ORIJINAL ARAŞTIRMA
Türk Toplumunda Manuel Terapi Farkındalığı: Kesitsel Bir Anket Çalışması ve Manuel Terapiye Genel Bir Bakış
The Awareness of Manual Therapy in Turkish Society: A Cross Sectional Survey Study and an Overview of Manual Therapy
Received Date : 24 Aug 2020
Accepted Date : 12 Nov 2020
Available Online : 18 Jan 2021
Buğra İNCEa
aDepartment of Physical Medicine and Rehabilitation, Bezmiâlem Vakıf University Faculty of Medicine, İstanbul, TURKEY
Doi: 10.31609/jpmrs.2020-78636 - Makale Dili: EN
J PMR Sci. 2021;24(1):45-51
ÖZET
Amaç: Türk toplumunda, manuel terapi hakkında bilgi düzeyinin ölçülmesi
ve manuel terapi farkındalığını oluşturmak için gerekli faktörlerin belirlenmesi
amaçlandı. Gereç ve Yöntemler: Mayıs-Haziran 2020 tarihlerinde
üniversitemiz hastanesi polikliniklerine kas-iskelet sistemi ağrısı nedeniyle başvuran
hastalar arasından, belirgin yapısal bozukluğu olmayan ve fonksiyonel
kas-iskelet sistem bozukluğu tespit edilen hastalar çalışmaya alındı. Kendi kendine
uygulanabilen bir anket hazırlandı. Yaş, cinsiyet ve eğitim düzeyi bilgileri
toplandı. Hastaların manuel terapi hakkındaki genel bilgi düzeyleri, manuel terapi
ve tamamlayıcı tıbba genel yaklaşımları, manuel terapinin endikasyonkontrendikasyon
ve etkinliği hakkındaki bilgi düzeyleri, manuel terapinin
uygunluğuna kimin karar vermesi gerektiği ve manuel terapi uygulayıcılarının
kimler olması gerektiği konularındaki görüşleri mevcut literatür bilgileri eşliğinde
tartışılarak değerlendirildi. Bulgular: Anket, 104 katılımcıya uygulandı.
Katılımcıların %45,4’ü manuel terapiyi hiç duymadıklarını ifade ederken, manuel
terapiyi araştırdığını ve manuel terapi hakkında bilgi sahibi olduğunu ifade
eden katılımcılar %16,3 oranındaydı. Katılımcıların %81,7’si geleneksel ve tamamlayıcı
tıp yöntemlerinin etkili olabileceğine inandıklarını ve %46,4‘ü
zaman zaman çevrelerinden manuel terapi benzeri uygulamaları talep ettiklerini
ifade ettiler. Bel ağrısı (%68,9), boyun ağrısı (%68,9) ve sırt ağrısı (%66)
katılımcılar tarafından en çok ifade edilen endikasyonlardı. Katılımcıların
%32'si servikal ve lomber disk hernilerinin manuel terapi ile tedavi edilebileceğini
ifade ettiler. Manuel terapinin diğer fizik tedavi yöntemleri kadar etkili
olduğunu belirten katılımcılar %54,8 oranındaydı. Katılımcıların %50'si manuel
terapinin uygunluğu konusunda hekimlerin karar verici olması gerektiğini ifade
ederken, %53,5’i manuel terapiyi fizyoterapistlerin uygulaması gerektiğini ifade
ettiler. Sonuç: Manuel terapi yüksek eğitim düzeyine sahip hastalar arasında
dahi yeteri kadar bilinmeyen bir tedavi yöntemidir. Buna rağmen hastalar manuel
terapinin etkili olabileceğine inanmakta ve manuel terapi ya da benzeri
uygulamaların arayışına girmektedir. Disk hernilerinde manuel terapinin kullanımı
toplumda eksik bilinen ve suistimale açık bir konu olarak gözükmektedir.
Hastalar hangi hastalıklarda manuel terapinin uygulanabileceği konusunda
hekimlerin karar verici ve bilgilendirici olmalarını beklemekte ve uygulamaları
eğitilmiş sağlık profesyonellerinin yapmalarını tercih etmektedir.
Anahtar Kelimeler: Manuel terapi; manipülasyon; disk hernisi; kas-iskelet sistemi ağrısı; bilgi düzeyi
ABSTRACT
Objective: To examine the information level in Turkish society
on manual therapy and to identify necessary factors in establishing the
awareness of manual therapy. Material and Methods: Patients with no structural
abnormality and evaluated as functional locomotor system dysfunction
were enrolled in the study among patients with musculoskeletal pain who admitted
to tertiary outpatient clinics of our university hospital between May
and June 2020. A self-administered survey was prepared. Age, gender and
educational level information were collected. Patients' general knowledge
level regarding manual therapy, their general attitude towards manual therapy
and complementary medicine, their knowledge level about the indications-
contraindications and effectiveness of manual therapy and their opinions
in terms of who should be the prescribers and practitioners of manual therapy
were evaluated and discussed in the light of available literature. Results: The
survey was conducted on 104 participants. Of the participants, 45.4% stated
that they never heard of manual therapy and only 16.3% stated that they did
research and are knowledgeable on manual therapy. Of the participants, 81.7%
stated that they believed traditional and complementary medicine methods
could be effective and 46.4% of them stated they occasionally demanded manual
therapy-like implementations from their relatives. Lower back pain
(68.9%), neck pain (68.9%) and upper back pain (66%) are the most expressed
indications by the participants. While 32% of the participants believed that
cervical and lumbar disc hernias could be cured with manual therapy, 54.8%
of the participants stated that manual therapy was as effective as other physical
therapy methods. While 50% of the participants stated that physicians
should be decisive about the compatibility of manual therapy, 53.5% stated
that physiotherapists should apply manual therapy. Conclusion: Manual therapy
is an unknown treatment method even among patients with a high education
level. Despite this, patients believe that manual therapy can be effective
and they may be in quest of manual therapy or similar implementations. The
use of manual therapy for disc hernias seems to be an under-known and abusable
issue in the society. Patients expect physicians to be decision maker and
informative about in which disorders manual therapy can be applied and they
prefer trained healthcare professionals to apply therapy.
Keywords: Manual therapy; manipulation; disc herniation; musculoskeletal pain; knowledge level
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