Ev Hanımlarında Bel Ağrısı Şikayetinde Spinal Manipülasyonun Anlık Etkisinin Araştırılması
DOI:
https://doi.org/10.5281/zenodo.8154714Anahtar Kelimeler:
Ev hanımı- Bel ağrısı- Spinal ManipülasyonÖzet
Amaç: Çalışmanın amacı, ev hanımlarında görülen bel ağrısı probleminde spinal manipülasyon yöntemlerinin bel ağrısı üzerine anlık etkisini araştırmaktır.
Gereç ve Yöntem: Araştırma verileri, araştırmaya katılmayı gönüllü olarak kabul eden bel ağrısı şikayeti olan 20 ev hanımından elde edilmiştir. Hastaların ağrısı Vizüel Analog Skala (VAS) ile belirlendi. Gövde hareketleri (fleksiyon, ekstensiyon, sağ-sol lateral fleksiyon) gonyometre kullanılarak değerlendirildi. Sağ-sol bacak uzunluk farkı, sağ-sol Spina Iliaca Posterior Superior (SIPS) seviyeleri ve parmak zemin mesafesi mezura ile ölçüldü. Postural değerlendirme, önden ve yandan PosturScreen telefon uygulamasıyla incelendi. Lomber bölgeye uygulanan mobilizasyon ve manipülasyon teknikleri öncesinde ve hemen ardından değerlendirmeler yapıldı.
Bulgular: Verilerin analizi betimsel istatistikler ve tedavi öncesi ve tedavi sonrası değişimler Paired Samples T testiyle yapıldı. Tedavi öncesi-sonrası VAS skorlarında değişim anlamlıydı (p<0,001). Gövdenin fleksiyon, ekstansiyon, sağ lateral fleksiyon açılarında artma vardı ve değişim anlamlıydı (p<0,05). Tedavi öncesi ve sonrası parmak zemin mesafesi ölçümlerinde fark yoktu (p>0,05). Tedavi öncesi ve sonrası her bacak boyu ve iki SİPS arası farkta azalma vardı ve değişim anlamlıydı (p<0,05). Önden ve yandan yapılan postür ananlizinde tedavi öncesi ve sonrasında fark yoktu (p>0.05).
Sonuç: Ev hanımlarında yaptığımız çalışmada manipülatif tekniklerin bel ağrısını azalttığı, eklem hareket açıklığını arttırdığı, bacak boyu ve SİPS farklarını düzeltmede etkili bir yöntem olduğu görüldü.
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