.: ORİJİNAL ARAŞTIRMA
Mekanik Bel Ağrısı Olan Bireylerin Kor Endurans ile Esneklik, Denge ve Alt Ekstremite Performans İlişkisi: Kesitsel Bir Araştırma
The Relationship Between Core Endurance and Flexibility, Balance and Lower Extremity Performance in Individuals with Mechanical Low Back Pain: A Cross-Sectional Study
Turkiye Klinikleri J Health Sci. 2022;7(4):1078-86
doi: 10.5336/healthsci.2022-89682
Makale Dili: TR
Tam Metin
ÖZET
Amaç: Çalışma, mekanik bel ağrısı (MBA) olan bireylerin kor endurans süreleri ile esneklik, denge ve alt ekstremite performansı arasındaki ilişkiyi incelemek amacıyla planlandı. Gereç ve Yöntemler: Çalışmaya yaş ortalaması 37,62±10,82 yıl olan 71 birey dahil edildi. Bireylerin demografik ve fiziksel özellikleri kaydedildi. Ağrı şiddeti Görsel Analog Skala (GAS) ile ölçüldü. Kor endurans süresinin değerlendirilmesinde ise McGill gövde endurans testleri kullanıldı. Esneklik otur-uzan testi, gövde ekstansiyon, sağ/sol gövde lateral fleksiyon; statik denge gözler açık ve kapalı tek ayak üzerinde durma; dinamik denge ise Y denge testleri ile ölçüldü. Bireylerin alt ekstremite performansları 30 saniye Otur-Kalk Testi ve Merdiven İnip Çıkma Testi ile değerlendirildi. Veriler uygun istatistiksel yöntemlerle analiz edildi.Anlamlılık p<0,05 olarak kabul edilmiştir. Bulgular: Bireylerin kor endurans sürelerinin gövde sağ ve sol lateral fleksiyon ile gövde fleksiyon esneklikleri, alt ekstremite performansı, statik ve dinamik denge yetenekleri ile ilişkili olduğu belirlendi(p<0,05). Sonuç: Kor endurans sürelerinin bireylerin esnekliğini, denge yeteneklerini ve alt ekstremite performanslarını etkilediği görüldü. MBA'lı bireylere tedavi sürecinde fizyoterapist tarafından verilecek kişiye özgü kor endurans eğitimleri ile bireylerin esneklik, denge ve fiziksel performanslarında gelişme sağlanacağını düşünmekteyiz. Ayrıca multidisipliner bir yaklaşım ve koruyucu rehabilitasyon uygulamalarının yanı sıra, edinilecek doğru postural alışkanlıklar ile bel ağrısı görülme sıklığı ve sağlık harcamalarının azaltılabileceği kanısındayız.
Anahtar Kelimeler: Denge; esneklik; mekanik bel ağrısı; performans
Amaç: Çalışma, mekanik bel ağrısı (MBA) olan bireylerin kor endurans süreleri ile esneklik, denge ve alt ekstremite performansı arasındaki ilişkiyi incelemek amacıyla planlandı. Gereç ve Yöntemler: Çalışmaya yaş ortalaması 37,62±10,82 yıl olan 71 birey dahil edildi. Bireylerin demografik ve fiziksel özellikleri kaydedildi. Ağrı şiddeti Görsel Analog Skala (GAS) ile ölçüldü. Kor endurans süresinin değerlendirilmesinde ise McGill gövde endurans testleri kullanıldı. Esneklik otur-uzan testi, gövde ekstansiyon, sağ/sol gövde lateral fleksiyon; statik denge gözler açık ve kapalı tek ayak üzerinde durma; dinamik denge ise Y denge testleri ile ölçüldü. Bireylerin alt ekstremite performansları 30 saniye Otur-Kalk Testi ve Merdiven İnip Çıkma Testi ile değerlendirildi. Veriler uygun istatistiksel yöntemlerle analiz edildi.Anlamlılık p<0,05 olarak kabul edilmiştir. Bulgular: Bireylerin kor endurans sürelerinin gövde sağ ve sol lateral fleksiyon ile gövde fleksiyon esneklikleri, alt ekstremite performansı, statik ve dinamik denge yetenekleri ile ilişkili olduğu belirlendi(p<0,05). Sonuç: Kor endurans sürelerinin bireylerin esnekliğini, denge yeteneklerini ve alt ekstremite performanslarını etkilediği görüldü. MBA'lı bireylere tedavi sürecinde fizyoterapist tarafından verilecek kişiye özgü kor endurans eğitimleri ile bireylerin esneklik, denge ve fiziksel performanslarında gelişme sağlanacağını düşünmekteyiz. Ayrıca multidisipliner bir yaklaşım ve koruyucu rehabilitasyon uygulamalarının yanı sıra, edinilecek doğru postural alışkanlıklar ile bel ağrısı görülme sıklığı ve sağlık harcamalarının azaltılabileceği kanısındayız.
