Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Are the Lumbar Regional Muscles' Endurance, Flexibility and Abdominal Adiposis Related to Disability in Fibromyalgia Syndrome?
Fibromiyalji Sendromunda Lumbal Bölgesel Kasların Enduransı, Esnekliği ve Abdominal Adipoz Dizabilite ile İlişkili midir?
Alper PERÇİNa, Emine ATICIb
aDepartment of Physiotherapy and Rehabilitation, Iğdır University Faculty of Health Science, Iğdır, TURKEY
bDepartment of Physiotherapy and Rehabilitation, İstanbul Okan University Faculty of Health Sciences, İstanbul, TURKEY
Turkiye Klinikleri J Health Sci. 2021;6(3):515-22
doi: 10.5336/healthsci.2020-78563
Article Language: EN
Full Text
ABSTRACT
 Objective: The patients who have widespread pain around the thoracic and cervical region came to the physical therapy clinic with the diagnosis of fibromyalgia syndrome complain about symptoms reappear after a period of time. This situation revealed the idea of evaluating the lumbar region as a more central segment and applying treatment to the lumbar region. The main purpose is to examine the endurance, flexibility and abdominal fat levels of lumbar muscles in women with fibromyalgia and investigate the relationship of these parameters with disability caused by fibromyalgia. Material and Methods: The study included 40 female patients with fibromyalgia syndrome, aged 24-45, who met the American College of Rheumotology 2010 diagnostic criteria. functional disability of patients was evaluated with Revised Fibromyalgia Impact Questionnaire (FIQR). The endurance of the lumbar region muscles was assessed by the Biering-Sorensen Test, flexibility by the sit and reach test, spinal mobility by the Modified Schober Test. With the skinfold caliper (Accu-MeasureR) abdominal region fat mass measurement, with the tape measure waist and hip circumference measurement were recorded. Results: There was a positive correlation between FIQR score and waist circumference (p<0.001, r=0.568), hip circumference (p<0.001, r=0.567), waist/hip ratio (p=0.018, r=0.370), skinfold measurements (p<0.001, r=0.869). On the other hand, a negative correlation between FIQR score and endurance (p<0.001, r=-0.969) and flexibility (p<0.001, r=-0.950) were viewed. Conclusion: Decrease in endurance and flexibility of the lumbar extensor muscle group and the increase in abdominal adipose tissue in fibromyalgia syndrome increase the severity and disability of disease.

Keywords: Adipose tissue; endurance; fibromyalgia; pliability
ÖZET
 Amaç: Fibromiyalji sendromu tanısı ile torasik ve servikal bölgede yaygın ağrıları olup fizik tedavi kliniğine gelen hastalar, tedavi sonrası semptomların tekrar ortaya çıkmasından şikâyet ederler. Bu durum, lomber bölgenin daha merkezî bir segment olarak değerlendirilmesi ve bel bölgesine tedavi uygulanması fikrini ortaya çıkardı. Fibromiyaljili kadınlarda bel kaslarının dayanıklılık, esneklik ve karın yağ düzeylerini incelemek ve bu parametrelerin fibromiyaljiye bağlı sakatlıkla ilişkisini araştırmak temel amaçtır. Gereç ve Yöntemler: Çalışmaya, Amerikan Romatoloji Cemiyeti 2010 tanı kriterlerini karşılayan, 24-45 yaş arası fibromiyalji tanısı almış 40 kadın hasta dâhil edildi. Hastaların fonksiyonel güçsüzlüğü, Revize Fibromiyalji Etki Anketi (RFEA) ile değerlendirildi. Lumbal bölge kaslarının dayanıklılığı Biering- Sorensen Testi, esneklik Otur ve Uzan Testi, spinal hareketlilik ise Modifiye Schober Testi ile değerlendirildi. Deri kıvrımı kaliperi (Accu- MeasureR) ile karın bölgesi yağ kütlesi ölçümü, mezura ile bel ve kalça çevresi ölçümü kaydedildi. Bulgular: Bel çevresi (p<0,001 r=0,568), kalça çevresi (p<0,001, r=0,567), bel / kalça oranı (p=0,018, r=0,370), deri kıvrım ölçümleri (p<0,001, r=0,869) arasında RFEA skoru ile pozitif korelasyon bulundu. Öte yandan, RFEA skoru ile dayanıklılık (p<0,001, r=-0,969) ve esneklik (p<0,001, r=-0,950) arasında negatif korelasyon görüldü. Sonuç: Fibromiyalji sendromunda, lumbal ekstansör kas grubunun dayanıklılık ve esnekliğinin azalması ve abdominal yağ dokusunun artması, hastalığın şiddetini ve güçsüzlük oranını artırmaktadır.

Anahtar Kelimeler: Yağ doku; dayanıklılık; fibromiyalji; esneklik
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