Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
The Effect of Modic Changes on Low Back Pain, Physical Activity, Muscle Endurance, and Aerobic Capacity: Cross-Sectional Research
Modic Değişikliklerin Bel Ağrısı, Fiziksel Aktivite Düzeyi, Sırt Ekstansör Kas Dayanıklılığı ve Aerobik Kapasite Üzerine Etkisi: Kesitsel Araştırma
Çetin SAYACAa,b, Büşra KIZILKANc
aDepartment of Physiotherapy and Rehabilitation, Bursa Uludağ University Faculty of Health Science, Bursa, TURKIYE
bDepartment of Physical Therapy and Rehabilitation, Üsküdar University Faculty of Health Science, İstanbul, TURKIYE
cClinic of Radiology, University of Health Sciences Sultan Abdulhamid Han Research and Training Hospital, İstanbul, TURKIYE
Turkiye Klinikleri J Health Sci. 2022;7(1):119-26
doi: healthsci.2020-75983
Article Language: EN
Full Text
ABSTRACT
 Objective: Modic changes are structural degenerative changes that occur in the vertebral bone marrow. This study aimed to investigate pain severity, back extensor muscle endurance, aerobic capacity, and physical activity levels in patients with Modic changes. Material and Methods: Sixty (39 women, 21 men) patients were included. According to the result of the lumbar spine magnetic resonance imagination, patients with or without Modic changes were divided into two groups (Modic and control). Pain severity was evaluated with the visual analogue scale. Sorensen test was used to evaluate back extensor muscle endurance, The 6 minute walk test was used to evaluate the aerobic capacity, and the Turkish version of the short form the International Physical Activity Questionnaires was used to evaluate health-related physical activity level. Results: There was a difference in the pain severity, extensor back muscles endurance, and aerobic capacity between groups (respectively; p=0.001; p=0.001; p0.05), but there was a difference in walking activity level (p=0.014). In the control group, the mean of metabolic equivalent minutes in walking activity was higher than in the Modic group. Conclusion: In patients with Modic change, pain severity was higher, and back extensor muscle endurance with aerobic capacities were lower. No difference was found between physical activity levels of the patients with Modic change except walking. In addition, while the average age of patients with Modic changes was higher, there was no difference according to the smoking rate. Studies investigating the effects of different Modic type changes on muscular strength, endurance, lumbar stabilization, aerobic capacity and physical activity level are needed.

Keywords: Spine; low back pain; physical activity
ÖZET
 Amaç: Modic değişiklikler, vertebral kemik iliğinde meydana gelen yapısal dejeneratif değişikliklerdir. Bu çalışmanın amacı, Modic değişiklikleri olan hastalarda ağrı şiddeti, sırt ekstansör kas dayanıklılığı, aerobik kapasite ve fiziksel aktivite düzeyini araştırmaktır. Gereç ve Yöntemler: Altmış (39 kadın, 21 erkek) hasta çalışmaya dâhil edildi. Lomber omurga manyetik rezonans görüntüleme sonucuna göre Modic değişikliği olan veya olmayan hastalar 2 gruba ayrıldı (Modic ve kontrol grubu). Vizüel analog skalası ile ağrı şiddeti değerlendirildi. Ekstansör kas dayanıklılığını değerlendirmek için Sorensen testi, aerobik kapasiteyi değerlendirmek için 6 dk yürüme testi ve fiziksel aktivite düzeyini değerlendirmek için Uluslararası Fiziksel Aktivite Anketlerinin kısa formunun Türkçe versiyonu kullanıldı. Bulgular: Gruplar arasında ağrı şiddeti, ekstansör sırt kas dayanıklılığı ve aerobik kapasitede fark vardı (sırasıyla; p=0,001; p=0,001; p0,05), ancak yürüme aktivite düzeyinde fark vardı (p=0,014). Kontrol grubunda yürüme aktivitesinin metabolik eş değer dakika ortalaması Modic grubundan daha yüksekti. Sonuç: Modic değişiklikleri olan hastalarda ağrı şiddeti daha yüksek iken, aerobik kapasitesi ile sırt ekstansör kas dayanıklılığı daha düşüktü. Modic değişikliği olan hastaların, yürüme dışında fiziksel aktivite düzeyleri arasında fark bulunmadı. Buna ek olarak, Modic değişiklikleri olan hastaların yaş ortalaması daha yüksek iken, sigara içme oranı açısından fark yoktu. Farklı Modic tip değişikliklerin kassal kuvvet, dayanıklılık, lumbal stabilizasyon, aerobik kapasite ve fiziksel aktivite düzeyi üzerine etkilerinin incelendiği çalışmalara ihtiyaç vardır.

Anahtar Kelimeler: Omurga; bel ağrısı; fiziksel aktivite
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