ORIJINAL ARAŞTIRMA
Tetik Nokta Varlığının, Boyun Ağrısı, Eklem Hareket Açıklığı ve Spinal Parametreler Üzerine Etkisi
Impact of Trigger Points on Neck Pain, Cervical Range of Motion and Spinal Parameters
Received Date : 07 Dec 2024
Accepted Date : 25 Feb 2025
Available Online : 28 Feb 2025
Sevil OKANa, Sezgi Burçin BARLAS ŞAHİNb, Murat BEYHANc
aTokat Gaziosmanpaşa Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon AD, Tokat, Türkiye
bAnkara Etlik Şehir Hastanesi Radyoloji Kliniği, Ankara, Türkiye
cTokat Gaziosmanpaşa Üniversitesi Tıp Fakültesi, Radyoloji AD, Tokat, Türkiye
Doi: 10.31609/jpmrs.2024-107333 - Makale Dili: TR
Turkiye Klinikleri Fiziksel Tip Ve Rehabilitasyon Bilimleri Dergisi. 2025;28(2):173-8.
ÖZET
Amaç: Miyofasiyal ağrı sendromu miyofasiyal tetik noktaların
neden olduğu sıklıkla boyun ağrısına neden olan kas iskelet sistemi rahatsızlığıdır.
Çalışmanın amacı tetik nokta varlığının servikal spinal parametrelerle
ilişkisinin incelenmesidir. Gereç ve Yöntemler: Kesitsel
tipte planlanan çalışmaya boyun ağrısı şikâyeti ile başvuran 101 birey
rastgele örnekleme yöntemi kullanılarak dâhil edildi. Bireylerin ağrı
şiddeti görsel analog skala [visual analog skala (VAS)]; servikal omurganın
hareket açıklığı fleksiyon, ekstansiyon, lateral fleksiyon ve rotasyonda
gonyometre; özürlülük düzeyi Boyun Özür İndeksi (BÖİ);
radyolojik ölçümleri servikal lateral grafide servikal lordoz açısı ve servikal
sagital vertikal aks ölçümleri ile değerlendirildi. Verilerin analizinde
Mann-Whitney U testi, independent samples t-test ve ki-kare testi
kullanıldı. Bulgular: Çalışmaya katılanların yaş ortalaması
42,01±11,74, %88,1’i kadın ve %60,4’ünün tetik noktası vardır. BÖİ
puanı tetik noktası olanlarda olmayanlara göre anlamlı şekilde yüksek
bulundu (p<0,05). Tetik noktası olanların servikal fleksiyon, ekstansiyon,
sağ rotasyon ve sağ lateral fleksiyon dereceleri tetik noktası olmayanlara
göre anlamlı şekilde düşük tespit edildi (p<0,05) Her iki
grupta sagital vertikal aks ve servikal lordoz açısı benzer bulundu
(p>0,05). En sık miyofasiyal tetik nokta varlığı tespit edilen ilk iki bölge
sırasıyla sağ üst trapezius ve sol üst trapeziustu. Sonuç: Tetik nokta
varlığı boyun ağrılı bireylerde servikal eklem hareket açıklığında kısıtlılık
ve dizabilite ile ilişkilidir. Fakat tetik nokta varlığı ile servikal spinal
parametreler arasında ilişki yoktur.
Anahtar Kelimeler: Miyofasiyal tetik nokta; servikal lordoz açısı; sagital vertikal aks; servikal özürlülük; servikal eklem hareket açıklığı
ABSTRACT
Objective: Myofascial pain syndrome is a musculoskeletal
disorder commonly associated with neck pain and is caused
by myofascial trigger points. This study aims to examine the relationship
between the presence of trigger points and cervical spinal parameters,
neck pain, and range of motion. Material and Methods: This
cross-sectional study included 101 individuals with neck pain, selected
through random sampling. Pain intensity was assessed using the visual
analog scale (VAS), and cervical range of motion (flexion, extension,
lateral flexion, and rotation) was measured with a goniometer. Disability
level was evaluated using the Neck Disability Index (NDI). Radiological
measurements on cervical lateral radiographs included the
cervical lordosis angle and the cervical sagittal vertical axis (SVA).
Statistical analyses were performed using the Mann-Whitney U test,
independent samples t-test, and chi-square test. Results: The mean age
of the participants was 42.01±11.74 years, 88.1% were female, and
60.4% had trigger points. The NDI score was significantly higher in
individuals with trigger points compared to those without (p<0.05).
Cervical flexion, extension, right rotation, and right lateral flexion were
significantly lower in individuals with trigger points (p<0.05). However,
cervical lordosis angle and sagittal vertical axis showed no significant
differences between the 2 groups (p>0.05). The most common
locations of myofascial trigger points were the right upper trapezius,
followed by the left upper trapezius. Conclusion: The presence of trigger
points is associated with reduced cervical range of motion and
greater disability in individuals with neck pain. However, there is no
significant relationship between the presence of trigger points and cervical
spinal parameters.
Keywords: Myofascial trigger point; cervical lordosis angle; sagittal vertical axis; neck disability; cervical range of motion
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