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Nonspesifik Bel Ağrısında Konservatif Tedavi Yaklaşımları

Yıl 2020, Cilt: 3 Sayı: 1, 1 - 14, 31.01.2020

Öz

Bir
halk sağlığı problemi olan bel ağrısı, dünyada dizabiliteye neden olan durumların
başında gelmektedir. Ağrının neden kaynaklandığının bilinmediği nonspesifik bel
ağrısı en yaygın görülen formudur ve tedavisinde ağrı ve ağrının neden olduğu
durumlara odaklanılmaktadır. Bu derlemenin amacı, nonspesifik bel ağrısı olan
hastaların tedavisinde kullanılmakta olan güncel tedavi yaklaşımlarının ağrı ve
ağrının yol açtığı durumlardaki etkinliklerini incelemekti. PubMed, PEDro, Cochrane kütüphanesi,
Ovid, MEDLINE, SUMsearch ve
Google Scholar veritabanlarında 1 Ocak 2009-1 Ağustos 2019 tarihleri arasında
yapılan arama sonucu ulaşılan randomize klinik çalışmalar, randomize kontrollü
çalışmalar, sistematik derlemeler ve meta analizler derlemeye dahil edildi.
Literatür analizi, kronik nonspesifik bel ağrısının tedavisinde motor kontrol
egzersizlerinin manuel tedavilere benzer sonuçlar sağladığına dair orta-yüksek
düzeyde; spinal manipülatif tedavinin de diğer müdahalelere göre klinik olarak
etkili olmadığı ancak kısa süreli ağrı ve fonksiyonu iyileştirdiğine dair
yüksek düzeyde kanıt olduğunu göstermiştir.

Kaynakça

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Conservative Treatment Approaches in Nonspecific Low Back Pain

Yıl 2020, Cilt: 3 Sayı: 1, 1 - 14, 31.01.2020

Öz

Low back
pain, a public health problem, is one of the leading causes of disability in
the world. Nonspesific low back pain where the cause of pain is unknown is the
most common form of low back pain. The treatment should focus on the pain and
the pain induced changes. The aim of this review was to examine the effectiveness
of current approaches in the treatment of pain and pain-related conditions in
the management of nonspesific low back pain. The Pubmed, PEDro, Cochrane
Library, Ovid, MEDLINE, SUMsearch and Google Scholar were searched to identify randomized
clinical trials, randomized controlled trials, systematic reviews, and
meta-analyzes, which were published between January 1, 2009 and August 1, 2019.
The literature analysis showed that there was moderate to high quality evidence
that motor control exercises have similar results as manual treatments, and
there was high quality evidence indicates that
spinal manipulative therapy was not clinically effective
compared to other interventions but it was effective on short-term pain relief  and functional status in chronic nonspecific
low back pain.

