Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Bulging ve Protrüzyon Evrelerindeki Lomber Disk Hernilerinde Ağrı, Multifidus Kas Volümü, Depresyon ve Fonksiyonel Düzeyin Karşılaştırılması
Comparison of Pain, Multifidus Muscle Volume, Depression and Functional Level in Bulging and Protruded Lumbar Disc Herniation
Sedef YILDIRIMALPa, Filiz EYÜBOĞLUa, Yıldız ERDOĞANOĞLUa, Hamza ŞAHİNb, Hanife DÜZGÜN ÇELİKc
aÜsküdar Üniversitesi Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, İstanbul, TÜRKİYE
bÖzel Kocaeli Hastanesi, Radyoloji Kliniği, Kocaeli, TÜRKİYE
cKonak Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Sakarya, TÜRKİYE
Turkiye Klinikleri J Health Sci. 2020;5(2):228-35
doi: 10.5336/healthsci.2019-70600
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmanın amacı, bulging ve protrüze evredelerdeki L5-S1 seviye lomber disk hernisi tanılı hastalarda, akut ağrı, multifidus kas volümü, depresyon ve fonksiyonel düzeyi karşılaştırmaktır. Gereç ve Yöntemler: Çalışmaya, 18-65 yaş aralığında 30 disk hernisi tanılı gönüllü hasta dâhil edildi. Hastalar, manyetik rezonans görüntüleme (MRG) sonuçlarına göre bulging ve protrüzyon evre disk hernili grup olmak üzere 2 gruba ayrıldı. Hastaların ağrı şiddetleri, Sayısal Derecelendirme Ölçeği ve Mcgill-Melzack Ağrı Anketi ile lomber multifidus kas kesit alanları MRG üzerinden DICOM Browser programı aracılığıyla ruhsal durumları Beck Depresyon Ölçeğiyle ve fonksiyonel düzeyleri, Roland Morris Engellilik Anketiyle değerlendirildi. Bulgular: Bulging evre ve protrüzyon evre lomber disk hernili hastalar arasında, akut ağrı, multifidus kas volümü, depresyon ve fonksiyonel düzey bakımından istatistiksel olarak anlamlı fark bulunmadı. Sonuç: Çalışma sonuçları, bulging evre ve protrüzyon evrelerdeki disk hernili hastalarda, ağrı şiddeti, multifidus kas volümü, depresyon, fonksiyonel düzey arasında fark göstermedi. Ancak her iki gruptaki hastaların fonksiyonel düzeylerinin azaldığı görüldü. Lomber disk hernisine bağlı akut bel ağrısının, fiziksel ve psikososyal sonuçları önemli bir halk sağlığı sorunu olarak karşımıza çıktığı ve iş kaybı nedeni olarak düşünüldüğünde, sonuçlarımız, bu hasta grubunda fonksiyonelliği artırmaya yönelik uygulamaların erken dönemde, mevcut rehabilitasyon programlarına eklenmesinin önemini vurgular niteliktedir.

Anahtar Kelimeler: Bel ağrısı; vertebralar arası disk; depresyon
ABSTRACT
 Objective: This study aimed to compare acute pain, multifidus muscle volume, depression and functional volume in patients diagnosed with bulging and protruded L5-S1 lumbar disc herniation. Material and Methods: 30 volunteered patients with disc herniation whose age varied between 18-65 years were included in the study. The patients were divided into two groups of bulging and protruded disc hernia according to the results of magnetic resonance imaging (MRI). Patients' pain levels were evaluated with the Numeric Rating Scale and McGill-Mezack Pain Questionnaire, cross-sectional areas of their lumbal mutifidus muscle with DICOM Browser program via MRI, their mental status with Beck Depression Inventory, and their functional levels with Roland Morris Disability Questionnaire. Results: No statistically significant differences were found between the patients with bulging and protruded lumbar disc herniation by acute pain, multifidus muscle volume, depression, and functional level. Conclusion: According to the study results, there were no significant differences between the the patients with bulging and protruded lumbar disc herniation by pain level, multifidus muscle volume, depression, and functional level. Nevertheless, a decrease was observed in the functional levels of both groups. Given that acute back pain associated with lumbar disc herniation is an important public health problem with physical and psychosocial results and is a cause of job loss, it is critical to include practices for improving the functionality of this patient group in the current rehabilitation programs in the early stage.

Keywords: Low back pain; intervertebral disc; depression
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