ORIJINAL ARAŞTIRMA
Serebral Palsili Çocukların Annelerinde Ağrı ve Fonksiyonel Kapasiteye Yönelik Eğitim ve Egzersiz Programının Bel Ağrısına Etkisi
Effects of Education and Exercise Program for Pain and Functional Capacity on Low Back Pain in Mothers of Children with Cerebral Palsy
Received Date : 28 Oct 2020
Accepted Date : 07 Feb 2021
Available Online : 13 Feb 2021
Sibel MANDIROĞLUa, İnci YANIKOĞLUb, Sibel ÜNSAL DELİALİOĞLUa, Canan ÇULHAb,
Meltem DALYANb
aClinic of Physical Medicine and Rehabilitation, Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara, TURKEY
bClinic of Physical Medicine and Rehabilitation, Ankara Physical Medicine and Rehabilitation Training and Research Hospital, Ankara, TURKEY
Doi: 10.31609/jpmrs.2020-79134 - Makale Dili: EN
J PMR Sci. 2021;24(2):107-13
ÖZET
lerinde bel ağrısı sıklığını ve bel ağrısı olanlarda eğitim
ve egzersiz programlarının fonksiyonel kapasite ve ağrı üzerine etkilerini
değerlendirmektir. Gereç ve Yöntemler: Çalışmaya, SP’li
164 çocuğun anneleri dâhil edildi. SP şiddetini sınıflandırmak için
Kaba Motor Fonksiyon Sınıflandırma Sistemi kullanıldı. Annelere
Nottingham Sağlık Profili ve Beck Depresyon Envanteri uygulandı.
Bel ağrısı şiddeti Sayısal Derecelendirme Ölçeği (SDÖ) (0-10) ile
değerlendirildi. Bel ağrısı olanlara Oswesty Disabilite İndeksi (ODİ)
ve Leeds Nöropatik Semptom ve Bulgu Değerlendirmesi uygulandı.
Bel ağrısı olan annelere bel koruma teknikleri ve egzersiz içeren eğitim
programı verildi. Bu olgular, 3 ay sonra Sayısal Derecelendirme
Ölçeği ve ODİ ile tekrar değerlendirildi. Bulgular: Yüz altmış dört
annenin 78'inde bel ağrısı vardı. Bel ağrısı olan annelerde, NSP ağrı,
uyku ve fiziksel aktivite skorları istatistiksel olarak daha yüksekti
(p=0,001, p=0,049, p=0,001). Önerilere uyan ve egzersiz yapan 68
olgunun, başlangıç ve 3 ay sonra SDÖ ve ODİ puanları karşılaştırıldı.
Üçüncü ayda SDÖ ve ODİ skorlarında anlamlı düzelme saptandı
(sırasıyla p<0,001, p<0,001). Sonuç: SP'li çocukların
annelerinde, bel ağrısı görülme sıklığı yüksektir. Anneler, eğitim ve
uygun egzersiz programından yararlanır, fonksiyonel sınırlılıkları
azalır ve yaşam kaliteleri artar.
Anahtar Kelimeler: Serebral palsi; egzersiz; bel ağrısı
ABSTRACT
Objective: Aim of this cross-sectional study is to evaluate
low back pain (LBP) frequency in mothers of children with cerebral
palsy (CP) and effects of education and exercise programs on
functional capacity and pain in those with LBP. Material and Methods:
Mothers of 164 children with CP were included in the study. Gross
Motor Function Classification System was used to classify severity of
CP. Nottingham Health Profile (NHP) and Beck Depression Inventory
were applied to all of the mothers. Severity of LBP was assessed with
NRS (Numeric Rating Scale) (0-10). Oswestry Disability Index (ODI)
and Leeds Assessment of Neuropathic Symptoms and Signs were applied
to the cases with LBP. Low back protection tecniques and education
programme including exercises were given to mothers with
LBP.Three months later, these cases were assessed again with NRS and
ODI. Results: Seventy eight of 164 mothers had low back pain. NHP
pain, NHP sleep and NHP physical activity scores were statistically
higher in mothers with LBP (p=0.001, p=0.049, p=0.001, respectively).
NRS and ODI scores of the 68 cases who followed the recomendations
and exercised were compared at baseline and 3 months later. There was
a significant improvement in NRS and ODI scores in the third month
(p<0.001, p<0.001, respectively). Conclusion: LBP prevelance is high
in mothers of children with CP. Mothers benefit from an education and
proper exercise program, their functional limitations decrease and quality
of life improves.
Keywords: Cerebral palsy; exercise; low back pain
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