Master Student at Kırıkkale University and Physiotherapist

METHOD DETAIL

1. Pain Severity Assessment Pain assessment is a complex task with a number of goals, including determining the meaning of pain for the patient, understanding the causes as well as consequences of pain, and determining the effectiveness of pain management. The Visual Analogue Scale (VAS) is one of the most widely used measurement methods in pain measurement. GAS is a one-dimensional linear scale. It is easy to use, the results are reproducible, and it can be used in a wide variety of environments. VAS is a continuous scale consisting of a 10 cm (100 mm) horizontal or vertical line. While determining the pain intensity; (0 points) qualifies as "no pain" and (100 points on a 100 mm scale) "pain as bad as possible" or "worst pain imaginable". While calculating the pain severity score, the patient chooses the appropriate point from the 10 cm line. It indicates the presence of no pain on a scale of 100 mm (0-4 mm), mild pain (5-44 mm), moderate pain (45-74 mm), severe pain (75-100 mm).
2. Posture Evaluation The postures of the subjects participating in the study will be evaluated by the standard posture analysis method. Round shoulder, anterior tilt, kyphosis, etc. postural disturbances will be recorded.
3. Joint Range of Motion Assessment (ARA) Normal range of motion will be evaluated using an Electrogoniometer. In the sitting position, the flexion, extension, lateral flexion and rotation movements of the relevant region will be measured and recorded. Evaluations of joint movements will be made in 3 repetitions and the average value of these 3 measurements will be determined by calculating.
4. Muscular Strength Assessment Muscle strength of the neck flexor and extensor muscles will be measured using the Stabilizer (Chattanooga Stabilizer Group Inc., Hixson, TN), and Hand-Held Dynamometer.
5. Assessment of Muscular Endurance Resistance measurements will be made on the extensor and flexor muscles of the neck in a stable position, in the supine and prone positions, respectively. While measuring the endurance of the extensor neck muscles, the patient's legs will be straight and his arms will be positioned around the head. Loads of 2 and 4 kilograms will be applied for women and men, respectively. The test will be done by stretching the head just above the bed and lifting it up for as long (seconds) as possible. Endurance evaluation of the deep cervical flexor muscles will be started with the subject in the hooked position on the back and the hands in the free position on the abdomen. The case will be asked to raise his head slightly high enough for the index and middle finger of a hand to pass along with the instruction. After the patient is taught this position, a slight amount (30%) of craniocervical flexion will be requested from the beginning as if yes. While the subject is in this position, the hand support will be pulled slightly and the test will be started in this position. The time in which the craniocervical maintains the position while maintaining flexion will be recorded in seconds. The test will be terminated when the patient does one of the four situations stated below;

1- In cases where the patient feels a lot of pain and states that he cannot continue 2- In cases where the patient does not feel any pain but endurance ends 3- If the physiotherapist determines that the patient has lost the craniocervical flexion position despite maintaining the position 4- If the physiotherapist observes that the subject lifts his head higher than it should be, the endurance test ends.

The resistance of the case for 60 seconds will be considered sufficient for the termination of the endurance test.

6.Muscular Shortness Assessment In order to determine the muscle shortness of individuals; Standard shortness will be assessed for the pectoral muscles and the adductor and internal rotator muscles.