Servikal miyofasyal ağrı sendromunda fizyoterapinin ağrı, mental durum ve yaşam kalitesi üzerine etkisi

Effect of physical therapy on pain, mental status, and quality of life in patients with cervical myofascial pain syndrome

Özet

Amaç: Bu çalışma servikal bölgede miyofasiyal ağrı sendromu (MAS) olan hastalarda farklı fizyoterapi uygulamalarının ağrı, mental durum ve yaşam kalitesi üzerine etkisini araştırmak için planlandı. Yöntem: Çalışmada MAS’ı olan 60 birey randomize olarak 3 gruba (tedavi, egzersiz, kontrol) ayrıldı. Hastaların demografik bilgileri, otonomik semptomları ve MAS’a eşlik eden diğer semptomları kaydedildi. Tedavi grubuna 2 hafta, haftada 5 gün hotpack, ultrason ve egzersiz eğitimi, egzersiz grubuna sadece egzersiz eğitimi, kontrol grubuna ise 2 haftalık dinlenme verildi. Çalışmada ağrı Kısa-Form Mc Gill Ağrı Anketi (KF-MAA) ile, depresyon Beck Depresyon Envanteri (BDE) ile, aktivite limitasyonu 10 maddelik soru grubu ile ve yaşam kalİtesi Nottingham Sağlık Profili (NSP) ile değerlendirildi. Sonuçlar: Çalışmada otonomik ve MAS’a eşlik eden diğer semptomlar yönünden gruplar arasında fark bulunmadı (p>0.05). Tedavi grubunda KF-MAA’nın tüm parametrelerinde tedavi öncesine göre azalma olduğu belirlendi (p

Abstract

Purpose: This study was planned to investigate the effect of different physical therapy on pain, mental status, and quality of life on patients with cervical myofascial pain syndrome (MPS). Methods: Sixty patients with MPS randomly were divided into 3 groups (treatment, exercise, control). Patients’ demographic information, autonomic and other symptoms associated with MPS were recorded. The treatment group hotpack, ultrasound and exercise training for 2 weeks, 5 days a week, the exercise group only exercise training and the control group a 2 week rest was given. In the study, pain, depression, activity limitations and quality of life were assessed respectively by Short-Form McGill Pain Questionnaire (SF-MPQ), Beck Depression Inventory (BDI), the group of questions with 10 items and Nottingham Health Profile (NHP). Results: In the study autonomic and other symptoms associated with MPS found no difference between the groups (p>0.05). All parameters of SF-MPQ significantly reduced compared to baseline in treatment group (p<0.05). BDI values significantly reduced in treatment and control group (p<0.05). Pain sub-parameter of quality of life reduced in treatment group, (p<0.05), in sleep and physical mobility significantly improved in exercise group (p<0.05). Conclusion: It was determined that exercise treatment with electrotherapy treatment was more effective than exercise only on pain, depression and quality of life in MPS in this study.