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LATERAL EPİKONDİLİTTE FİZİK TEDAVİ VE STEROİD ENJEKSİYONUNUN ETKİNLİĞİNİN KARŞILAŞTIRILMASI
2020
Journal:  
Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi
Author:  
Abstract:

AMAÇ: Bu randomize kontrollü çalışmada lateral epikondilitte lokal steroid enjeksiyonu ile terapötik pulse ultrason ve parafin tedavisinin etkinliklerini karşılaştırma amaçlandı. GEREÇ VE YÖNTEMLER: Otuz altı lateral epikondilit teşhisi konulan hasta randomize olarak 18’er kişilik iki gruba ayrıldı. 1. gruba lokal steroid enjeksiyonu uygulanırken, 2. gruba pulse ultrason ve parafin tedavisi verildi. Hastalar başlangıçta, 3. haftada ve 6. haftada değerlendirildi. Başlangıçta ve takiplerdeki ağrı düzeyleri, istirahat ve aktivitede Vizüel Analog Skala ve Likert skalası ile sorgulandı. Kontrollerde basınçla ve dirence karşı el bileği ekstansiyonu ile gelişen ağrı, elin sıkma gücü, hasta ve hekimin global değerlendirmesi kaydedildi. BULGULAR: Tedavilerin sonunda her iki grupta da tüm ağrı parametlerinde azalma ve el kavrama gücünde artış izlendi. 3. ve 6. haftalardaki tespit edilen iyileşme bakımından gruplar arası anlamlı fark görülmedi. SONUÇ: Lateral epikondilitte steroid enjeksiyonu ve ultrason ile parafin tedavileri etkin bir şekilde kullanılabilir. Ağrıda hızlı azalma için ucuz ve pratik olan steroid enjeksiyonu tercih edilebilir.

Keywords:

Lateral epicondylitis physical therapy and the effectiveness of steroid injection
2020
Author:  
Abstract:

This randomized controlled study was aimed at comparing the effectiveness of therapeutic pulse ultrasound and paraffin therapy with local steroid injection in lateral epicondylitis. The patient diagnosed with thirty-six lateral epicondylitis was randomly divided into two groups of 18 persons. When the 1st group was given local steroid injection, the 2nd group was given pulse ultrasound and paraffin treatment. Patients were evaluated at the beginning, in the 3rd week and 6th week. The pain levels in the beginning and follow-up were questioned with the Visual Analog Scale and Likert Scale in rest and activity. In the controls; the development of pain with the arm extension against pressure and resistance, the stretching power of the hand, the global assessment of the patient and the doctor was recorded. At the end of the treatment, both groups observed a decrease in all the pain parameters and an increase in the ability to catch the hand. There were no significant differences between the groups in terms of the healing detected in the 3rd and 6th weeks. Lateral epicondylite steroid injection and ultrasound paraffin treatments can be used effectively. Steroid injection, which is cheap and practical for rapid pain reduction, can be preferred.

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2020
Author:  
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Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi

Field :   Sağlık Bilimleri

Journal Type :   Uluslararası

Metrics
Article : 436
Cite : 182
2023 Impact : 0.005
Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi