Elektroakupunktur ve Bağ Dokusu Masajının Fibromiyalji Belirtileri Üzerindeki Etkileri: Karşılaştırmalı Bir Klinik Araştırma

Abstract

Amaç: Bu çalışmanın amacı, elektroakupunktur (EA) ve konnektif dokusu masajının (KDM) fibromiyalji sendromu (FMS) hastaları üzerinde nasıl bir etki yarattığını araştırmaktı; zira bu tedavilerin etkileri hakkında henüz çok fazla bilgi bulunmamaktadır. Çalışmanın amacı, FMS semptomları üzerinde EA ve KDM’nin etkilerini karşılaştırmaktır. Yöntem: Çalışma popülasyonu, fibromiyalji tanısı konmuş 60 hastadan oluşmaktaydı ve bu hastalar rastgele elektroakupunktur (EAG) veya konnektif dokusu masajı (KMG) gruplarına ayrılmıştır. EAG grubuna haftada üç kez, 20 dakikalık sürelerle EA uygulanmıştır. Benzer şekilde, KMG grubuna da haftada üç kez, 20 dakikalık sürelerle CTM uygulanmıştır. Birincil ve ikincil sonuçlar, son müdahalenin öncesinde ve sonrasında ölçüldü. Sonuçlar: Bu sonuçlar arasında ağrı eşiği (AE), hassas nokta sayısı (HNS), ağrı yoğunluğu (AY), eklem hareket açıları, sabah sertliği süresi, depresyon, anksiyete ve uyku kalitesi (UK) yer aldı. Sonuçlar, her iki grupta da AE, HNS, AY, depresyon ve UK bulgularında anlamlı iyileşmeler (p<0,05) gösterdi. AE, AY ve sol omuz eklemi fleksiyon açısındaki iyileşme EAG'de daha belirgindi (p<0,05), oysa depresyondaki iyileşme KMG'de daha belirgindi (p<0,05). Diğer sonuçlar için, gruplar içinde veya gruplar arasında anlamlı bir etkileşim gözlemlemedik (p>0,05). Sonuç: Sonuç olarak, EA ağrı eşiğini ve şiddetini artırmada üstün bir yöntem olarak tanımlanırken, KDM'nin depresif semptomları azaltmada daha etkili olduğu bulunmuştur. Bu yöntemlerden biri, HNS'nı azaltmak ve UK'ni artırmak için tercih edilebilir.

Keywords

• Ağrı eşiği
• hassas nokta sayısı
• sabah tutukluğu süresi
• depresyon
• uyku kalitesi.

The Effects of Electroacupuncture and Connective Tissue Massage on Fibromyalgia Symptoms: A Comparative Clinical Trial

Abstract

Objective: The point of this study was to look into how electroacupuncture (EA) and connective tissue massage (CTM) affect people with fibromyalgia syndrome (FMS), since not much is known about their effects. The study's objective is to compare the effects of EA and CTM in FMS symptoms. Method: The study population comprised 60 patients diagnosed with fibromyalgia, who were randomly assigned to either the electroacupuncture (EAG) or connective tissue massage (CMG) groups. EA was administered for a duration of 20 minutes, three times per week, to the EAG group. CTM was similarly administered for a duration of 20 minutes, three times per week, to the CMG. The primary and secondary outcomes were measured before and after the last intervention. Results: These outcomes included pain threshold (PT), tender point count (TPC), pain intensity (PI), joint motion angles, morning stiffness duration, depression, anxiety, and sleep quality (SQ). The results showed significant improvements (p<0.05) in both groups for PT, TPC, PI, depression, and SQ findings. The enhancement in PT, PI, and left shoulder joint flexion angle was more pronounced in the EAG (p<0.05), while the improvement in depression was more evident in the CMG (p<0.05). For other outcomes, we observed no significant interaction within or between groups (p>0.05). Conclusion: Consequently, EA was identified as a superior method for enhancing pain threshold and severity, while CTM was found to be more effective in reducing depressive symptoms. One of these methods may be preferable for reducing TPC and increasing SQ.

Keywords

• Pain threshold
• tender point count
• morning stiffness duration
• depression
• sleep quality.

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