Özet:

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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