Kronik Bel Ağrılı Olgularda Yoganın ve Fizyoterapi Programının Yaşam Kalitesi, Denge, Ağrı Düzeyi ve Uyku Kalitesi Üzerine Etkilerinin Karşılaştırılması

Abstract

This study was aimed to investigate the effectiveness of yoga and physiotherapy programme on quality of life, balance, pain level and quality of sleep in patients with Chronic Low Back Pain (CLBP). 40 patients diagnosed with CLBP from Natal Physical Therapy Center were participated in the study. Subjects were randomly divided into two groups. First group was treated with yoga programme while second group was treated with physiotherapy programme. First group followed yoga programme 5 days in week for 4 weeks. Second group was treated with hotpack, ultrasound and exercise therapy 5 days a week for first 2 weeks, and only exercise programme was performed for the next 2 weeks. Main outcome measurements such as muscle strength, lumbal mobility measurement, posture analysis, muscle shortness tests, anthropometric measurements and balance parameters were evaluated accompanying with Visual Analog Scale (VAS), quality of life with Short Form 36 (SF36), functional capacity with 6-minute walking test, sleep assessment with Pittsburgh Sleep Quality Index (PUKİ), disability with Oswestry Disability Index (ODI) and psychological status by Beck Depression Inventory (BDI) before and after treatment. Range of motion, flexibility, pain level, functional capacity, balance scores, muscle strength, functional disability, depression, quality of life parameters improved significantly in both groups (p<0.05) after treatment. When two groups were compared a significant difference in 6-minute walking test, pain level, functional capacity, depression, and finger to floor tests in favour of physiotherapy group were found (p<0.05). No significant change has been found in quality of sleep in both groups (p>0.05). The results of this study showed that both treatments increased range of motion, flexibility, functional capacity, muscle strength and balance while relieving pain level, depression and disability with improved functional disability and quality of life in patients with CLBP. It is suggested that yoga excersises can be considered as a part of physiotherapy sessions as well as being a single programme. This approach needs further studies.