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Amaç: Kronik boyun ağrısı olan hastalarda Temel Vücut Farkındalığı Terapisi (TVFT) ile Konvansiyonel Tedavinin (KT) ağrı, kinezyofobi ve eklem hareket açıklığı (EHA) üzerine olan etkilerini karşılaştırmaktır. Yöntem: Çapraz tasarım yapılan çalışmada hastalar, A (n=17) ve B (n=18) grubuna ayrılmıştır. A grubundaki hastalara 6 hafta süresince haftada 2 gün TVFT, B grubundakilere aynı gün ve sürede KT programı uygulanmıştır. 5 haftalık aranın ardından A grubundakilere KT, B grubundakilere TVFT uygulanmıştır. Ağrı; Vizüel Analog Skalasıyla (VAS), kinezyofobisi Tampa Kinezyofobi Ölçeğiyle (TKÖ), servikal EHA; Cervical Range of Motion Deluxe (CROM) cihazıyla değerlendirilmiştir. Değerlendirmeler, birinci ve ikinci tedavinin önce ve sonrasında yapılmıştır. Bulgular: İlk tedaviler sonrasında aktivite ağrısı şiddeti TVFT alan A grubunda daha düşük bulunmuştur (p=0,024). A grubunda TVFT'nin etkisi sonraki tedaviye yansımıştır (p=0,038). Gruplar arasında ikinci tedavilerden sonra fleksiyon ve sağ rotasyon dereceleri, B grubunda TVFT alan hastalarda daha yüksek bulunmuştur (p<0,05). Grup içi tedaviler sonrası sonuçlar karşılaştırıldığında, A grubunda TVFT sonrasında fleksiyon, sağ-sol lateral fleksiyon ve sol rotasyon dereceleri daha yüksek bulunmuştur (p<0,05). Tartışma: TVFT, servikal bölgenin aktif EHA üzerinde KT’den daha etkilidir. TVFT'nin aktivite ağrısı üzerindeki etkisi daha uzun sürmektedir. Bununla birlikte her iki tedavinin de ağrı, kinezyofobi ve aktif EHA üzerinde olumlu etkileri vardır.
The purpose is to compare the effects of Basic Body Awareness Therapy (TVFT) and Conventional Therapy (KT) on pain, kinesiophobia and joint movement openness (EHA) in patients with chronic neck pain. Method: In the cross-designed study, patients were divided into groups A (n=17) and B (n=18). Patients in group A were given 2 days a week TVFT for 6 weeks, and those in group B were given the same day and time KT program. After a five-week interval, KT and TVFT were applied to those in group A. The pain was assessed by the Visual Analog Scale (VAS), the Kinesiophobia Tampa Kinesiophobia Scale (TPA), the cervical EHA, and the Cervical Range of Motion Deluxe (CROM). The assessments were made before and after the first and second treatment. Results: After the first treatments, the activity pain severity was found lower in the group A of TVFT (p=0,024). The effect of TVFT in group A reflected on the subsequent treatment (p=0,038). After second treatment among groups, the flektion and right rotation rates were higher in patients receiving TVFT in group B (p<0,05). When compared with the results after group-on-the-group treatments, the group A found higher flections after TVFT, right-left lateral flections and left-rotating degrees (p<0,05). Discussions: TVFT is more effective than KT on the active EHA of the cervical area. The effect of TVFT on activity pain lasts longer. However, both treatments have positive effects on pain, kinesiophobia and active EHA.
Purpose: To compare the effects of Basic Body Awareness Therapy (BBAT) and Conventional Therapy (CT) on pain, kinesiophobia and joint range of motion (ROM) in patients with chronic neck pain. Methods: As a cross-over design, patients were divided into A (n=17) and B (n=18) groups. BBAT program has been implemented two days a week for 6 weeks to patients within group A while group B received the CT program during the same period. After a 5-week interval, group A was treated with CT and group B was treated with BBAT. Pain, kinesiophobia and cervical joint ROM were assessed with Visual Analogue Scale (VAS), Tampa Scale for Kinesiophobia (TSK), Cervical Range of Motion Deluxe (CROM), respectively. The evaluations were conducted before and after the first and second treatment. Results: After the first treatments, the activity pain level was found to be lower in the A group receiving BBAT (p=0.024). The effect of TVFT in group A was reflected in the subsequent treatment (p=0.038). In comparison of groups after the second treatment, flexion and right rotation degrees were higher in patients receiving BBAT in Group B (p<0.05). When the results of intra-group treatments were compared, flexion, right-left lateral flexion and left rotation degrees were found to be higher in Group A after BBAT (p<0.05). Conclusion: BBAT is more effective than CT in the active ROM of the cervical region. The effect of TVFT on activity pain lasts longer. Moreover, both treatments have positive effects on pain, kinesiophobia and active ROM.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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