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Physical Therapy and Balneotherapy in Elderly Patients with Neck, Low Back and Knee Pain, Retrospective Study

Year 2020, Volume: 10 Issue: 2, 39 - 46, 08.06.2020

Abstract

Objective: The aim of this study was to investigate the contribution of balneotherapy to physical therapy in elderly people with neck, low back and knee pain. Materials and methods: In this retrospective study, the records of patients who received physical therapy or physical therapy + balneotherapy between 2013 and 2018 were examined. The data of 482 patients with
the exact evaluation parameters were analyzed among 704 elderly patients. Results: Only 196 patients had physical therapy (group 1). 286 patients underwent both physical therapy
and balneotherapy (group 2). The treatment was applied to 173 patients from the neck, 338 patients from the low back and 287 patients from the knee. Some patients received treatment from two regions. In the general evaluation, the Pain Visual Analog Scale (VAS) results in 482 patients and the Health Assessment  Questionnaire (HAQ) results in 276 patients, VAS results in 173 patients and HAQ results in 120 patients who received treatment from the neck, VAS results in 338 patients and HAQ results in 238 patients who received treatment from the low back and VAS results in 287 patients and HAQ results in 177 patients who received treatment from the knee results were examined. A statistically significant improvement was found in all outcome measures evaluated after treatment (p<0.001). In Group 2, recovery rates were statistically higher than group 1 (in all parameters p<0.001). Conclusion: At the end of this study, physical therapy combined with balneotherapy in elderly patients suffering from neck, low back and knee pain were found to be more effective on pain and quality of life than on physical therapy alone. Balneotherapy applied to the whole body may increase the effectiveness of physical therapy

References

  • 1. Health in older age, World Report on Ageing and Health, World Health Organization 2015. ISBN 978924156504 2 2. Özkuk K, Uysal B, Ateş Z, Ökmen BM, Sezer R, Dilek G. The effects of inpatient versus outpatient spa therapy on pain, anxiety, and quality of life in elderly patients with generalized osteoarthritis: a pilot study Int J Biometeorol 2018; 62: 1823-1832 https://doi.org/10.1007/s00484-018-1584-5 3. Treede R-D, Rief W, Barke A et al. A classification of chronic pain for ICD-11. Pain; 2015;156(6):1003-1007. doi:10.1097/j.pain.0000000000000160 4. Bushnell MC, Čeko M, Low LA. Cognitive and emotional control of pain and its disruption in chronic pain. Nature reviews Neuroscience. 2013;14(7):502-511. doi:10.1038/nrn3516 5. Gutenbrunner C, Bender T, Cantista P, Karagülle Z. A proposal for a worldwide definition of health resort medicine, balneology, medical hydrology and climatology. Int J Biometeorol 2010;54(5):495-507. doi: 10.1007/s00484-010-0321-5. 6. Gallagher EJ, Liebman M, Bijur PE Prospective validation of clinically important changes in pain severity measured on a visual analog scale, 2001; 38(6):633-638 7. Kucukdeveci AA, Sahin H, Ataman S ve ark. Issues in crosscultural validity:example from the adaptation, reliability and validity testing of a Turkish version of the Standford Health Assessment Questionnaire. Arthritis & Rheumatism ;Arthritis Care & Research. 2004;51-1: 14-19. 8. Reyes-Gibby CC, Aday L, Cleeland C. Impact of pain on self-rated health in the community-dwelling older adults. Pain 2002; 95: 75-82 9. Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, KlaberMoffett J, Kovacs F,Staal J B, Reis S, Ursin H, Zanoli G. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J 2006;15:192-300. 10. Sluka KA, Walsh D Transcutaneous electrical nerve stimulation: basic science mechanisms and clinical effectiveness. J Pain 2003; 4:109–121

BOYUN, BEL VE DİZ AĞRISI OLAN YAŞLILARDA FİZİK TEDAVİ VE BALNEOTERAPİ, RETROSPEKTİF ÇALIŞMA

Year 2020, Volume: 10 Issue: 2, 39 - 46, 08.06.2020

Abstract

Amaç: Çalışmanın amacı, boyun bel ve diz ağrısı olan yaşlı bireylerde balneoterapinin fizik tedaviye olan katkısını incelemektir. Gereç ve yöntem: Bu retrospektif çalışmada, 2013 ve 2018 yılları arasında fizik tedavi veya fizik tedavi+balneoterapi alan hastaların kayıtları incelendi. Tespit edilen 704 yaşlı hasta arasından değerlendirme parametreleri tam olan 482 hastanın verileri analiz edildi. Bulgular: Hastaların 196sına sadece fizik tedavi uygulanmıştı (grup 1). 286 hasta hem fizik tedavi hemde balneoterapi uygulanmıştı (grup2). 173 hasta boyundan, 338 hasta belden, 287 hasta dizden tedavi almıştı. Bazı hastalar iki bölgeden tedavi almıştı. Genel değerlendirmede 482 hastada Ağrı Görsel Analog Ölçeği (VAS) ve 276 hastada Sağlık Değerlendirme Anketi (HAQ), boyundan tedavi alan 173 hastada VAS, 120 hastada HAQ, belden tedavi alan 338 hastada VAS, 238 hastada HAQ ve dizden tedavi alan 287 hastada VAS, 177 hastada HAQ, sonuçları incelendiğinde tedaviden sonra değerlendirilen tüm sonuç ölçütlerinde istatistiksel olarak anlamlı bir iyileşme (p<0.001) bulundu. Grup 2 de iyileşme oranları istatistiksel olarak grup 1’den daha yüksekti (tüm parametrelerde p<0.001). Sonuç: Bu çalışmanın sonunda boyun, bel ve diz ağrısı olan yaşlılarda balneoterapi ile kombine edilen fizik tedavinin ağrı ve yaşam kalitesi üzerine tek başına uygulanan fizik tedaviye göre daha etkili olduğu saptanmıştır. Tüm vücut uygulanan balneoterapi fizik tedavinin etkinliğini arttırabilir.

