Dergiler / Journal of Exercise Therapy and Rehabilitation / 2026 / Cilt: 13 Sayı: 2

Boyun ağrılı bireylerde aerobik ve yüksek yoğunluklu interval eğitimin solunum fonksiyonları üzerine etkisi: Randomize kontrollü çalışma

Effect of aerobic and high-intensity interval training on respiratory function in individuals with neck pain: A randomized controlled trial

Sinem Ayyıldız Çınar(HACETTEPE ÜNİVERSİTESİ, FİZİK TEDAVİ VE REHABİLİTASYON FAKÜLTESİ)0000-0002-2064-2284
Aynur Demirel(HACETTEPE ÜNİVERSİTESİ, FİZİK TEDAVİ VE REHABİLİTASYON FAKÜLTESİ)0000-0002-5773-6292
Levent Şahiner(HACETTEPE ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, KARDİYOLOJİ ANABİLİM DALI)0000-0002-0985-3144
Halil Kamil Öge(HACETTEPE ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, BEYİN VE SİNİR CERRAHİSİ ANABİLİM DALI)0000-0002-8823-851X
Sevil Bilgin(HACETTEPE ÜNİVERSİTESİ, FİZİK TEDAVİ VE REHABİLİTASYON FAKÜLTESİ)0000-0003-1597-1312
Sayfa
89–100
Yayın Tarihi
2026-07-31
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Bulgular: Her iki uygulama grubu, kontrol grubuna göre MİP değerinde istatistiksel olarak anlamlı artış gösterdi (p 0.05).

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Amaç: Bu çalışmanın amacı kronik boyun ağrısı olan bireylerde aerobik egzersiz (AE) ve yüksek yoğunluklu aralıklı antrenmanın (YYAA) solunum kas kuvveti, solunum fonksiyonları, ağrı ve özür düzeyi üzerindeki etkilerini karşılaştırmaktı.
📊
Temel Bulgular & Veri:Yöntem: Randomize kontrollü tek kör bir çalışma olarak planlanan bu çalışma, 18-55 yaş aralığında (ortalama yaş 40,52±10,90) 50 kronik ağrılı bireyin randomize olarak AE (n=16), YYAA (n=16) ve kontrol grubu olarak (n=18) ayrılması ile gerçekleşti.
💡
Sonuç & Katkı:Bulgular: Her iki uygulama grubu, kontrol grubuna göre MİP değerinde istatistiksel olarak anlamlı artış gösterdi (p 0.05).
🔬Tür:Uygulamalı Anket & Alan Araştırması
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Solunum kasları · Solunum fonksiyon testleri · Boyun ağrısı

Özet

Amaç: Bu çalışmanın amacı kronik boyun ağrısı olan bireylerde aerobik egzersiz (AE) ve yüksek yoğunluklu aralıklı antrenmanın (YYAA) solunum kas kuvveti, solunum fonksiyonları, ağrı ve özür düzeyi üzerindeki etkilerini karşılaştırmaktı. Yöntem: Randomize kontrollü tek kör bir çalışma olarak planlanan bu çalışma, 18-55 yaş aralığında (ortalama yaş 40,52±10,90) 50 kronik ağrılı bireyin randomize olarak AE (n=16), YYAA (n=16) ve kontrol grubu olarak (n=18) ayrılması ile gerçekleşti. Solunum kas kuvveti (MİP, MEP), solunum fonksiyon testleri [Zorlu hava hacmi (𝐹𝐸𝑉1), Zorlu vital kapasite (FVC), (𝐹𝐸𝑉1/FVC), maksimal ekspirasyon ortası akım hızı (𝐹𝐸𝐹%25−75), Zirve ekspiratuar akım hızı (PEF)], ağrı şiddeti (VAS) ve boyun özür indeksi değerlendirildi. Bulgular: Her iki uygulama grubu, kontrol grubuna göre MİP değerinde istatistiksel olarak anlamlı artış gösterdi (p 0.05). Ağrı düzeyi ve özür açısından her iki egzersiz grubu benzer düzeyde iyileşme gösterdi (p<0.05). Sonuç: AE ve YYAA, kronik boyun ağrısı olan bireylerde solunum kas kuvvetini artırmada, ağrı ve özür düzeyini azaltmada etkili yaklaşımlardır. YYAA, ekspiratuar kas kuvveti üzerindeki üstün etkisiyle öne çıkmaktadır. YYAA, katılımcıların keyifli bulduğu ve uygulanabilir bir egzersiz yaklaşımı olarak kronik boyun ağrılı bireylerin rehabilitasyon protokollerine entegre edilebilir. Bu durum, egzersize uyumu artırarak hasta odaklı olumlu sonuçlara katkı sağlayabilir.

