Kronik Bel Ağrısında Hareketle Birlikte Mobilizasyon Yönteminin Kısa ve Uzun Dönem Etkinliğinin Araştırılması

Abstract

This study was planned to indicate efficiacy of mobilization with movement techniques in patients diagnosed chronic back pain without neurological deficits. Thirty six patients diagnosed with chronic back pain included in this study. Patients were randomized into two groups. In the therapy group we applied lumbar and hip mobilization techniques, self and general exercises. In the control group, we applied placebo mobilization and general exercises. All patients in the study were evaluated for pain (VAS- Short Form-McGill), range of motion, flexibility (sit&reach- Modified Schober Test), kinesiophobia (Tampa Kinesiophobia Scale), endurance (Sorensen Test), quality of life (SF-36), functional level (Oswestry Back Pain Questionairre), mental state (Hospital Anxiety and Depression Scale), patient functionality (PSFS) and patient satisfaction. After the first therapy session, patients were evaluated for immediate effects, second evaluations were carried out after 8 sessions (5 weeks) of therapy, and at the end of third and sixth months. Finally at the end of 12. month, patients were evaluated for pain using VAS. According to the results of this study; immediate effects of therapy, affected pain (VAS) scores, hip internal rotation and lumbar lateral flexion motions that the significant results were in favor of therapy group (p<0.05). In addition to this parameters, at the end of 5 weeks therapy, pain Mc Gill scores, hip external rotation, hip flexion and lumbar extension motion results were significantly in favor of therapy group (p<0.05). Results of Kinesiophobia, Functional Level, Health concerned Quality of life, Patient Functionality at the end of third and sixth months, therapy group was significantly different (p<0.05), for the results of lumbar flexion, straight leg raise, flexibility, endurance and depression scores there were no significant difference between groups (p>0.05). According to these outcomes, in chronic back pain patients, mobilization with movement technique was more effective when compared to placebo mobilization and short term improvements were preserved in long term. However in the long run, we believe that this therapy could be combined with more holistic approaches like flexibility, endurance and functional state, to be more effective.