References

  • 1. Health in older age, World Report on Ageing and Health, World Health Organization 2015. ISBN 978924156504 2 2. Özkuk K, Uysal B, Ateş Z, Ökmen BM, Sezer R, Dilek G. The effects of inpatient versus outpatient spa therapy on pain, anxiety, and quality of life in elderly patients with generalized osteoarthritis: a pilot study Int J Biometeorol 2018; 62: 1823-1832 https://doi.org/10.1007/s00484-018-1584-5 3. Treede R-D, Rief W, Barke A et al. A classification of chronic pain for ICD-11. Pain; 2015;156(6):1003-1007. doi:10.1097/j.pain.0000000000000160 4. Bushnell MC, Čeko M, Low LA. Cognitive and emotional control of pain and its disruption in chronic pain. Nature reviews Neuroscience. 2013;14(7):502-511. doi:10.1038/nrn3516 5. Gutenbrunner C, Bender T, Cantista P, Karagülle Z. A proposal for a worldwide definition of health resort medicine, balneology, medical hydrology and climatology. Int J Biometeorol 2010;54(5):495-507. doi: 10.1007/s00484-010-0321-5. 6. Gallagher EJ, Liebman M, Bijur PE Prospective validation of clinically important changes in pain severity measured on a visual analog scale, 2001; 38(6):633-638 7. Kucukdeveci AA, Sahin H, Ataman S ve ark. Issues in crosscultural validity:example from the adaptation, reliability and validity testing of a Turkish version of the Standford Health Assessment Questionnaire. Arthritis & Rheumatism ;Arthritis Care & Research. 2004;51-1: 14-19. 8. Reyes-Gibby CC, Aday L, Cleeland C. Impact of pain on self-rated health in the community-dwelling older adults. Pain 2002; 95: 75-82 9. Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, KlaberMoffett J, Kovacs F,Staal J B, Reis S, Ursin H, Zanoli G. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J 2006;15:192-300. 10. Sluka KA, Walsh D Transcutaneous electrical nerve stimulation: basic science mechanisms and clinical effectiveness. J Pain 2003; 4:109–121
There are 1 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Original Research
Authors

Erdal Dilekçi This is me

Kağan Özkuk This is me

Publication Date June 8, 2020
Published in Issue Year 2020 Volume: 10 Issue: 2

Cite

APA Dilekçi, E., & Özkuk, K. (2020). BOYUN, BEL VE DİZ AĞRISI OLAN YAŞLILARDA FİZİK TEDAVİ VE BALNEOTERAPİ, RETROSPEKTİF ÇALIŞMA. Bozok Tıp Dergisi, 10(2), 39-46.
AMA Dilekçi E, Özkuk K. BOYUN, BEL VE DİZ AĞRISI OLAN YAŞLILARDA FİZİK TEDAVİ VE BALNEOTERAPİ, RETROSPEKTİF ÇALIŞMA. Bozok Tıp Dergisi. June 2020;10(2):39-46.
Chicago Dilekçi, Erdal, and Kağan Özkuk. “BOYUN, BEL VE DİZ AĞRISI OLAN YAŞLILARDA FİZİK TEDAVİ VE BALNEOTERAPİ, RETROSPEKTİF ÇALIŞMA”. Bozok Tıp Dergisi 10, no. 2 (June 2020): 39-46.
EndNote Dilekçi E, Özkuk K (June 1, 2020) BOYUN, BEL VE DİZ AĞRISI OLAN YAŞLILARDA FİZİK TEDAVİ VE BALNEOTERAPİ, RETROSPEKTİF ÇALIŞMA. Bozok Tıp Dergisi 10 2 39–46.
IEEE E. Dilekçi and K. Özkuk, “BOYUN, BEL VE DİZ AĞRISI OLAN YAŞLILARDA FİZİK TEDAVİ VE BALNEOTERAPİ, RETROSPEKTİF ÇALIŞMA”, Bozok Tıp Dergisi, vol. 10, no. 2, pp. 39–46, 2020.
ISNAD Dilekçi, Erdal - Özkuk, Kağan. “BOYUN, BEL VE DİZ AĞRISI OLAN YAŞLILARDA FİZİK TEDAVİ VE BALNEOTERAPİ, RETROSPEKTİF ÇALIŞMA”. Bozok Tıp Dergisi 10/2 (June 2020), 39-46.
JAMA Dilekçi E, Özkuk K. BOYUN, BEL VE DİZ AĞRISI OLAN YAŞLILARDA FİZİK TEDAVİ VE BALNEOTERAPİ, RETROSPEKTİF ÇALIŞMA. Bozok Tıp Dergisi. 2020;10:39–46.
MLA Dilekçi, Erdal and Kağan Özkuk. “BOYUN, BEL VE DİZ AĞRISI OLAN YAŞLILARDA FİZİK TEDAVİ VE BALNEOTERAPİ, RETROSPEKTİF ÇALIŞMA”. Bozok Tıp Dergisi, vol. 10, no. 2, 2020, pp. 39-46.
Vancouver Dilekçi E, Özkuk K. BOYUN, BEL VE DİZ AĞRISI OLAN YAŞLILARDA FİZİK TEDAVİ VE BALNEOTERAPİ, RETROSPEKTİF ÇALIŞMA. Bozok Tıp Dergisi. 2020;10(2):39-46.
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