Abstract

Purpose: The aim of this study was to compare the effects of aerobic exercise (AE) and high-intensity interval training (HIIT) on respiratory muscle strength, respiratory function, pain, and disability levels in individuals with chronic neck pain. Methods: This study, designed as a randomized controlled single-blind trial, involved 50 individuals aged 18–55 years (mean age 40.52 ± 10.90) with chronic pain, who were randomly assigned to the AE group (n = 16), the YYAA group (n = 16), and the control group (n = 18). Respiratory muscle strength (MIP, MEP), respiratory function tests (Forced expiratory volume (FEV1), forced vital capacity (FVC), (FEV1/FVC), peak expiratory flow rate (PEF 25–75%), Peak expiratory flow rate (PEF), pain intensity (VAS), and neck disability index were evaluated. Results: Both intervention groups showed a statistically significant increase in MIP compared to the control group (p 0.05). Both exercise groups showed similar levels of improvement in pain level and disability (p<0.05). Conclusion: AE and YYAA are effective approaches for increasing respiratory muscle strength, and reducing pain, and disability levels in individuals with chronic neck pain. YYAA stands out for its superior effect on expiratory muscle strength. YYAA can be integrated into rehabilitation protocols for individuals with chronic neck pain as an exercise approach that participants find enjoyable and feasible. This can contribute to patient-centered positive outcomes by increasing exercise compliance.

🔖

Bu Makaleye Atıf Yap

Çınar, S. A., Demirel, A., Şahiner, L., Öge, H. K., Bilgin, S. (2026). Boyun ağrılı bireylerde aerobik ve yüksek yoğunluklu interval eğitimin solunum fonksiyonları üzerine etkisi: Randomize kontrollü çalışma. Journal of Exercise Therapy and Rehabilitation, Cilt: 13 Sayı: 2, 89–100. https://doi.org/10.15437/jetr.1750165

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (41)

