LATERAL EPİKONDİLİTTE FİZİK TEDAVİ VE STEROİD ENJEKSİYONUNUN ETKİNLİĞİNİN KARŞILAŞTIRILMASI

Yıl 2020, Cilt: 15 Sayı: 3, 54 - 59, 16.10.2020

Pınar Mazlum Macit , Gonca Sağlam , Akın Erdal

https://doi.org/10.17517/ksutfd.726160

Cited By: 2

Öz

AMAÇ: Bu randomize kontrollü çalışmada lateral epikondilitte lokal steroid enjeksiyonu ile terapötik pulse ultrason ve parafin tedavisinin etkinliklerini karşılaştırma amaçlandı.
GEREÇ VE YÖNTEMLER: Otuz altı lateral epikondilit teşhisi konulan hasta randomize olarak 18’er kişilik iki gruba ayrıldı. 1. gruba lokal steroid enjeksiyonu uygulanırken, 2. gruba pulse ultrason ve parafin tedavisi verildi. Hastalar başlangıçta, 3. haftada ve 6. haftada değerlendirildi. Başlangıçta ve takiplerdeki ağrı düzeyleri, istirahat ve aktivitede Vizüel Analog Skala ve Likert skalası ile sorgulandı. Kontrollerde; basınçla ve dirence karşı el bileği ekstansiyonu ile gelişen ağrı, elin sıkma gücü, hasta ve hekimin global değerlendirmesi kaydedildi.
BULGULAR: Tedavilerin sonunda her iki grupta da tüm ağrı parametlerinde azalma ve el kavrama gücünde artış izlendi. 3. ve 6. haftalardaki tespit edilen iyileşme bakımından gruplar arası anlamlı fark görülmedi.
SONUÇ: Lateral epikondilitte steroid enjeksiyonu ve ultrason ile parafin tedavileri etkin bir şekilde kullanılabilir. Ağrıda hızlı azalma için ucuz ve pratik olan steroid enjeksiyonu tercih edilebilir.

Anahtar Kelimeler

lateral epikondilit, terapötik ultrason, parafin, steroid enjeksiyonu

Kaynakça

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