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ORIJINAL ARAŞTIRMA
Nonspesifik Kronik Boyun Ağrısı Olan Hastalarda Baş Önde Postür ile Skapular Diskinezi Arasındaki İlişki
Association Between Forward Head Posture and Scapular Dyskinesis in Patients with Non-Specific Chronic Neck Pain
Received Date : 03 Nov 2021
Accepted Date : 12 Apr 2022
Available Online : 29 Apr 2022
Özet PDF Benzer Makaleler
Mehmet Akif GÜLERa, Barış NACIRb, Burcu DUYUR ÇAKITb, Hakan GENÇb, Aynur KARAGÖZb
aDepartment of Physical Medicine and Rehabilitation, University of Health Sciences Sultan 2. Abdulhamithan Training and Research Hospital, İstanbul, Türkiye bDepartment of Physical Medicine and Rehabilitation, University of Health Sciences Ankara Training and Research Hospital, Ankara, Türkiye
Doi: 10.31609/jpmrs.2021-86922 - Makale Dili: EN
J PMR Sci. 2022;25(3):279-85
ÖZET
Amaç: Omuz problemlerinde skapulanın rolü iyi bilinmektedir, skapular diskinezi (SD) özellikle baş üstü aktiviteleri içeren sporlarda değerlendirilmiştir. Ancak hiçbir çalışma baş önde postür (BÖP) bozukluğu ile skapula arasındaki bağlantıyı değerlendirmemiştir. Çalışmamızda, aksiyoskapular kas gruplarının etkilendiği 2 farklı postüral anormallik arasında bir ilişki bulmayı amaçladık. Gereç ve Yöntemler: Kraniovertebral açı ölçülerek BÖP tanısı alan 90 nonspesifik kronik boyun hastası ve normal postürlü olarak değerlendirilen 90 nonspesifik kronik boyun hastası çalışmaya alındı. Her iki grupta da SD varlığını araştırmak için “SD testi” uygulandı. Tüm hasta gruplarında boyunla ilgili disabiliteyi değerlendirmek için Boyun Disabilite İndeksi (BDİ) ve boyun ağrısını değerlendirmek için Görsel Analog Skalası (GAS) kullanıldı. Bulgular: BÖP grubu (%9,44) normal postür grubuna göre (%4,44) yaklaşık 2 kat daha fazla SD tanısı aldı. Toplam 25 (%13,8) hastaya nonspesifik kronik boyun ağrısı ile birlikte SD tanısı kondu. BÖP grubunda en sık mediyal kenar tip SD görülmüşken, kontrol grubunda en sık inferior açı tipi SD görülmüştür. Bu çalışmada, normal gruba kıyasla BÖP grubunda SD için yüksek risk bulundu (göreceli olasılıklar oranı 1,23, %95 güven aralığı, 0,87-1,61; p=0,003). Çalışmada, BDİ ve GAS açısından gruplar arasında anlamlı bir fark bulmadı (sırasıyla p=0,102, p=0,285). Sonuç: BÖP’lü kronik boyun ağrılı hastalarda, SD prevalansı yüksektir. Nonspesifik kronik boyun ağrısında, özellikle anormal postürde SD değerlendirilmelidir.
Anahtar Kelimeler: Baş önde postür; boyun ağrısı; postür; skapular diskinezi
ABSTRACT
Objective: The role of scapula on the shoulder problems is well-established and scapular dyskinesis (SD) has been evaluated especially in sports involving overhead activities. However no study have evaluated the connection between abnormal neck posture and scapula. The study aimed to found an association between 2 different postural abnormalities in which axioscapular muscles affected. Material and Methods: According to the craniovertebral angle, 90 non specific chronic neck patients with forward head posture (FHP) and 90 non specific patients with chronic neck pain with normal posture conducted in the study. SD test were performed to investigate the presence of SD on both groups. Neck Disability Index (NDI) used to assess neck-related disability and Visual Analog Scale (VAS) used to assess neck pain. Results: In the FHP group, SD diagnosed (9.44%) nearly two times more of normal posture group (4.44%). 25 (13.8%) patients were diagnosed with SD with chronic neck pain totally. While the medial margin type SD was most common in the FHP group, the inferior angle type SD was most common in the control group. This study found high risk for SD in FHP group compared to the normal group (odds ratio 1.23, 95% confidence interval, 0.87-1.61; p=0.003). The study found no significant difference between groups compared to NDI and VAS (p=0.102, p=0.285 respectively). Conclusion: There is a high prevalance of SD in chronic neck pain patients with FHP. SD should be evaluated in chronic neck pain, especially with abnormal posture.
Keywords: Forward head posture; neck pain; posture; scapular dyskinesis
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