40-60 age group. Adding the FNAQ score in the second step contributed to this ratio by 0.6% in the 20-39 age group and 1.5% in the 40-60 age group.
Discussion: As a result of our study, it was determined that the main factors affecting the functional status of individuals with chronic neck pain were pain intensity and neck awareness.

Anahtar Kelimeler

Chronic neck pain Awareness Functional Status Linear regression Pain intensity

Kaynakça

  • Genebra CVDS, Maciel NM, Bento TPF, Simeão SFAP, Vitta A. Prevalence and factors associated with neck pain: a population-based study. Braz J Phys Ther. 2017;21(4):274-280.
  • Kazeminasab S, Nejadghaderi SA, Amiri P, Pourfathi H, Araj-Khodaei M, Sullman MJM,et al. Neck pain: global epidemiology, trends and risk factors. BMC Musculoskelet Disord. 2022;23(1):26.
  • O’Riordan C, Clifford A, Van De Ven P, Nelson J. Chronic neck pain and exercise interventions: frequency, intensity, time, and type principle. Arch Phys Med Rehabil. 2014;95(4):770-83.
  • Fricton J, Anderson K, Clavel A, Fricton R, Hathaway K, Kang W, et al. Preventing Chronic Pain: A Human Systems Approach-Results From a Massive Open Online Course. Glob Adv Health Med. 2015;4(5):23-32.
  • Reddy RS, Tedla JS, Dixit S, Abohashrh M. Cervical proprioception and its relationship with neck pain intensity in subjects with cervical spondylosis. BMC Musculoskelet Disord. 2019;20(1):447.
  • De Bruin ED, Wirth B, Suica Z, McCaskey MA, Schuster-Amft C. Effects of proprioceptive exercises on pain and function in chronic neck- and low back pain rehabilitation: a systematic literature review. BMC Musculoskelet Disord. 2014; 15(1): 1-17.
  • Gallego Izquierdo T, Pecos-Martin D, Lluch Girbes E, Plaza-Manzano G, Rodriguez Caldentey R, Mayor Melus R, et al. Comparison of cranio-cervical flexion training versus cervical proprioception training in patients with chronic neck pain: A randomized controlled clinical trial. J Rehabil Med. 2016;48(1):48-55.
  • Arimi SA, Ghamkhar L, Kahlaee AH. The Relevance of Proprioception to Chronic Neck Pain: A Correlational Analysis of Flexor Muscle Size and Endurance, Clinical Neck Pain Characteristics, and Proprioception. Pain Med. 2018;19(10):2077-2088.
  • Lynch ME, Craig KD, Peng PWH. The Challenge of Pain: A Multidimensional Phenomenon. In Lynch ME, Craig KD, Peng PWH. Clinical Pain Management: A Practical Guide. Blackwell Publishing Ltd; 2010: p.1–5.
  • 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- 114.
  • Fejel R, Hartvigsen J. Neck pain and disability due to neck pain: what is the relation? Eur Spine J. 2008;17:80–88.
  • Bruijn GJ, Rhodes RE. Exploring exercise behavior, intention and habit strength relationships. Scand J Med Sci Sports 2011;21 (3):482–491.
  • Boonstra AM, Schiphorst Preuper HR, Balk GA, Stewart RE. Cut-off points for mild, moderate, and severe pain on the visual analogue scale for pain in patients with chronic musculoskeletal pain. Pain. 2014;155(12):2545-2550.
  • Bolton JE, Humphreys BK. The Bournemouth Questionnaire: a short-form comprehensive outcome measure, II: psychometric properties in neck pain patients. J Manipulative Physiol Ther. 2002;25(3):141-148.
  • Telci EA, Aslan UB, Yagci N, Cavlak U, Kabul EG, Kara G, et al. The Turkish version of the Neck Bournemouth Questionnaire in patients with chronic neck pain: a cultural adaptation, reliability, and validity study. Arch Med Sci. 2021;17(3):708-713.
  • Wand BM, Catley MJ, Rabey MI, O’Sullivan PB, O’Connell NE, Smith AJ. Disrupted Self-Perception in People With Chronic Low Back Pain. Further Evaluation of the Fremantle Back Awareness Questionnaire. J Pain. 2016;17(9):1001-12.
  • Onan D, Gokmen D, Ulger O. The Fremantle Neck Awareness Questionnaire in Chronic Neck Pain Patients: Turkish Version, Validity and Reliability Study. Spine (Phila Pa 1976). 2020;45(3):E163-E169.
  • Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behav Res Methods. 2009; 41: 1149-1160.
  • Schober P, Boer C, Schwarte L. Correlation Coefficients: Appropriate Use and Interpretation. Anesth Analg. 2018;126(5):1763- 1768.
  • Lee H, H€ubscher M, Moseley GL, Kamper SJ, Traeger AC, Mansell G, et al. How does pain lead to disability? A systematic review and meta-analysis of mediation studies in people with back and neck pain. Pain 2015;156(6):988-997.
  • Hwang SJ, Mee-Hyang M. 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; 2:111-114.
  • Nadri H, Ramandi F. Low back and neck pain intensity and relationship with disability among dentists. JOHE 2016;5(4):218-225.
  • Moreira C, Bassi AR, Brandão MP, Silva AG. Do patients with chronic neck pain have distorted body image and tactile dysfunction? Eur J Physiother. 2017;19(4):215-221.
  • Cramer H, Mehling WE, Saha FJ, Dobos G, Lauche R. Postural awareness and its relation to pain: validation of an innovative instrument measuring awareness of body posture in patients with chronic pain. BMC Musculoskelet Disord. 2018;19(1):109.
  • Lauche R, Wayne PM, Fehr J, Stumpe C, Dobos G, Cramer H. Does Postural Awareness Contribute to Exercise-Induced Improvements in Neck Pain Intensity? A Secondary Analysis of a Randomized Controlled Trial Evaluating Tai Chi and Neck Exercises. Spine (Phila Pa 1976). 2017;42(16):1195-1200.
Toplam 25 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Rehabilitasyon
Bölüm Araştırma Makaleleri
Yazarlar

