Kronik boyun ağrısı olan hastalarda derin servikal fleksör eğitimine ek kor stabilizasyon eğitiminin etkisinin karşılaştırılması

Neck pain is a very common problem in the general population and ranks second most frequently to musculoskeletal problems after low back pain. The aim of this thesis is to compare the conventional therapy, cervical stabilization exercise approach and core stabilization exercise in addiction to the cervical stabilization in patients with chronic neck pain. Our study was conducted on 45 patients with neck pain. Patients were divided into 3 groups by randomization method. Conventional therapy and isometric neck exercises to the first group (n=15), conventional exercise and deep cervical flexor training to the second group (n=15), conventional treatment and stabilization of the neck and core region were studied to the third group (n=15). The exercise programs were applied for four weeks, three days a week for 45 minutes. The demographic data of the cases in all three groups were recorded. Verbal Numeric Pain Scale was measured to assess pain intensity. The posture were evaluated using the Reedco's posture scale. Cervical ROM was evaluated using a goniometer. Neck Disability Index is a self-assessment form which evaluate the ability of patients with neck pain to perform daily activities. Health status assesed the SF-36. All data were analyzed by statistical method. The results showed a significant difference between groups (p <0.05). According to the findings, a significant improvement was found in pain, posture, ROM, NDI and SF36 values in all groups in the in-group evaluation results (p <0.05). When examined between the groups, pain and posture improved more in Group 3, while a more significant difference was found in ROM and quality of life in Group 2. A significant difference was found within and between all groups after treatment. In addition to conventional treatment, applying core stabilization exercises to patients with neck pain will be more effective in reducing pain, increasing range of motion and quality of life.