ISSN: 1309 - 3843 E-ISSN: 1307 - 7384
FİZİKSEL TIP VE REHABİLİTASYON
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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
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.
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.
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