Servikal Disk Hernili Bireylerde Kassal Enduransın Ağrı, Boyun Farkındalığı ve Kinezyofobi ile İlişkisinin İncelenmesi

Abstract

This study was planned to investigate the relationship of cervical, trunk, upper limb and scapular region muscular endurance with pain, neck awareness and kinesiophobia in individuals with cervical disc herniation. Thirty-six individuals between the ages of 18-65 who were diagnosed with cervical disc herniation and having 2 or more resting pain according to Visual Analogue Scale (VAS) were included in the study. The demographic data of the individuals were recorded and musculoskeletal system evaluations were made. Endurance tests were performed for 9 muscle / muscle groups of individuals in the cervical, scapular region, upper limb and trunk. Individual’s severity of pain were assessed during rest, night and activity with VAS and Neck Disability Index (NDI), neck awareness with Fremantle Neck Awareness Questionnaire (FreBAQ) and Cervical Joint Position Sense Error Test (CJPSET), body awareness with Body Awareness Questionnaire (BAQ), fear of movement with Tampa Kinesiophobia Scale (TKS). The average age of the individuals included in the study was found to be 41,58 ± 11,25. It was determined that there were negative and weak-moderate correlations between the resting and activity VAS values of the individuals and the NDI scores with the endurance of certain muscles evaluated in the cervical region, scapular region, upper limb and trunk (p<0,05). In the neck awareness evaluations, negative and weak- moderate correlations were determined between CJPSET and FreBAQ scores with endurance of the cervical flexor, trunk flexor and extensor, scapular region and upper limb muscles (p<0.05). It was determined that there was no statistically significant correlation between the endurance of the muscles evaluated in the study and the TKS and BAQ scores (p>0,05). According to the study results; besides the muscles of cervical region, the endurance of the upper extremity, scapular region and trunk muscles play an important role in dealing with problems such as neck pain, neck disability and decreased neck awareness in individuals with cervical disc herniation.