KRONİK KOKSİDİNİLİ HASTALARDA İNTRAREKTAL LEVATOR ANİ RELAKSASYON TEKNİĞİNİN AĞRI VE FONKSİYONLAR ÜZERİNE ETKİNLİĞİ; VAKA KONTROL ÇALIŞMASI
Abstract
Amaç; Koksikse yayılan ağrıya koksidini denilir. Direk aksiyel travma sonrası oluşan subluksasyon, dislokasyon veya hipermobilite nedeni
ile ağrı oluşabilir ya da idiopatik olarak travma olmaksızın kronik ağrı hissedilebilir. Ağrı günlük aktiviteleri bozacak kadar rahatsız
edici olabilir. Koksiks ile yakın ilişki içerisinde ki levator ani kası içerisinde oluşan gergin bantlar, tetik noktalar ve spazm kronik ağrıyı
destekleyebilir. Biz çalışmamızda kronik koksidinili hastalarımızda intrarektal levator ani relaksasyon tekniğinin etkinliğini araştırdık.
Metod; 2017-2018 yılları arasında 27 kronik koksidinili hasta (25 kadın, 2 erkek; ort yaş 36, (25–45)) çalışmaya alındı. intrarektal
levator ani relaksasyon tekniği tüm hastalara intrarektal olarak uygulandı. Hastalar numerik ağrı skalası ve memnuniyetleri (satisfaction
degree ) değerlendirildi.
Bulgular; 8 hasta tam rahatlama tarif ederken, 17 hasta orta ve 2 hastada ağrılarında rahatlama olmadığını bildirdi.
Sonuç olarak intra rektal relaksasyon teknikleri kronik koksidini tedavisinde etkili tedavi metodudur.
References
- ST Nathan, BE Fisher, and CS Roberts, “Coccydynia: a review of pathoanatomy,aetiology, treatment and outcome,” The Journal of bone and joint surgery. British volume 92 (12), 1622-1627 (2010). JY Simpson, “Clinical lectures on the diseases of women. Lecture XXII On spuriouspregnancy–its prognosis, pathology and treatment,” Medical Times and Gazette 40, 277-281 (1859).
THE EFFICACY OF INTRATEKAL LEVATOR ANI RELAXATION TECHNIQUE ON PAIN AND FUNCTIONS IN PATIENTS WITH CHRONIC COCYDINIA: CASE CONTROL STUDY
Abstract
Background: Pain affecting coccyx is referred to as coccygodynia. The aetiology of coccydynia can be multifactorial, with several
associated factors such as obesity, female gender and low mood. This pain is often associated with obesity, female gender, trauma,
falling on the tailbone, long cycling, or by women after childbirth
Pain is usually harsh and may limit daily activities. Useful treatment option is manual therapy that it uses a lot of spine condition. We
aim to investigate efficacy of manual therapy technich in patients with acute traumatic coccygodynia patients.
Method; From 2017 to 2018, we enrolled 19 patients with acute post-traumatic coccygodynia (15 females, 4 males; mean age 37
years, range 27–47). Levator ani muscle streching and postisometric relaxation tecniques were performed via intrarectal way to all
patients. At follow-up 1 month, clinical outcomes evaluation included measurement of pain relief (numeric rating scale) and satisfaction
degree.
Results Eight patients experienced excellent pain relief, while seventeen had incomplete, and two had no relief.
Conclusions; We found a effective treatment option of intrarectal levator ani muscle relaxation techniques in chronic non-traumatic
coccydynia.
Keywords
References
- ST Nathan, BE Fisher, and CS Roberts, “Coccydynia: a review of pathoanatomy,aetiology, treatment and outcome,” The Journal of bone and joint surgery. British volume 92 (12), 1622-1627 (2010). JY Simpson, “Clinical lectures on the diseases of women. Lecture XXII On spuriouspregnancy–its prognosis, pathology and treatment,” Medical Times and Gazette 40, 277-281 (1859).
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Research |
| Authors | |
| Publication Date | August 31, 2018 |
| Published in Issue | Year 2018 Volume: 12 Issue: 2 |