ISSN: 1309 - 3843 E-ISSN: 1307 - 7384
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ORIJINAL ARAŞTIRMA
Gebelik ile İlişkili Lumbopelvik Ağrının Alt Tipleri Arasında Ağrı Özellikleri, Yorgunluk, Denge, Emosyonel ve Fonksiyonel Durum, Yaşam Kalitesi ve Engellilik Açısından Farklılık Var Mıdır?
Is There a Significant Difference between Pregnancy Related Lumbopelvic Pain Subtypes in Terms of Pain Characteristics, Fatigue, Balance, Emotional and Functional Status, Health Related Quality of Life and Disability?
Received Date : 09 Feb 2023
Accepted Date : 09 Apr 2023
Available Online : 11 Apr 2023
Özet PDF Benzer Makaleler
Sinem AKSELİMa, Belma Füsun KÖSEOĞLUa, Burak AKSELİMb, Asuman DOĞANa
aClinic of Physical Medicine and Rehabilitation, Ankara Physical Medicine and Rehabilitation Training and Research Hospital, Ankara, Türkiye bClinic of Obstetrics and Gynecology, Dr. Zekai Tahir Burak Woman’s Health Training and Research Hospital, Ankara, Türkiye
Doi: 10.31609/jpmrs.2023-96003 - Makale Dili: EN
J PMR Sci. 2023;26(2):223-33
ÖZET
Amaç: Bu çalışmanın amacı; gebelik ile ilişkili lumbopelvik ağrının alt tiplerini prevalans, ağrı özellikleri, yorgunluk, egzersiz kapasitesi, denge, yaşam kalitesi, psikolojik durum ve engellilik açısından karşılaştırmaktır. Gereç ve Yöntemler: Çalışmaya obstetrik komplikasyonlar dışlandıktan sonra gebelikle ilişkili lumbopelvik ağrısı olan 100 gebe dâhil edildi. Hastaların ağrı özellikleri sorgulandı ve kas-iskelet sistemi muayeneleri yapıldı. Kısa Form-36, Yorgunluk Şiddet Ölçeği, Beck Depresyon Envanteri, Beck Anksiyete Envanteri, Berg Denge Skalası, 6 dakika yürüme testi, Oswestry Özürlülük Ölçeği sonuçları kayıt edildi. Hastalar fizik muayene bulgularına göre lomber ağrı [lomber pain (LP)], pelvik kuşak ağrısı [pelvic girdle pain (PGP)] ve kombine ağrı olmak üzere 3 gruba ayrıldı. Bulgular: Gebelik ile ilişkili lumbopelvik ağrı alt tiplerinin prevalansı; %49 LP, %31 PGP ve %20 kombine ağrı olarak bulundu. Ağrının yeri, yayılımı, şiddeti ve süresi gruplar arasında belirgin olarak anlamlı saptandı. Ayrıca engellilik, depresyon, anksiyete ve egzersiz kapasitesi de gruplar arasında farklı bulundu. Kombine ağrısı olan hastalarda depresyon, engellilik ve anksiyete skorları daha yüksek ve egzersiz kapasitesi daha düşüktü. Ağrı şiddetinin, yaşam kalitesi ve denge ile arasında negatif korelasyon bulunurken; yorgunluk, depresyon, anksiyete ve engellilik ile arasında pozitif korelasyon vardı. Ağrı süresi de engellilik ve egzersiz kapasitesi ile ilişkili bulundu. Sonuç: Gebelik ile ilişkili lumbopelvik ağrı heterojen bir durumdur ve ağrı özellikleri, engellilik, egzersiz kapasitesi, depresyon, yaşam kalitesi belirgin farklılık gösterebilir. Bu nedenle ağrı alt tiplerini erken dönemde saptamak kronikleşmenin ve engelliliğin önlenmesi ve spesifik tedavi yöntemlerinin seçilmesi için önemlidir.
Anahtar Kelimeler: Gebelik ile ilişkili lumbopelvik ağrı; pelvik kuşak ağrısı; engellilik; egzersiz kapasitesi; depresyon
ABSTRACT
Objecive: The aim of this study was to compare the subgroups of pregnancy related lumbopelvic pain (PRLPP) in terms of prevalence, pain characteristics, fatigue, exercise capacity, balance, health-related quality of life (HRQoL), psychological status, and disability. Material and Methods: A total of 100 pregnant women with lumbopelvic pain were included in the study after exclusion of obstetric complications. Pain characteristics of the patients were interviewed and musculoskeletal system examination was performed. Short Form-36, Fatigue Severity Scale, Beck Depression and Beck Anxiety Inventory, Berg Balance Scale, 6-minute walking test, Oswestry Disability Scale results were recorded. The patients were divided into 3 groups as lomber pain (LP), pelvic girdle pain (PGP) and combined pain according to physical examination findings. Results: The prevelance of subgroups of PRLPP was found as; LP in 49%, PGP in 31% and combined pain in 20%. The location, distribution, severity, and duration of pain were found to be significantly different between the subgroups. Also disability, depression, anxiety and exercise capacity were differed between pain subgroups. The patients with combined pain had higher depression, disability, anxiety scores and lower exersice capacity. Pain intensity was negatively correlated with HRQoL and balance whereas positively correlated with fatigue, depression, anxiety and disability. Duration of pain was correlated with disability and exercise capacity. Conclusion: PRLPP is a heterogeneous condition and pain characteristics, disability, exercise capacity, depression, HRQoL may differ significantly. For that reason identification of pain subgroups at an early stage is important for preventing chronicity, disability and selecting specific treatment strategies.
Keywords: Pregnancy related lumbopelvic pain; pelvic girdle pain; disability; exercise capacity; depression
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