  1. Safiri S, Kolahi AA, Hoy D, et al. Global, regional, and national burden of neck pain in the general population, 1990-2017: systematic analysis of the Global Burden of Disease Study 2017. BMJ. 2020;368:791.
  2. Silva AG, Punt TD, Sharples P, et al. Head posture and neck pain of chronic non- traumatic origin: a comparison between patients and pain-free persons. Arch Phys Med Rehabil. 2009;90:669-674.
  3. Kahlaee AH, Ghamkhar L, Arab AM. The Association Between Neck Pain and Pulmonary Function: A Systematic Review. Arch Phys Med Rehabil. 2017;96:203-210.
  4. Kapreli E, Vourazanis E, Strimpakos N. Neck pain causes respiratory dysfunction. Med Hypotheses. 2008;70:1009-1013.
  5. Dimitriadis Z, Kapreli E, Strimpakos N, et al. Respiratory dysfunction in patients with chronic neck pain: What is the current evidence? J Bodyw Mov Ther. 2016;20:704-714.
  6. Stephen S, Brandt C, Olivier B. Neck pain and disability: Are they related to dysfunctional breathing and stress? Physiother Can. 2021;74:158–164.
  7. Yeampattanaporn O, Mekhora K, Jalayondeja W, et al. Immediate effects of breathing re-education on respiratory function and range of motion in chronic neck pain. J Med Assoc Thai. 2014;97:55–59.
  8. McLaughlin L, Goldsmith CH, Coleman K. Breathing evaluation and retraining as an adjunct to manual therapy. Man Ther. 2011;16:51-52.
  9. Wirth B, Duarte Ferreira T, Mittelholzer M, et al. Respiratory muscle endurance training reduces chronic neck pain: A pilot study. J Back Musculoskelet Rehabil. 2016;29:825-834.
  10. Hawkins MN, Raven PB, Snell PG, et al. Maximal oxygen uptake as a parametric measure of cardiorespiratory capacity. Med Sci Sports Exerc. 2007;39:103-107.
  11. Heijnen S, Hommel B, Kibele A, et al. Neuromodulation of aerobic exercise—a review. Front Psychol. 2016;6:1890.
  12. Kvam S, Kleppe CL, Nordhus IH, et al. Exercise as a treatment for depression: a meta-analysis. J Affect Disord. 2016;202:67-86.
  13. Miozzo AP, Stein C, Marcolino MZ, et al. Effects of High-Intensity Inspiratory Muscle Training Associated with Aerobic Exercise in Patients Undergoing CABG: Randomized Clinical Trial. Braz J Cardiovasc Surg. 2018;33:376-83.
  14. Keskin C. İnme hastalarında farklı egzersiz yaklaşımlarının solunum fonksiyon testi parametrelerine etkisi. İstanbul: İstanbul Medipol Üniversitesi; 2019.
  15. Taşpınar DİT. Kronik Obstruktif Akciğer Hastalığı olan hastalarda aerobik egzersiz programının yaşam kalitesi, dispne, fiziksel fonksiyonlar ve solunum fonksiyonları üzerine etkileri. Konya: Selçuk Üniversitesi; 2014.
  16. Bilgin A. Obez kadınlarda aerobik egzersiz programinin fiziksel aktivite düzeyi ve solunum fonksiyonlari üzerİne etkisi. İstanbul: İstanbul Medipol Üniversitesi; 2021.
  17. Daher A, Dar G, Carel R. Effectiveness of combined aerobic exercise and neck-specific exercise compared to neck specific exercise alone on work ability in neck pain patients: a secondary analysis of data from a randomized controlled trial. Int Arch Occup Environ Health. 2020;94:1739-1750.
  18. Wang H, Liu Q, Liu L, et al. High-intensity interval training improves the outcomes of patients with chronic obstructive pulmonary disease: A meta-analysis of randomized controlled trials. Respir Med. 2023;208:107119.
  19. Cuenca-Martínez F, Fernández-Carnero J, Sempere-Rubio N, et al. Effects of High- Intensity Interval Training (HIIT) on Patients with Musculoskeletal Disorders: A Systematic Review and Meta-Analysis with a Meta-Regression and Mapping Report. Diagnostics. 2022;12:2532.
  20. Botta RM, Palermi S, Tarantino D. High-intensity interval training for chronic pain conditions: a narrative review. J Exerc Rehabil. 2022;18:10-19.
  21. Fabero-Garrido R, Rodríguez-Marcos I, Del Corral T, et al. Effects of Respiratory Muscle Training on Functional Ability, Pain-Related Outcomes, and Respiratory Function in Individuals with Low Back Pain: Systematic Review and Meta-Analysis. J Clin Med. 2024;13:3053.