Şule Şimşek 0000-0001-8065-6461

Nesrin Yağcı 0000-0002-5669-4932

Ayşe Nur Oymak Soysal 0000-0001-5383-7937

Atiye Kaş Özdemir 0000-0002-5553-4726

Merve Bergin Bu kişi benim 0000-0002-6938-9988

Yayımlanma Tarihi 20 Ağustos 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 33 Sayı: 2

Kaynak Göster

APA Şimşek, Ş., Yağcı, N., Oymak Soysal, A. N., Kaş Özdemir, A., vd. (2022). KRONİK BOYUN AĞRISI OLAN BİREYLERDE AĞRI, FONKSİYONEL DURUM VE BOYUN FARKINDALIĞI ARASINDAKİ İLİŞKİ. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, 33(2), 106-113. https://doi.org/10.21653/tjpr.979737
AMA Şimşek Ş, Yağcı N, Oymak Soysal AN, Kaş Özdemir A, Bergin M. KRONİK BOYUN AĞRISI OLAN BİREYLERDE AĞRI, FONKSİYONEL DURUM VE BOYUN FARKINDALIĞI ARASINDAKİ İLİŞKİ. Turk J Physiother Rehabil. Ağustos 2022;33(2):106-113. doi:10.21653/tjpr.979737
Chicago Şimşek, Şule, Nesrin Yağcı, Ayşe Nur Oymak Soysal, Atiye Kaş Özdemir, ve Merve Bergin. “KRONİK BOYUN AĞRISI OLAN BİREYLERDE AĞRI, FONKSİYONEL DURUM VE BOYUN FARKINDALIĞI ARASINDAKİ İLİŞKİ”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi 33, sy. 2 (Ağustos 2022): 106-13. https://doi.org/10.21653/tjpr.979737.
EndNote Şimşek Ş, Yağcı N, Oymak Soysal AN, Kaş Özdemir A, Bergin M (01 Ağustos 2022) KRONİK BOYUN AĞRISI OLAN BİREYLERDE AĞRI, FONKSİYONEL DURUM VE BOYUN FARKINDALIĞI ARASINDAKİ İLİŞKİ. Türk Fizyoterapi ve Rehabilitasyon Dergisi 33 2 106–113.
IEEE Ş. Şimşek, N. Yağcı, A. N. Oymak Soysal, A. Kaş Özdemir, ve M. Bergin, “KRONİK BOYUN AĞRISI OLAN BİREYLERDE AĞRI, FONKSİYONEL DURUM VE BOYUN FARKINDALIĞI ARASINDAKİ İLİŞKİ”, Turk J Physiother Rehabil, c. 33, sy. 2, ss. 106–113, 2022, doi: 10.21653/tjpr.979737.
ISNAD Şimşek, Şule vd. “KRONİK BOYUN AĞRISI OLAN BİREYLERDE AĞRI, FONKSİYONEL DURUM VE BOYUN FARKINDALIĞI ARASINDAKİ İLİŞKİ”. Türk Fizyoterapi ve Rehabilitasyon Dergisi 33/2 (Ağustos 2022), 106-113. https://doi.org/10.21653/tjpr.979737.
JAMA Şimşek Ş, Yağcı N, Oymak Soysal AN, Kaş Özdemir A, Bergin M. KRONİK BOYUN AĞRISI OLAN BİREYLERDE AĞRI, FONKSİYONEL DURUM VE BOYUN FARKINDALIĞI ARASINDAKİ İLİŞKİ. Turk J Physiother Rehabil. 2022;33:106–113.
MLA Şimşek, Şule vd. “KRONİK BOYUN AĞRISI OLAN BİREYLERDE AĞRI, FONKSİYONEL DURUM VE BOYUN FARKINDALIĞI ARASINDAKİ İLİŞKİ”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, c. 33, sy. 2, 2022, ss. 106-13, doi:10.21653/tjpr.979737.
Vancouver Şimşek Ş, Yağcı N, Oymak Soysal AN, Kaş Özdemir A, Bergin M. KRONİK BOYUN AĞRISI OLAN BİREYLERDE AĞRI, FONKSİYONEL DURUM VE BOYUN FARKINDALIĞI ARASINDAKİ İLİŞKİ. Turk J Physiother Rehabil. 2022;33(2):106-13.

Cited By

Comparison of Neck Awareness, Physical and Psychosocial Parameters in Inactive University Students with and without Neck Pain
Mehmet Akif Ersoy Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi
https://doi.org/10.24998/maeusabed.1262497
 Kapak Resmi İndir