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Amaç: Diz osteoartritli (OA) bireylerde farklı rehabilitasyon uygulamalarının, eklem hareket açıklığı, kas kuvveti, ağrı, fiziksel fonksiyon ve yaşam kalitesi üzerine etkilerini araştırmaktır. Yöntem: Diz OA tanılı 40-65 yaş aralığında 30 hasta çalışmaya dahil edildi ve 3 gruba ayrıldı. Elektroterapi uygulanan 1. gruba (N=10) 15 seans Transkutanöz Elektriksel Sinir Uyarımı (TENS), ultrason, sıcak/soğuk uygulama ve 15 gün boyunca ev egzersiz programı verildi. 2. gruba (N=10) üç doz Plateletten Zengin Plazma (PRP) uygulaması sonrası 15 gün boyunca ev egzersiz programı verildi. Kontrol grubuna (N=10) 15 gün boyunca sadece ev egzersiz programı verildi. Tedavinin başlangıcında ve sonunda tüm bireylerin, eklem hareket açıklığı (EHA) gonyometre ile, M. Quadriceps femoris kas kuvveti manuel kas testi ile, ağrı Vizüel Analog Skalası ile, fiziksel fonksiyon The Western Ontario and McMaster Universities Arthritis (WOMAC) Skalası ile ve yaşam kalitesi Kısa Form-12 Mental (KF-12 MK) ve Fiziksel Komponent (KF-12 FK) ile değerlendirildi. Bulgular: Tüm gruplarda aktivite anındaki ağrı ve WOMAC skorunda istatistiksel olarak anlamlı fark bulundu (p<0,05). 1. ve 2. grupta EHA ve KF-12 MK kontrol grubunda istirahat anındaki ağrı ve KF-12 FK skorunda istatistiksel olarak anlamlı fark bulundu (p<0,05). Sonuç: Diz OA tedavisinde elektroterapi tedavisi ve PRP uygulamasına ek olarak ev egzersiz programının, diz OA’da hastalığın semptomlarını gidermek ve yaşam kalitesini artırmak için kullanılabileceği düşünülmektedir.
Objective: Study the effects of different rehabilitation practices in individuals with knee osteoartritis (OA) on joint movement clarity, muscle strength, pain, physical function and quality of life. Method: 30 patients from 40-65 years of age diagnosed with knee OA were included in the study and divided into 3 groups. Electrotherapy applied 1st group (N=10) was given 15 sessions of Transcutaneous Electrical Nervous Alarm (TENS), ultrasound, hot/cold application and 15 days of home exercise program. The 2nd group (N=10) was given a home exercise program for 15 days after the application of three doses of Plateletten Rich Plasma (PRP). The control group (N=10) was given only a home exercise program for 15 days. At the beginning and end of the treatment, all individuals, with the gonyometer of joint movement (EHA), M. Quadriceps femoris muscle strength was assessed with manual muscle test, pain with visual analog scale, physical function with the Western Ontario and McMaster Universities Arthritis scale (WOMAC) and quality of life with Short Form-12 Mental (KF-12 MK) and Physical Component (KF-12 FK). Results: All groups found statistically significant differences in activity momentum pain and WOMAC score (p<0,05). In Group 1 and 2 EHA and KF-12 MK; in the control group, a statistically significant difference was found in the rest momentan pain and in the KF-12 FK score (p<0,05). Result: In addition to electrotherapy treatment and PRP application in knee OA treatment, it is believed that the home exercise program can be used to remove the symptoms of the disease in knee OA and improve the quality of life.
Purpose: To investigate the effects of different rehabilitation practices on the range of motion, muscle strength, pain, physical function and quality of life in patients with knee Osteoarthritis (OA). Methods: Thirty patients between the ages of 40-65 with knee OA were included in the study and divided into 3 groups. Transcutaneous Electrical Nerve Stimulation (TENS), ultrasound, hotpack/coldpack and home exercise program were given to the Group 1 (N=10) for 15 days. Group 2 (N=10) received three doses of Platelet-Rich Plasma (PRP) followed by home exercise program for 15 days. The Control Group (N=10) received only home exercise program for 15 days. All individuals were evaluated using goniometer for range of motion (ROM), manual muscle test for M. Quadriceps femoris muscle strength, Visual Analogue Scale for pain, The Western Ontario and McMaster Universities Arthritis (WOMAC) Scale for physical function and Short Form-12 Quality of Life Scale Mental (SF-12 - MC) and Physical Component (SF-12 - PC) for quality of life at baseline and end of treatment. Results: Statistically significant difference was found at pain and WOMAC score at the time of activity in all groups. Statistically significant difference was found at ROM and SF-12 MC score in group 1 and 2, at resting pain and SF-12 PC score in control group (p<0.05). Conclusion: Electrotherapy treatment and PRP approach as an adjunct to knee OA to knee OA treatment, it is thought that home exercise program can be used to relieve symptoms and improve quality of life in knee OA.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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