Lateral Epikondiliti olan Hastalarda Nöral Terapi Etkinliğinin Değerlendirilmesi: Randomize Kontrollü Çalışma

Abstract

Amaç: Bu çalışmanın amacı lateral epikondilitli (LE) hastalarda nöral terapinin ağrı ve fonksiyonel durum üzerine etkisinin değerlendirilmesidir. Ayrıca, hastaların klinik bulgularında meydana gelen değişiklikler ile demografik özelliklerinin korelasyonunun değerlendirilmesi planlanmıştır.

Materyal ve Metot: LE tanısı olan toplam 42 hasta randomize olarak 2 gruba ayrıldı (Nöral terapi & kontrol) Kontrol grubundaki hastalara istirahat, non-steroidal anti-inflamatuar ilaç, germe egzersizleri ve el bileği splinti verildi. Nöral terapi (NT) grubundaki hastalara 8 seans NT uygulaması yapıldı. Her iki grupta, tedavi öncesinde ve tedavi bitiminde hastaların görsel ağrı skalası (GAS), basınç ağrı eşiği (algometre ile) ve Duruöz el indeksi (DEI) skorları kaydedildi.

Bulgular: Tüm skorlar her iki grupta düzelme gösterdi. Fakat, GAS, algometre ve DEI skorları NT grubunda daha belirgin olarak düzeldi. Her iki grupta klinik değişiklikler ile demografik özellikler arasında korelasyon saptanmadı.

Sonuç: Nöral terapi lateral epikondilitli hastaların tedavisinde etkili ve güvenli bir tedavi yöntemidir. 

Keywords

• Nöral terapi,lateral epikondilit,lokal anestezik,rehabilitasyon

Evaluation of Neural Therapy Effects in Patients with Lateral Epicondylitis: A Randomized Controlled Trial

Abstract

Objectives: The purpose of the study is to explore neural therapy (NT) and the effect of it on pain and the functional status of patients with lateral epicondylitis (LE) and to determine whether clinical

changes and demographic characteristics have any correlation.

Materials and Methods: Forty-two patients with LE were randomly allocated into two groups; NT & control. The control group was given rest, non-steroidal anti-inflammatory drugs, stretching exercises and a wrist splint. The patients in the NT group received 8 sessions of NT. The visual analog scale (VAS), pain pressure threshold (via algometry) and Duruöz hand index (DHI) scores were noted before and at the end of the treatment in both groups.

Results: All parameters improved in both groups. However, improvement of VAS, algometry and DHI scores were more obvious in the NT group. The clinical change and demographic features of the groups showed no correlation.

Conclusion: NT is a safe and effective treatment method for treatment of patients with LE.

Keywords

• Neural therapy,lateral epicondylitis,local anesthetics,rehabilitation

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