Primer Diz Osteoartritinde İzokinetik Egzersiz, Lazer ve Diklofenak İyontoforezi Uygulamalarının Etkilerinin ve Etkinliklerinin Karşılaştırılması

Year 2013, Volume: 15 Issue: 3, 15 - 21, 01.12.2013

Metin Yavuz Safinaz Ataoğlu Ali Erdem Baki Mustafa Özşahin

Abstract

Amaç: Diz osteoartritinin (OA) konservatif tedavisi, farmakolojik tedavi ve farmakolojikolmayan tedavi ana başlıkları altında toplanır. Bu nonfarmokolojik yöntemlerin etkinlikleride yeterince çalışılmamış olmasına rağmen etkileri birbirleriyle hiç karşılaştırılmamıştır. Buçalışmanın amacı da diz OA’lı hastalarda izokinetik egzersiz programı, lazer ve iyontoforezyöntemlerinin ağrı ve fonksiyonel durum üzerine etkileri ve bu etkilerinin birbirlerineüstünlüklerinin olup olmadığını saptamaktır.Materyal ve Metot: Diz OA tanılı, yaşları 40 ile 70 arasında değişen 160 hasta 40’ar kişilikdört gruba randomize edildi. Altı hafta süreyle birinci gruba izokinetik egzersiz, ikinci grubaiyontoforez, üçüncü gruba lazer ve dördüncü gruba (kontrol grubu) psödoiyontoforezuygulandı. Ağrı, hastalık şiddeti, eklem tutukluluğu ve fonksiyonel durumu tedavi öncesi vetedavi sonrası VAS, WOMAC ve Lequesne diz eklem şiddet indeksi ile değerlendirildi.Bulgular: Tedavi sonrası dört grubun da VAS skorlarında (p:0,001) tedavi öncesine göreistatistiksel olarak anlamlı düzeyde azalma saptandı (p

Keywords

Diz osteoartriti, egzersiz, lazer, iyontoforez, psödoiyontoforez

Compared Effects and Effectiveness in Applications of Isokinetic Exercise, Laser, and Diclophenac Iontophoresis in Primary Osteoarthritis of Knee

Abstract

Objective: The conservative therapy of the osteoarthritis (OA) of the knee is classified underthe main headings of pharmacological treatment and non-pharmacological treatment. Theefficacies of different non-pharmacological methods are neither thoroughly studied norcompared to each other. The aim of this study was to evaluate the effects of isokinetic exerciseprogram, the laser therapy, and the iontophoresis method on pain and functional status inpatients with OA of the knee, and to compare and contrast these methods.Material and Method: A total of 160 patients with OA of the knee, between the ages of 40and 70, were randomized into four groups. For a period of six weeks, the first group wastreated with isokinetic exercise, the second group with iontophoresis, the third group withlaser, and the fourth group (control group) with pseudo-iontophoresis. Pain, disease severity,joint stiffness, and functional status were evaluated with the visual analogue scale (VAS),Western Ontario and McMaster Universities Arthritis Index (WOMAC), and the Lequesneknee joint severity index before and after the treatment.Results: After the treatment, the VAS scores of all groups (p = 0.001) decreased significantlycompared to the baseline (p

Keywords

Knee osteoarthritis, Exercise, Laser, Iontophoresis, Pseudoiontophoresis

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