Kaynakça

  • Bardin, L.D., King, P., Maher, C.G. Diagnostic triage for low back pain: a practical approach for primary care. The Medical journal of Australia, 2017, 206(6); 268-73.
  • Maher, C., Underwood, M., Buchbinder, R. Non-specific low back pain. Lancet (London, England), 2017, 389(10070); 736-47.
  • Hartvigsen, J., Hancock, M.J., Kongsted, A., Louw, Q., Ferreira, M.L., Genevay, S., et al. What low back pain is and why we need to pay attention. Lancet (London, England), 2018, 391(10137); 2356-67.
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  • Miyamoto, G.C., Costa, L.O., Cabral, C.M. Efficacy of the Pilates method for pain and disability in patients with chronic nonspecific low back pain: a systematic review with meta-analysis. Brazilian journal of physical therapy, 2013, 17(6); 517-32.
  • Wells, C., Kolt, G.S., Marshall, P., Hill, B., Bialocerkowski, A. The effectiveness of Pilates exercise in people with chronic low back pain: a systematic review. PloS one, 2014, 9(7); e100402.
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  • Liu, J., Yeung, A., Xiao, T., Tian, X., Kong, Z., Zou, L., et al. Chen-Style Tai Chi for Individuals (Aged 50 Years Old or Above) with Chronic Non-Specific Low Back Pain: A Randomized Controlled Trial. International journal of environmental research and public health, 2019, 16(3).
  • Zou, L., Zhang, Y., Liu, Y., Tian, X., Xiao, T., Liu, X., et al. The Effects of Tai Chi Chuan Versus Core Stability Training on Lower-Limb Neuromuscular Function in Aging Individuals with Non-Specific Chronic Lower Back Pain. Medicina (Kaunas, Lithuania), 2019, 55(3).
  • Weifen, W., Muheremu, A., Chaohui, C., Lei, S. Effectiveness of tai chi practice for non-specific chronic low back pain on retired athletes: a randomized controlled study. Journal of musculoskeletal pain, 2013, 21(1); 37-45.
  • Phattharasupharerk, S., Purepong, N., Eksakulkla, S., Siriphorn, A. Effects of Qigong practice in office workers with chronic non-specific low back pain: A randomized control trial. J Bodyw Mov Ther, 2019, 23(2); 375-81.
  • Wieland, L.S., Santesso, N. A Summary of a Cochrane Review: Yoga treatment for chronic non-specific low back pain. European journal of integrative medicine, 2017, 11; 39-40.
  • Wieland, L.S., Skoetz, N., Pilkington, K., Vempati, R., D'Adamo, C.R., Berman, B.M. Yoga treatment for chronic non‐specific low back pain. Cochrane Database of Systematic Reviews, 2017(1).
  • Demirel, A., Oz, M., Ozel, Y.A., Cetin, H., Ulger, O. Stabilization exercise versus yoga exercise in non-specific low back pain: Pain, disability, quality of life, performance: a randomized controlled trial. Complementary therapies in clinical practice, 2019, 35; 102-8.
  • Nambi, G.S., Inbasekaran, D., Khuman, R., Devi, S., Shanmugananth, Jagannathan, K. Changes in pain intensity and health related quality of life with Iyengar yoga in nonspecific chronic low back pain: A randomized controlled study. International journal of yoga, 2014, 7(1); 48-53.
  • Furlan, A.D., Giraldo, M., Baskwill, A., Irvin, E., Imamura, M. Massage for low‐back pain. Cochrane Database of Systematic Reviews, 2015(9).
  • Cherkin, D.C., Sherman, K.J., Kahn, J., Wellman, R., Cook, A.J., Johnson, E., et al. A comparison of the effects of 2 types of massage and usual care on chronic low back pain: a randomized, controlled trial. Annals of internal medicine, 2011, 155(1); 1-9.
  • Zheng, Z., Wang, J., Gao, Q., Hou, J., Ma, L., Jiang, C., et al. Therapeutic evaluation of lumbar tender point deep massage for chronic non-specific low back pain. Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan, 2012, 32(4); 534-7.
  • Zhang, Y., Tang, S., Chen, G., Liu, Y. Chinese massage combined with core stability exercises for nonspecific low back pain: a randomized controlled trial. Complementary therapies in medicine, 2015, 23(1); 1-6.
  • Ruddock, J.K., Sallis, H., Ness, A., Perry, R.E. Spinal Manipulation Vs Sham Manipulation for Nonspecific Low Back Pain: A Systematic Review and Meta-analysis. Journal of chiropractic medicine, 2016, 15(3); 165-83.
