KRON？K BOYUN A？RISINDA ELEKTROMYOGRAF？ B？OFEEDBACK ？LE GEV？EME E？？T？M？N？N A？RI, AKT？V？TE L？M？TASYONU VE DEPRESYON üZER？NDEK？ ETK？S？/ Efficacy Of Electromyography Biofeedback With Relaxation Training On Pain, Disability And Quality Of Life In Chronic Neck Pain

Purpose: The aim of this study was to compare the effect of classical physiotherapy program in patients with chronic neck pain , in addition to relaxation training with electromyography biofeedback on pain, muscle activation level, activity limitation and depression levels. Methods: In addition to classical physiotherapy program (Transcutaneous Electrical Nerve Stimulation, ultrasound, hot pack and home exercise), Group 1 ((n = 20, 17 females, 3 males, mean age=44.85 ± 12.51) was treated with relaxation training with EMG-BF, and only classical physiotherapy program was applied to Group 2 (n = 20, 15 female, 5 male, mean age=43.84 ± 12.33). The treatment applied five days a week for four weeks. Visual Analogue Scale , goniometric measurements (flexion, extension, right and left lateral flexion and rotations), superficial electromyography biofeedback, Neck Disability Index and Beck Depression Scale were used to measure the activation levels of upper trapezius muscle before and after treatment. Results: There was a decrease in pain and increase all movement range of joint motion after treatment in both groups (p=0.00). In the muscle activation level, there was a significant improvement on the left trapezoid in both groups (p=0.005), but in the first group only the right trapezius muscle showed improvement (p=0.003). There was a decrease in the scores of disability (p=0.012) and depression (p=0.001). Conclusion: After treatment, improvement was seen in both groups. But Grup 1 was found to be more effective in pain, range of motion, activity limit and depression level. It has been concluded that the relaxation training with electromyography biofeedback will provide more effective treatment results by adding classical physiotherapy programs in clinics.