Karpal Tünel Sendromu Tedavisinde Farklı Fizyoterapi Yaklaşımlarının Karşılaştırılması

Year 2017, Volume: 6 Issue: 1, 23 - 27, 01.04.2017

Aybüke Seven Mert Doğan

Abstract

Bu çalışmanın amacı Karpal Tünel Sendromu KTS tanısı almış hastalarda farklı fizyoterapi yöntemlerinin ağrı, genel sağlık, fonksiyonel durum, uyku kalitesi ve semptomların giderilmesine etkisini karşılaştırmaktır. Bu randomize kontrollü çalışmaya 30 26 kadın, 4 erkek KTS’li hasta dahil edildi. Katılımcılar rastgele 3 gruba ayrıldı. Birinci gruptaki hastalara n=10 KTS’ye yönelik rutin fizyoterapi konvansiyonel Transcutaneous Electrical Nerve Stimulation TENS , ultrason ve parafin uygulandı ve ev egzersiz programı verildi. İkinci gruptaki hastalara n=10 KTS’ye yönelik rutin fizyoterapi ve ev egzersiz programının yanı sıra karpal kemik ve medyan sinir mobilizasyonu uygulaması yapıldı. Üçüncü gruptaki hastalara n=10 ikinci grubun tedavi programına ilaveten Kinezyo bant uygulaması yapıldı. Gruplar Vizüel Analog Skala VAS , Boston Semptom Şiddeti Skalası BSŞS , Boston Fonksiyonel Kapasite Skalası BFKS ve Pittsburgh Uyku Kalite İndeksi PUKİ kullanılarak değerlendirildi. Bütün grupların grup içi tedavi öncesi ve tedavi sonrası değişimi incelendiğinde Grup I’in BSŞS duyu ve total puan parametrelerinde, Grup II’nin VAS ve Grup III’ün VAS, BSŞS’nin tüm parametreleri ile BFKS’de anlamlı fark bulundu p

Keywords

Karpal Tünel Sendromu, Fizik Tedavi Modaliteleri, Ağrı, Uyku

Comparison of Different Physiotherapy Approaches in the Treatment of Carpal Tunnel Syndrome

Abstract

This study aims to compare the effect of different physiotherapy methods on the general health, functional status, sleep quality and symptom relief in patients with carpal tunnel syndrome CTS . 30 26 female, 4 male patients with CTS were included in this randomized controlled trial. Participants were randomly assigned 3 groups. In the first group n = 10 , classical physiotherapy was applied for CTS and home exercise program was given. In the second group of patients n = 10 , classical physiotherapy and home exercise program for CTS as well as carpal bone and n. medianus mobilization was applied. Kinesio tape application was performed in addition to the second group treatment program in the third group n = 10 . Groups were assessed using Visual Analogue Scale VAS , Boston Symptom Severity Scale BSSS , Boston Functional Capacity Scale BFCS and Pittsburgh Sleep Quality Index PSQI . When all groups were examined before and after treatment, there was a statistically significant difference in BSSS sensory and total parameters of Group I, VAS of Group II and also VAS, BSSS all parameters and BFCS of Group III p

Keywords

Carpal Tunnel Syndrome, Physical Therapy Modalities, Pain, Sleep

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