Kronik migren tanılı bireylerde fiziksel aktivite düzeyi, ağrı özellikleri, katastrofizasyonu, santral sensitizasyon ve fonksiyonel durum parametrelerinin araştırılması- kesitsel çalışma

Yıl 2025, Cilt: 12 Sayı: 1, 11 - 20, 29.03.2025

Elif Sena Düşgün , Meliha Aydın , Selin Birgül Baran , Şeyda Toprak Çelenay

https://doi.org/10.15437/jetr.1512212

Öz

Amaç: Bu çalışmanın amacı, kronik migren tanılı bireylerde fiziksel aktivite (FA) düzeyi ile ağrı özellikleri ve katastrofizasyonu, santral sensitizasyon ve fonksiyonel durum arasındaki ilişkiyi incelemekti.
Yöntem: Çalışmaya kronik migren tanısı alan 116 birey [yaş: 33,00 (19,00-55,00) yıl] dahil edildi. Fiziksel ve sosyodemografik özellikler, migren ile ilgili klinik bilgiler kaydedildi. Ağrı özellikleri kapsamında ağrı şiddeti ve ağrı süresi kaydedildi. FA düzeyi “Uluslararası Fiziksel Aktivite Anketi-Kısa Formu” ile, ağrı katastrofizasyonu “Ağrıyı Felaketleştirme Ölçeği” ile, santral sensitizasyon “Santral Sensitizasyon Ölçeği” ile, ve fonksiyonel durum “Migrene Bağlı Dizabilite Değerlendirme Ölçeği” ile değerlendirildi.
Bulgular: Bireylerin %30,20’sinin (n=35) inaktif, %47,40’ının (n=55) minimal aktif ve 22,40’ının (n=26) aktif olduğu görüldü. FA düzeyi ile ağrı şiddeti (r=-0,245, p=0,008), ağrı süresi (r=-0,208, p=0,025) ve ağrı katastrofizasyonu (r=-0,190, p=0,041) arasında negatif yönde zayıf bir ilişki bulunurken, FA düzeyi ile santral sensitizasyon (r=-0,198, p=0,033) arasında çok zayıf bir ilişki bulundu. FA düzeyi ile fonksiyonel durum arasında ilişki olmadığı saptandı (p>0,05).
Sonuç: Çalışmanın sonucunda kronik migren tanılı bireylerin FA düzeyi arttıkça ağrı şiddeti, süresi, katastrofizasyonu ve santral sensitizasyonun azaldığı görüldü. Ayrıca FA düzeyi ile fonksiyonel durum arasında ilişki olmadığı bulundu. Düzenli FA’nın faydaları göz önünde bulundurulduğunda kliniklerde bu bireylere özgü FA programlarının oluşturulması teşvik edilmelidir.

Anahtar Kelimeler

Ağrı, Egzersiz, Fonksiyonel durum, Katastrofizasyon, Migren hastalıkları

Investigation of physical activity level, pain characteristics, catastrophizing, central sensitization, and functional status parameters in individuals diagnosed with chronic migraine-a cross-sectional study

Öz

Purpose: The aim of this study was to investigate the relationship between physical activity (PA) level and pain characteristics and catastrophization, central sensitization, and functional status in individuals diagnosed with chronic migraine.
Methods: The study included 116 individuals diagnosed with chronic migraine [age: 33.00 (19.00-55.00) years]. Physical and sociodemographic characteristics, as well as clinical information about migraine, were recorded. Pain characteristics, including pain intensity and pain duration were recorded. PA level assessed with the "International Physical Activity Questionnaire-Short Form", pain catastrophization with the "Pain Catastrophizing Scale", central sensitization with the "Central Sensitization Scale", and functional status with the "Migraine Disability Assessment Scale".
Results: It was observed that 30.20% (n=35) of the individuals were inactive, 47.40% (n=55) were minimally active, and 22.40% (n=26) were active. A weak negative correlation was found between PA level and pain intensity (r=-0.245, p=0.008), pain duration (r=-0.208, p=0.025) and pain catastrophization (r=-0.190, p=0.041); and a very weak negative correlation with central sensitization (r=-0.198, p=0.033). There was no significant correlation between PA level and functional status (p>0.05).
Conclusion: As a result of the study, it was observed that as the PA level of individuals diagnosed with chronic migraine increased, pain intensity, duration, catastrophizing and central sensitization decreased. In addition, no relationship was observed between PA level and functional status. Given the benefits of regular PA, clinics should promote tailored PA programs for these individuals.

Anahtar Kelimeler

Pain, Exercise, Functional status, Catastrophization, Migraine disorders

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