Conservative treatment

Vagus Stimulation Group

The Vagus Stimulation Group received auricular vagus stimulation for a total of 15 sessions of 25 minutes 5 days a week. The patients were applied with vagustim device consisting of TENS device with electrodes placed bilaterally in the outer ear with headphones that can be selected according to ear size. During the application, the gel was used to avoid causing any damage and to ensure conductivity. It is placed so that tragus and konkaya are facing. The pulse duration of the TENS device is less than 500 microseconds, the frequency is 10 Herzt, the module was applied in TENS mode and in the form of a biphasic asymmetric wave.

Pain severity Within the scope of this study, a Visual Analog Scale was applied, with both ends marked between 0 and 10, 100 mm long and marked every 10 mm; the patient was marked according to his own pain level, scored between 0-10. Deciphered. Deciphered. The Visual Analogue Scale was applied. 0 was rated as "no pain" and 10 as "unbearable level of pain"

Muscle strength was measured with La Fayette brand digital hand dynamometer. Flexion, extension, right and left lateral flexion of the neck were measured with the device. The patients were fixed to the stretcher with T3 and spina iliac superior ventro tapes. Each movement measurement was repeated 3 times at December intervals of 15 seconds

Neck region flexion, extension, right and left lateral flexion joint range of motion was evaluated by climatometer. The tests were performed in a back-supported chair. While the phone application called Goniometer was open, the evaluation was performed by placing it in a vertical position in front of the ear for flexion and extension measurements, and by placing the measurement line on the side that was not measured so as not to prevent movement in lateral flexion measurements, so that the measurement line was flush with the eyes. Rotation movements were measured by placing the phone on the person's head to follow the nose alignment. The ROM value was taken as the average of the 3 active movement spans made by the individuals after the movement made passively once by the physiotherapist.

The level of chronic neck pain affecting daily life activities was assessed by the Neck Disability Index (NDI). The validity of this index in Turkish was made by Telci et al. Neck Disability Index consists of 10 items and Article 4 of subjective symptoms (pain intensity, headache, concentration, sleep) substance other 6 activities of daily living (personal care, lifting, reading, business, car handling and leisure pursuits) is related to.The classification of disability according to neck disability index score is as follows; 0-4: no disability, 5-14: mild disability, 15-24: moderate disability, 25-34: severe disability, >34: full disability.