  • Rubinstein, S.M., Terwee, C.B., Assendelft, W.J.J., de Boer, M.R., van Tulder, M.W. Spinal manipulative therapy for acute low‐back pain. Cochrane Database of Systematic Reviews, 2012(9).
  • von Heymann, W.J., Schloemer, P., Timm, J., Muehlbauer, B. Spinal high-velocity low amplitude manipulation in acute nonspecific low back pain: a double-blinded randomized controlled trial in comparison with diclofenac and placebo. Spine, 2013, 38(7); 540-8.
  • Rubinstein, S.M., van Middelkoop, M., Assendelft, W.J.J., de Boer, M.R., van Tulder, M.W. Spinal manipulative therapy for chronic low‐back pain. Cochrane Database of Systematic Reviews, 2011(2).
  • Nambi, G., Kamal, W., Es, S., Joshi, S., Trivedi, P. Spinal manipulation plus laser therapy versus laser therapy alone in the treatment of chronic non-specific low back pain: a randomized controlled study. European journal of physical and rehabilitation medicine, 2018, 54(6); 880-9.
  • Castro-Sanchez, A.M., Lara-Palomo, I.C., Mataran-Penarrocha, G.A., Fernandez-de-Las-Penas, C., Saavedra-Hernandez, M., Cleland, J., et al. Short-term effectiveness of spinal manipulative therapy versus functional technique in patients with chronic nonspecific low back pain: a pragmatic randomized controlled trial. The spine journal : official journal of the North American Spine Society, 2016, 16(3), 302-12.
  • de Oliveira, R.F., Liebano, R.E., Costa Lda, C., Rissato, L.L., Costa, L.O. Immediate effects of region-specific and non-region-specific spinal manipulative therapy in patients with chronic low back pain: a randomized controlled trial. Physical therapy, 2013, 93(6); 748-56.
  • Sarker, K.K., Sethı, J., Mohanty, U. Effect of Spinal Manipulation on Pain Sensitivity, Postural Sway, and Health-related Quality of Life among Patients with Non-specific Chronic Low Back Pain: A Randomised Control Trial. Journal of Clinical & Diagnostic Research, 2019, 13(2).
  • Task Force on the Low Back Pain Clinical Practice Guidelines. American Osteopathic Association Guidelines for Osteopathic Manipulative Treatment (OMT) for Patients With Low Back Pain. J Am Osteopath Assoc, 2016, 116(8); 536-49.
  • Franke, H., Franke, J.D., Fryer, G. Osteopathic manipulative treatment for nonspecific low back pain: a systematic review and meta-analysis. BMC musculoskeletal disorders, 2014, 15(1); 286.
  • Licciardone, J.C., Gatchel, R.J., Aryal, S. Recovery From Chronic Low Back Pain After Osteopathic Manipulative Treatment: A Randomized Controlled Trial. J Am Osteopath Assoc, 2016, 116(3); 144-55.
  • Licciardone, J.C., Minotti, D.E., Gatchel, R.J., Kearns, C.M., Singh, K.P. Osteopathic manual treatment and ultrasound therapy for chronic low back pain: a randomized controlled trial. The Annals of Family Medicine, 2013, 11(2); 122-9.
  • Marti-Salvador, M., Hidalgo-Moreno, L., Domenech-Fernandez, J., Lison, J.F., Arguisuelas, M.D. Osteopathic Manipulative Treatment Including Specific Diaphragm Techniques Improves Pain and Disability in Chronic Nonspecific Low Back Pain: A Randomized Trial. Archives of physical medicine and rehabilitation, 2018, 99(9); 1720-9.
  • Franke, H., Fryer, G., Ostelo, R., Kamper, S.J. Muscle energy technique for non‐specific low‐back pain. Cochrane Database of Systematic Reviews, 2015(2).
  • Patil, P.N., Chandu, B., Metgud, S., Khatri, S. Effectiveness of muscle energy technique on quadratus lumborum in acute low back pain-randomized controlled trial. Indian journal of Physiotherapy and Occupational Therapy, 2010, 4(1); 54-8.
  • Kumar, P., Moitra, M. Efficacy of muscle energy technique and pnf stretching compared to conventional physiotherapy in program of hamstring flexibility in chronic nonspecific low back pain. Indian J Physiother Occup Ther Int J, 2015, 9(3); 103.
  • Ebadi, S., Henschke, N., Nakhostin Ansari, N., Fallah, E., van Tulder, M.W. Therapeutic ultrasound for chronic low‐back pain. Cochrane Database of Systematic Reviews, 2014(3).
