Kronik Boyun Ağrılı Hastalarda Propriosepsiyon ve Taktil Doğruluk Eğitiminin Eklem Hareket Açıklığı, Ağrı, Propriosepsiyon, Taktil Doğruluk ve Dizabilite Üzerine Olan Etkilerinin Karşılaştırılması

Abstract

Canlı K. Comparison of the Effects of Proprioception and Tactile Acuity Training on Range of Motion, Pain, Proprioception, Tactile Acuity and Disability in Patients with Chronic Neck Pain. Hacettepe University Graduate School of Health Sciences Orthopedic Physiotherapy and Rehabilitation Program, Doctoral Thesis, Ankara 2024. This study was performed to compare the effects of proprioception and tactile acuity training on pain, disability, tactile acuity, range of motion, and proprioception in individuals with chronic neck pain. 57 individuals aged between 20-60 years were included. Individuals were stratified based on their ages (20.0-34.9 years and 35.0-60.0 years) and randomly divided into three groups: the Tactile Accuracy Training (TAT) Group (n=17), the Proprioception Training (PE) Group (n=17), and the Control (C) Group (n=17). Tactile acuity training was applied for the TAT Group, and proprioceptive training was implemented for the PE Group three days a week for four weeks. No treatment was provided to the K Group. Pain intensity was assessed by using a ‘Numerical Pain Scale’, and pressure pain threshold, temporal summation of mechanical pain, and conditioned pain modulation were assessed at the bilateral upper trapezius muscle belly with an ‘Algometer’. The pressure pain threshold was also assessed on the tibialis anterior muscle belly of the dominant side. Tactile acuity was assessed with a “Caliper”, and range of motion and proprioception were assessed with a “Digital Goniometer”. After the four-week treatment, there was a greater improvement in pain intensity, pressure pain threshold of the tibialis anterior muscle, and tactile acuity in the painful side in the TAT Group than C Group (p<0.05), and there was a greater improvement pain intensity, disability, tactile acuity in the other side and lateral flexion and rotation proprioception in the painful side in the PE Group than C Group (p<0.05). There was a greater improvement in pain intensity and lateral flexion and rotation proprioception in the painful side in the PE Group than TDE Group (p<0.05), but a greater improvement in the pressure pain threshold of the tibialis anterior muscle in the TDE Group than PE Group (p<0.05). As a result, proprioceptive training provides more reduction in pain intensity, and tactile accuracy training provides a systemic effect on pain.