Journal of Traditional Medical Complementary Therapies

.: ORIGINAL RESEARCH
Kronik Bel Ağrısı Bulunan Ofis Çalışanlarında Enstrüman Destekli Yumuşak Doku Mobilizasyonunun Eklem Hareket Açıklığı, Ağrı, Uyku ve Yaşam Kalitesi Üzerine Etkileri: Randomize Kontrollü Bir Çalışma
Effects of Instrument Assisted Soft Tissue Mobilisation on Range of Motion, Pain, Sleep and Quality of Life in Office Workers with Chronic Low Back Pain: A Randomized Controlled Trial
Onur KALAYCIa , Mustafa Savaş TORLAKb , Emine ATICIc
aİstanbul Okan Üniversitesi Lisansüstü Eğitim Enstitüsü, Doktora Programı, İstanbul, Türkiye
bKTO Karatay Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu, Terapi ve Rehabilitasyon Bölümü, Konya, Türkiye
cstanbul Okan Üniversitesi Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, İstanbul, Türkiye
J Tradit Complem Med.
doi: 10.5336/jtracom.2024-104332
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmanın amacı, kronik bel ağrısı bulunan ofis çalışanlarında enstrüman destekli yumuşak doku mobilizasyonunun (EDYDM) eklem hareket açıklığı, ağrı, uyku ve yaşam kalitesi üzerine etkilerini incelemektir. Gereç ve Yöntemler: Çalışmaya 30-50 yaş arasında kronik bel ağrısı yaşayan 17'si kadın ve 17'si erkek olmak üzere 34 ofis çalışanı gönüllü katılım sağladı. Katılımcılar randomize EDYDM (n=17) ve plasebo gruplarına (n=17) ayrıldı. Her iki gruba da 4 hafta sürecinde haftada 2 defa EDYDM uygulandı. Plasebo grubuna enstrümanların dokulara hiçbir etkisi olmayan yüzleri ile uygulama yapıldı. Katılımcıların demografik özellikleri olgu rapor formu ile toplandı. Uygulama öncesinde ve sonrasında katılımların ağrı şiddeti için Sayısal Ağrı Ölçeği (SAÖ) ve engellilik tespiti için Oswestry Bel Ağrısı Engellilik Anketi, uyku kalitesini ölçmek için Pittsburgh Uyku Kalitesi İndeksi (PUKİ) ve yaşam kalitesini belirlemek için SF36 Yaşam Kalitesi İndeksi uygulandı. Ayrıca akıllı telefonla lomber normal eklem hareket açıklığı ölçümleri yapıldı. Bulgular: EDYDM grubunda plasebo grubuna göre eklem hareket açıklığı, SAÖ, PUKİ, SF-36 değerlerinde istatistiksel açıdan fark vardı (p<0,05). Plasebo grubunda tedavi öncesine göre tedavi sonrasında eklem hareket açıklığı, SAÖ, PUKİ, bel fonksiyonu, SF-36 değerlerinde anlamlı fark vardı (p<0,05). Araştırma sonucunda, kronik bel ağrılı bireylerde EDYDM uygulamasının eklem hareket açıklığını, uyku ve yaşam kalitesini artırdığı, ağrı şiddetini azalttığı saptandı. Ayrıca EDYDM'nin SAÖ, PUKİ, Oswestry ve SF-36 anketlerine göre plasebo etkisinin olduğu gözlemlendi. Sonuç: Kronik bel ağrısı bulunan ofis çalışanlarında EDYDM'nin eklem hareket açıklığı, ağrı, uyku ve yaşam kalitesi üzerine olumlu etkilerinin olduğu belirlendi.

Anahtar Kelimeler: Bel ağrısı; fizik tedavi modaliteleri; uyku; yaşam kalitesi; yumuşak doku mobilizasyonu
ABSTRACT
 Objective: The aim of this study was to investigate the effects of instrument-assisted soft tissue mobilisation (IASM) on range of motion, pain, sleep and quality of life in office workers with chronic low back pain. Material and Methods: Thirty-four office workers (17 female and 17 male) aged 30-50 years with chronic low back pain participated voluntarily in the study. Participants were randomly divided into IASM (n=17) and placebo groups (n=17). Both groups received IASM twice a week for 4 weeks. The placebo group was treated with the faces of the instruments that had no effect on the tissues. Demographic characteristics of the participants were collected with a case report form. Before and after the application, a Numerical Pain Scale (NPS) was applied for pain intensity and Oswestry Low Back Pain Disability Questionnaire for disability determination, Pittsburgh Sleep Quality Index (PSQI) for sleep quality, and SF-36 Quality of Life Index for quality of life. In addition, lumbar normal range of motion measurements were performed with a smartphone. Results: In the IASM group, there was a statistically significant difference in range of motion, NPS, PSQI and SF36 values compared to the placebo group (p<0.05). In the placebo group, there was a significant difference in range of motion, NPS, PSQI, lumbar function, SF-36 values after treatment compared to pre-treatment (p<0.05). As a result of the study, it was found that IASM application increased range of motion, sleep and quality of life and decreased pain severity in individuals with chronic low back pain. In addition, it was observed that IASM had a placebo effect according to NPS, PSQI, Oswestry and SF-36 questionnaires. Conclusion: IASM had positive effects on range of motion, pain, sleep and quality of life in office workers with chronic low back pain.

Keywords: Low back pain; physical therapy modalities; sleep; quality of life; soft tissue mobilization

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