  • Ebadi, S., Ansari, N.N., Naghdi, S., Jalaei, S., Sadat, M., Bagheri, H., et al. The effect of continuous ultrasound on chronic non-specific low back pain: a single blind placebo-controlled randomized trial. BMC Musculoskelet Disord, 2012, 13; 192.
  • Facci, L.M., Nowotny, J.P., Tormem, F., Trevisani, V.F. Effects of transcutaneous electrical nerve stimulation (TENS) and interferential currents (IFC) in patients with nonspecific chronic low back pain: randomized clinical trial. Sao Paulo medical journal = Revista paulista de medicina, 2011, 129(4); 206-16.
  • Binny, J., Joshua Wong, N.L., Garga, S., Lin, C.C., Maher, C.G., McLachlan, A.J., et al. Transcutaneous electric nerve stimulation (TENS) for acute low back pain: systematic review. Scandinavian journal of pain, 2019, 19(2); 225-33.
  • Yeganeh, M., Baradaran, H.R., Qorbani, M., Moradi, Y., Dastgiri, S. The effectiveness of acupuncture, acupressure and chiropractic interventions on treatment of chronic nonspecific low back pain in Iran: A systematic review and meta-analysis. Complementary therapies in clinical practice, 2017, 27; 11-8.
  • Leite, P.M.S., Mendonca, A.R.C., Maciel, L.Y.S., Poderoso-Neto, M.L., Araujo, C.C.A., Gois, H.C.J., et al. Does Electroacupuncture Treatment Reduce Pain and Change Quantitative Sensory Testing Responses in Patients with Chronic Nonspecific Low Back Pain? A Randomized Controlled Clinical Trial. Evidence-based complementary and alternative medicine : eCAM, 2018, 2018; 8586746.
  • Lam, M., Galvin, R., Curry, P. Effectiveness of acupuncture for nonspecific chronic low back pain: a systematic review and meta-analysis. Spine, 2013, 38(24); 2124-38.
  • Zaringhalam, J., Manaheji, H., Rastqar, A., Zaringhalam, M. Reduction of chronic non-specific low back pain: a randomised controlled clinical trial on acupuncture and baclofen. Chinese medicine, 2010, 5; 15.
  • Lee, J.H., Choi, T.Y., Lee, M.S., Lee, H., Shin, B.C., Lee, H. Acupuncture for acute low back pain: a systematic review. The Clinical journal of pain, 2013, 29(2); 172-85.
  • Glazov, G., Yelland, M., Emery, J. Low-level laser therapy for chronic non-specific low back pain: a meta-analysis of randomised controlled trials. Acupuncture in medicine : journal of the British Medical Acupuncture Society, 2016, 34(5); 328-41.
  • Huang, Z., Ma, J., Chen, J., Shen, B., Pei, F., Kraus, V.B. The effectiveness of low-level laser therapy for nonspecific chronic low back pain: a systematic review and meta-analysis. Arthritis research & therapy, 2015, 17; 360.
  • Wegner, I., Widyahening, I.S., van Tulder, M.W., Blomberg, S.E.I., de Vet, H.C.W., Brønfort, G., et al. Traction for low‐back pain with or without sciatica. Cochrane Database of Systematic Reviews, 2013(8).
  • Kim, J.D., Oh, H.W., Lee, J.H., Cha, J.Y., Ko, I.G., Jee, Y.S. The effect of inversion traction on pain sensation, lumbar flexibility and trunk muscles strength in patients with chronic low back pain. Isokinetics and Exercise Science, 2013, 21(3); 237-46.
  • Alrwaily, M., Almutiri, M., Schneider, M. Assessment of variability in traction interventions for patients with low back pain: a systematic review. Chiropractic & manual therapies. 2018;26:35.
  • Parreira, P., Heymans, M.W., van Tulder, M.W., Esmail, R., Koes, B.W., Poquet, N., et al. Back schools for chronic non‐specific low back pain. Cochrane Database of Systematic Reviews, 2017(8).
  • Poquet, N., Lin, C.W.C., Heymans, M.W., van Tulder, M.W., Esmail, R., Koes, B.W., et al. Back schools for acute and subacute non‐specific low‐back pain. Cochrane Database of Systematic Reviews, 2016(4).
  • Morone, G., Paolucci, T., Alcuri, M.R., Vulpiani, M.C., Matano, A., Bureca, I., et al. Quality of life improved by multidisciplinary back school program in patients with chronic non-specific low back pain: a single blind randomized controlled trial. European journal of physical and rehabilitation medicine, 2011, 47(4); 533-41.