Anahtar Kelimeler: Denge; esneklik; mekanik bel ağrısı; performans
ABSTRACT
Objective: The study was planned to examine the relationship between core endurance times and flexibility, balance and lower extremity performance of individuals with mechanical low back pain (LBP). Material and Methods: 71 individuals with a mean age of 37,62±10.82 years were included in the study. The demographic and physical characteristics of the individuals were recorded. Pain intensity was measured with the Visual Analogue Scale (VAS). McGill trunk endurance tests were used to evaluate the core endurance time. Flexibility sit-reach, trunk extension, right/left trunk lateral flexion; static balance standing on one leg with eyes open and closed; dynamic balance was measured with Y balance tests. 30-second Sit-Rise Test and Stair Climbing Test were used for lower extremity performance evaluation. Data were analyzed by appropriate statistical methods. Significance was accepted as p<0.05. Results: It was found that individuals with high core endurance had better flexibility in right-left lateral flexion and extension, and lower extremity performances, and performed better in some parameters measured for the static and dynamic balance test (p<0.05). Conclusion: It was observed that low endurance values negatively affected the flexibility, balance abilities and lower extremity performances of individuals. We think that the evaluation of flexibility, balance and lower extremity performance together with core endurance in the evaluation of individuals with mechanical low back pain may guide the treatment planning of these patients. In addition, the right habits to be acquired with a multidisciplinary approach and preventive rehabilitation practices can reduce the incidence of low back pain and health expenditures.
Keywords: Balance; flexibility; mechanical low back pain; performance
Objective: The study was planned to examine the relationship between core endurance times and flexibility, balance and lower extremity performance of individuals with mechanical low back pain (LBP). Material and Methods: 71 individuals with a mean age of 37,62±10.82 years were included in the study. The demographic and physical characteristics of the individuals were recorded. Pain intensity was measured with the Visual Analogue Scale (VAS). McGill trunk endurance tests were used to evaluate the core endurance time. Flexibility sit-reach, trunk extension, right/left trunk lateral flexion; static balance standing on one leg with eyes open and closed; dynamic balance was measured with Y balance tests. 30-second Sit-Rise Test and Stair Climbing Test were used for lower extremity performance evaluation. Data were analyzed by appropriate statistical methods. Significance was accepted as p<0.05. Results: It was found that individuals with high core endurance had better flexibility in right-left lateral flexion and extension, and lower extremity performances, and performed better in some parameters measured for the static and dynamic balance test (p<0.05). Conclusion: It was observed that low endurance values negatively affected the flexibility, balance abilities and lower extremity performances of individuals. We think that the evaluation of flexibility, balance and lower extremity performance together with core endurance in the evaluation of individuals with mechanical low back pain may guide the treatment planning of these patients. In addition, the right habits to be acquired with a multidisciplinary approach and preventive rehabilitation practices can reduce the incidence of low back pain and health expenditures.
Keywords: Balance; flexibility; mechanical low back pain; performance
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