  22. Laveneziana P, Albuquerque A, Aliverti A, et al. ERS statement on respiratory muscle testing at rest and during exercise. Eur Respir J. 2019;53:1801214.
  23. Graham BL, Steenbruggen I, Miller MR, et al. Standardization of Spirometry 2019 Update. An Official American Thoracic Society and European Respiratory Society Technical Statement. Am J Respir Crit Care Med. 2019;200:70-88.
  24. Pellegrino R, Viegi G, Brusasco V, et al. Interpretative strategies for lung function tests. Eur Respir J. 2005;26:948-68.
  25. McCormack HM, David JdL, Sheather S. Clinical applications of visual analogue scales: a critical review. Psychol Med. 1988;18:1007-1019.
  26. Aslan E, Karaduman A, Yakut Y, et al. The cultural adaptation, reliability and validity of neck disability index in patients with neck pain: a Turkish version study. Spine. 2008;33:362-365.
  27. Fogarty MJ, Sieck GC. Diaphragm muscle adaptations in health and disease. Drug Discov Today Dis Models. 2019;29-30:43-52.
  28. Kapreli E, Vourazanis E, Billis E, et al. Respiratory dysfunction in chronic neck pain patients. A pilot study. Cephalalgia. 2009;29:701-710.
  29. Kalra S, Pal S, Pawaria S. Correlational study of chronic neck pain and hand grip strength in physiotherapy practitioners. Physiother Phys Educ. 2017;2:30–32.
  30. Dunham C, Harms CA. Effects of high-intensity interval training on pulmonary function. Eur J Appl Physiol. 2012;112:3061-3068.
  31. Shadmehri S, Kazemi N, Heydari FZ. Comparison of Effect of High-Intensity Interval Training and Aerobic Training on Respiratory Volumes in Female Students. Tanaffos. 2021;20:337–344.
  32. Fitriana VN, Purwoko Y, Widodo S, et al. Differences of peak expiratıon flow rate (PEFR) between brisk walking and high intensity interval training (HIIT) in young adults. Diponegoro Med J. 2020;9:68-73.
  33. Zhao Q, Zhang N, Zhang R, et al. Network meta-analysis of the effect of exercise therapy on chronic neck pain. Med Novel Technol Devices. 2025;25:100337.
  34. Paraskevopoulos E, Koumantakis GA, Papandreou M. A Systematic Review of the Aerobic Exercise Program Variables for Patients with Non-Specific Neck Pain: Effectiveness and Clinical Applications. Healthcare. 2023;11:339.
  35. Hakansson S, Jones MD, Ristov M, et al. Intensity-dependent effects of aerobic training on pressure pain threshold in overweight men: A randomized trial. Eur J Pain. 2018;22:1813-1823.
  36. Neelapala YVR, Mercuri D, Macedo L, et al. Mechanisms hypothesized for pain-relieving effects of exercise in fibromyalgia: a scoping review. Ther Adv Musculoskeletal Dis. 2023;15:1–15.
  37. Korshøj M, Jørgensen MB, Lidegaard M, et al. Decrease in musculoskeletal pain after 4 and 12 months of an aerobic exercise intervention: a worksite RCT among cleaners. Scand J Public Health. 2017;46:846-853.
  38. Khalafi M, Symonds ME. The impact of high-intensity interval training on inflammatory markers in metabolic disorders: A meta-analysis. Scand J Med Sci Sports. 2020;30:2020–2036.
  39. Shanaki M, Khosravi M, Khoshdooni-Farahani A, et al. High-Intensity Interval Training Reversed High-Fat Diet–Induced M1-Macrophage Polarization in Rat Adipose Tissue via Inhibition of NOTCH Signaling. J Inflamm Res. 2020;13:165–174.
  40. Eslami R, Parnow A, Pairo Z, et al. The effects of two different intensities of aerobic training protocols on pain and serum neuro biomarkers in women migraineurs: a randomized controlled trail. Eur J Appl Physiol. 2021;121:609–620.
  41. Oliveira-Souza AISd, Kempe M, Grimmelsmann S, et al. The effectiveness of aerobic exercise on pain and disability in individuals with neck pain: A systematic review and meta-analysis. Exp Physiol. 2024;109:1–27.