Kronik Boyun Ağrılı Hastalarda Stabilizasyon Egzersizleri Ile Birlikte Servikal ve Skapular Mobilizasyonun Ağrı ve Yaşam Kalitesine Etkilerinin Araştırılması
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The aim was to investigate the effects of stabilization exercise in addition to cervical and scapula mobilization on pain and quality of life in patients with chronic neck pain. One hundred and two patients with chronic neck pain were recruited in the study. The patients were allocated into two groups as Exercise Group (n:51, age:44.07±13.29 years) and Mobilization Group (n:51, age:47.98±10.97 years), randomly. It was performed cervical and scapulathoracic stabilization exercises in Exercise Group, cervical and scapulathoracic stabilization exercises in addition to cervical and scapula mobilization in Mobilization Group. The treatment was applied during 3 days in a week for 4 weeks. The number of drug intake of patients was recorded. Pain intensity with Visual Analog Scale, pain threshold and tolerance with digital algometer (JTech Medical Industries, ZEVEX Company), range of motion with clinic goniometer (Baseline Evalutaion Tools, USA), disability with Neck Disability Index, quality of life with Short Form-36 were evaluated before and after treatment. After treatment, drug intake, pain intensity, and disability decrease, range of motion and quality of life increase in Exercise and Mobilization Groups were found (p<0.05). The pain threshold and tolerance increase in only Mobilization Group were detected (p<0.05). The intergroup comparison showed that significant difference in drug intake, pain intensity at night, cervical rotation motion, disability and quality of life were seen in favor of Mobilization Group (p<0.05). It was seen that it could be used stabilization exercise and this exercise with cervical and scapula mobilization in patients with chronic neck pain to protect neck health and to treat. However, it was found that the stabilization exercise in addition to cervical and scapula mobilization were more effective in improving medical need, pain intensity at night, neck rotation, disability and quality of life.