Radius Distal Uç Kırıklarında Kan Akımı Kısıtlamalı Egzersizlerin Etkinliğinin İncelenmesi

Year 2023, , 130 - 137, 30.06.2023

İbrahim Arkın , Esra Pehlivan

https://doi.org/10.57224/jhpr.1091033

Abstract

Kan akımı kısıtlamalı egzersiz eğitiminde (KAKE) güçlendirilmesi gereken bölgenin proksimaline uygulanan turnike ile bölgesel kan akımı kısıtlaması sağlanır. Kan akımı kısıtlamalı egzersizlerin kas kuvvetini arttırmadaki etkileri kanıtlanmıştır. Birçok çalışmada kan akımı kısıtlamalı egzersizlerin kırık rehabilitasyonunda faydalarının olduğu gösterilmiştir. Çalışmanın amacı radius distal kırıklarında kullanılmış kan akımı kısıtlamalı egzersizlerin etkinliğini incelemektir. Literatür derlemesi PubMed, Pedro ve Cochrane veri tabanlarında yapılmıştır. Derlemenin dahil edilme kriteri, radius distal uç kırıklarından mustarip hastaların alındığı randomize kontrollü çalışmalardır. Vücudun diğer bölümlerinde olan kırıklar ve diğer bölgelerinde uygulanan KAKE eğitimi dahil edilmemiştir. İlk kaynak taramasında 264 sonuca ulaşılmıştır. Dahil edilmeme kriterleri sonrasında 2 randomize kontrollü çalışmaya ulaşılmıştır. Kaynak taraması 1 Aralık 2021 ve 1 Ocak 2022 tarihleri arasında yapılmıştır. Dahil edilen 2 çalışmadan birinde opere radius kırığı tedaviye dahil edilirken, diğerinde ise non-opere kırık tedaviye dahil edilmiştir. Her iki çalışmada da gönüllüler 8 hafta KAKE eğitimine tabi tutulmuştur. Çalışmalarda kan akımı kısıtlamalı egzersizlerin el ve el bileğinin fonksiyonlarını arttırmada ve ağrıyı azaltmada pozitif etkilerinin olduğu gösterilmiştir. Ayrıca omuz ve el fonksiyonelliğinde iyileşme görülmüştür. Sonuçlara göre kavrama ve çimdikleme kuvvetinde artış görülmüştür. Sonuç olarak kan akımı kısıtlamalı egzersizler radius kırık rehabilitasyonunda güvenli, faydalı, hastalar tarafından uygulanabilen bir egzersiz çeşidi olarak belirtilmiştir.

Keywords

Egzersiz, kan akımı kısıtlamalı egzersizler, kırık rehabilitasyonu, radius kırığı

Investigation of The Effects of Blood Flow Restricted Exercises on Radius Distal End Fractures

Abstract

There are studies which show the effectiveness of blood-flow restricted exercise (BFRE) to increase muscle strength. Although there are studies show BFRE in fracture rehabilitation, there is no guide on radius radius distal end fracture. The aim of our study was to investigate of the effects of blood flow restriction on radius distal end fractures. A literature overview was performed using Pedro, PubMed, and Cochrane databases. The main inclusion criteria for the papers were randomize controlled trials which included patients who has suffering distal radius end fracture. Any fracture of except radius fracture was not included. The initial search has shown that 212 randomise controlled articles has found. As a result, two article included. The research was performed from 1 December 2021 to 1 January 2022. One of studies was performed on radius fracture which had operated, and the other study was performed without surgery. BFRT was performed during 8 weeks for each search. The experimental studies were conducted blood flow restriction exercises had positive effect to decrease pain and to increase function of hand and wrist. On the other hand, functionalities of shoulder and hand increased for both studies. According to analyzes grip and pinching strenght increased. Consequently, blood flow restricted training has found to be able to have advantageous to treat radius distal end fracture rehabilitation, and it is tolerable for patients.

Keywords

exercise, blood flow restriction training, BFR therapy, radius fracture

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