  • Macedo, L.B., Richards, J., Borges, D.T., Melo, S.A., Brasileiro, J.S. Kinesio Taping reduces pain and improves disability in low back pain patients: a randomised controlled trial. Physiotherapy, 2019, 105(1); 65-75.
  • Castro-Sanchez, A.M., Lara-Palomo, I.C., Mataran-Penarrocha, G.A., Fernandez-Sanchez, M., Sanchez-Labraca, N., Arroyo-Morales, M. Kinesio Taping reduces disability and pain slightly in chronic non-specific low back pain: a randomised trial. Journal of physiotherapy, 2012, 58(2); 89-95.
  • Al-Shareef, A.T., Omar, M.T., Ibrahim, A.H. Effect of Kinesio Taping on Pain and Functional Disability in Chronic Nonspecific Low Back Pain: A Randomized Clinical Trial. Spine, 2016, 41(14); E821-8.
  • Kelle, B., Guzel, R., Sakalli, H. The effect of Kinesio taping application for acute non-specific low back pain: a randomized controlled clinical trial. Clin Rehabil, 2016, 30(10); 997-1003.
  • Parreira Pdo, C., Costa Lda, C., Takahashi, R., Hespanhol Junior, L.C., Luz Junior, M.A., Silva, T.M., et al. Kinesio taping to generate skin convolutions is not better than sham taping for people with chronic non-speci fi c low back pain: a randomised trial. Journal of physiotherapy, 2014, 60(2); 90-6.
  • Luz Junior, M.A., Sousa, M.V., Neves, L.A., Cezar, A.A., Costa, L.O. Kinesio Taping(R) is not better than placebo in reducing pain and disability in patients with chronic non-specific low back pain: a randomized controlled trial. Brazilian journal of physical therapy, 2015, 19(6); 482-90.
  • Araujo, A.C., do Carmo Silva Parreira, P., Junior, L.C.H., da Silva, T.M., da Luz Junior, M.A., da Cunha Menezes Costa, L., et al. Medium term effects of kinesio taping in patients with chronic non-specific low back pain: a randomized controlled trial. Physiotherapy, 2018, 104(1); 149-51.
  • Added, M.A., Costa, L.O., de Freitas, D.G., Fukuda, T.Y., Monteiro, R.L., Salomao, E.C., et al. Kinesio Taping Does Not Provide Additional Benefits in Patients With Chronic Low Back Pain Who Receive Exercise and Manual Therapy: A Randomized Controlled Trial. The Journal of orthopaedic and sports physical therapy, 2016, 46(7); 506-13.
  • Kamali, F., Sinaei, E., Taherkhani, E. Comparing spinal manipulation with and without Kinesio Taping((R)) in the treatment of chronic low back pain. J Bodyw Mov Ther, 2018, 22(2); 540-5.
  • Nelson, N.L. Kinesio taping for chronic low back pain: A systematic review. J Bodyw Mov Ther, 2016, 20(3); 672-81.
  • Luz Junior, M.A.D., Almeida, M.O., Santos, R.S., Civile, V.T., Costa, L.O.P. Effectiveness of Kinesio Taping in Patients With Chronic Nonspecific Low Back Pain: A Systematic Review With Meta-analysis. Spine, 2019, 44(1); 68-78.
  • Kamper, S.J., Apeldoorn, A.T., Chiarotto, A., Smeets, R.J., Ostelo, R., Guzman, J., et al. Multidisciplinary biopsychosocial rehabilitation for chronic low back pain. Cochrane Database of Systematic Reviews, 2014(9).
  • Marin, T.J., Van Eerd, D., Irvin, E., Couban, R., Koes, B.W., Malmivaara, A., et al. Multidisciplinary biopsychosocial rehabilitation for subacute low back pain. Cochrane Database of Systematic Reviews, 2017(6).
  • Richmond, H., Hall, A.M., Copsey, B., Hansen, Z., Williamson, E., Hoxey-Thomas, N., et al. The Effectiveness of Cognitive Behavioural Treatment for Non-Specific Low Back Pain: A Systematic Review and Meta-Analysis. PloS one, 2015, 10(8); e0134192.
  • Henschke, N., Ostelo, R., van Tulder, M.W., Vlaeyen, J.W.S., Morley, S., Assendelft, W.J.J., et al. Behavioural treatment for chronic low‐back pain. Cochrane Database of Systematic Reviews, 2010(7).
Toplam 96 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Hilal Can 0000-0001-8991-202X

Tuğba Kuru Çolak 0000-0002-3263-2278

Gönül Acar 0000-0002-6964-6614

Yayımlanma Tarihi 31 Ocak 2020
Gönderilme Tarihi 25 Eylül 2019
Kabul Tarihi 17 Aralık 2019
Yayımlandığı Sayı Yıl 2020 Cilt: 3 Sayı: 1

Kaynak Göster

Vancouver Can H, Kuru Çolak T, Acar G. Nonspesifik Bel Ağrısında Konservatif Tedavi Yaklaşımları. Haliç Üniversitesi Sağlık Bilimleri Dergisi. 2020;3(1):1-14.