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AIm: To investigate physical activity level in patients with chronic low back and neck pain. mAterIAl and methOds: 32 preoperative patients, 32 outpatients with low back or neck pain and 32 healthy controls were included in study. The physical activity level of the participants was evaluated with the International Physical Activity Questionnaire. The Oswestry Disability Index and Neck Pain Disability Index, Short Form-36, Pittsburgh Sleep Quality Index and Beck Depression Inventory were used for assessment of disability, quality of life, sleep quality and depression.results: Statistical significant differences was found in disability, sleep quality, depression, physical activity level and quality of life scores between three groups (p<0.05). All scores of preoperative patients were significantly lower than outpatients except sleep parameter (p<0.05). Sleep quality, disability and depression scores of patients with chronic neck pain were significantly lower and physical activity level and quality of life scores were significantly higher than patients' with chronic low back pain (p<0.05).COnClusIOn: Physical activity modification was found in patients with chronic low back and neck pain. Physical activity level, disability, sleep, depression and quality of life scores of preoperative patients with low back pain more affected than neck patients. BulGulAr: Gruplar arasında özürlülük, uyku kalitesi, depresyon, fiziksel aktivite düzeyi ve yaşam kalitesi ölçeğinin alt parametrelerinde anlamlı fark bulundu (p<0,05). Preoperatif hastaların uyku kalitesi dışındaki tüm değerlendirme sonuçları ayaktan gelen hastalardan anlamlı ölçüde düşüktü (p<0,05). Boyun hastalarının uyku kalitesi, özürlülük ve depresyon skorları bel ağrılı hastalardan anlamlı ölçüde düşük, yaşam kalitesi ve fiziksel aktivite düzeyleri anlamlı ölçüde yüksek bulundu (p<0,05). sOnuÇ: Kronik bel ve boyun ağrılı hastaların fiziksel aktivite düzeylerinde değişiklikler bulunmuştur. Bel ağrısı olup operasyon planlanan hastaların boyun hastalarına göre fiziksel aktivite düzeyi, özürlülük, uyku, depresyon, yaşam kalitesi parametreleri daha fazla etkilenmiştir.

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The history of spinal surgery is an important part of the spine-related sciences. The development of treatment strategies for spine-related disorders is acquired from the Western literature. In this article, an Eastern physician, Ibn Sina, who is known as Avicenna in the West, and his treatise, Al-Qanun fi al-Tibb (the Canons of Medicine), are presented. Eight chapters of this book regarding the functional neuroanatomy of the spine were reviewed and are presented to give insight into the development of the understanding of spinal anatomy and biomechanics.

Quality of life was negatively influenced in the patients with low back pain who had chance health locus of control. LOC is an important parameter in evaluation and treatment of patients with LBP.