Gonartroz tedavisinde kısa dalga diatermi ve ultrason tedavi etkinliğinin karşılaştırılması
Yükleniyor...
Dosyalar
Tarih
2014
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Gonartroz tanısı alan hastalarda fzik tedavi ajanlarından ultrason (US) ve kısa dalga diatermi (KDD) etkinliğini karşılaştırmak amaçlanmıştır. Gereç ve Yöntem: American College of Rheumatology (ACR) sınıfama kriterlerine göre gonartroz tanısı almış hastalar çalışmaya alındı. Diz bölgesinden cerrahi geçirmiş, travma geçirmiş, son 6 ay içinde diz içine enjeksiyon yapılmış, son bir yıl içinde fzik tedavi almış hastalar çalışmadan dışlandı. Hastalar iki gruba (KDD grubu ve US grubu) ayrıldı. Birinci gruba HP (20 dk), US (1.5 w/cm 2 , devamlı), TENS (20 dk), egzersiz uygulandı. İkinci gruba ise HP (20 dk), KDD (15 dk), TENS (20 dk), egzersiz programı uygulandı. Fizik tedavi programı haftada beş gün, toplam 15 seans olarak uygulandı. Tedavi öncesi ve sonrası fonksiyonelliği ve ağrıyı değerlendirmek için vizüel ağrı skalası (VAS) ve Western Ontario and MacMaster osteoarthritis index (WOMAC) kullanıldı. Bulgular: Çalışmaya toplam 132 hasta alındı, hastaların 63 tanesi KDD (%47,7), 69 tanesi US (%52,3) grubundaydı. Her iki grubun da tedavi öncesi ve tedavi sonrası VAS, WOMAC arasında istatistiksel anlamlı fark yoktu. Her iki grupta da VAS, WOMAC değerleri tedavi ile istatistiksel olarak anlamlı şekilde azalmıştır (tüm p<0,001). Sonuç: Bu çalışma ile uygulanan her iki fzik tedavi modalitesinin de gonartroz tedavisinde etkin olduğu ancak birbirlerine üstün olmadığı gösterilmiştir.
Objective: To compare the effcacy of ultrasound (US) and short wave diathermy (SWD) in the gonarthrosis patients. Materials and Methods: Patients who had been diagnosed gonarthrosis according to American College of Rheumatology (ACR) classifcation criteria were included into the study. Patients who have undergone knee surgery, had trauma, had knee injection into the knee in the last six months, and had received physical therapy (PT) in the past year were excluded from the study. Patients were divided into two groups (US group and SWD group). HP (20 min), US (1.5 w/cm 2, continuous), TENS (20 min), exercise were administered to the frst group. HP (20 min), SWD (15 min), TENS (20 min), exercise were implemented to the second group. PT was administered for fve days a week, for 15 sessions in total. Visual analog scale (VAS) and Western Ontario and MacMaster osteoarthritis index (WOMAC) were used to assess function and pain before and after PT. Results: 132 patients were included into the study, 63 patients (47.7%) were in SWD group, and 69 patients (52.3%) were in US group. There were no statistically difference between the VAS, WOMAC values of the groups before and after PT. In both groups, VAS, WOMAC were scores statistically signifcantly decreased with treatment (all p<0.001). Conclusion: This study showed that both these PT modalities are effective in treating the gonarthrosis, but not superior to each other.
Objective: To compare the effcacy of ultrasound (US) and short wave diathermy (SWD) in the gonarthrosis patients. Materials and Methods: Patients who had been diagnosed gonarthrosis according to American College of Rheumatology (ACR) classifcation criteria were included into the study. Patients who have undergone knee surgery, had trauma, had knee injection into the knee in the last six months, and had received physical therapy (PT) in the past year were excluded from the study. Patients were divided into two groups (US group and SWD group). HP (20 min), US (1.5 w/cm 2, continuous), TENS (20 min), exercise were administered to the frst group. HP (20 min), SWD (15 min), TENS (20 min), exercise were implemented to the second group. PT was administered for fve days a week, for 15 sessions in total. Visual analog scale (VAS) and Western Ontario and MacMaster osteoarthritis index (WOMAC) were used to assess function and pain before and after PT. Results: 132 patients were included into the study, 63 patients (47.7%) were in SWD group, and 69 patients (52.3%) were in US group. There were no statistically difference between the VAS, WOMAC values of the groups before and after PT. In both groups, VAS, WOMAC were scores statistically signifcantly decreased with treatment (all p<0.001). Conclusion: This study showed that both these PT modalities are effective in treating the gonarthrosis, but not superior to each other.
Açıklama
Anahtar Kelimeler
Anestezi, Acil Tıp, Geriatri ve Gerontoloji, Genel ve Dahili Tıp, Tıbbi Araştırmalar Deneysel, Ortopedi
Kaynak
Türk Osteoporoz Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
20
Sayı
1
