kırıkkale uni med j

The Journal of Kırıkkale University Faculty of Medicine

2148-9645

Kirikkale University

10.24938/kutfd.578390

Health Care Administration

Sağlık Kurumları Yönetimi

Effectiveness of Combined Physical Therapy and Balneotherapy Treatment on Knee Osteoarthritis

DİZ OSTEOARTRİTİ TEDAVİSİNDE KOMBİNE FİZİK TEDAVİ VE KAPLICA TEDAVİSİNİN ETKİNLİĞİ

https://orcid.org/0000-0003-2401-5445

Karaca

Şahika Burcu

KIRIKKALE ÜNİVERSİTESİ, TIP FAKÜLTESİ

https://orcid.org/0000-0002-5313-5633

Doğanyiğit Kuzan

Nursel

Kırıkkale Üniversitesi Tıp Fakültesi Fizik Tedavi ve Rehabilitasyon Anabilim Dalı

12 31 2019

21 3 340 346 06 15 2019 12 15 2019

1999

The Journal of Kırıkkale University Faculty of Medicine

Objective: Thepurpose of this study is to evaluate the effects of hot pack (HP), transcutaneouselectrical nerve stimulation (TENS) and short wave diathermia (SWD) physicaltherapy treatment combined with balneotherapy on pain, stiffness, and functionalcondition in patients with knee osteoarthritis compared to only physical therapygroup.Material and Methods: Thirtytwo patients (group 1: physicaltherapy + spa treatment) and 31 patients (group 2: physical therapy) withknee osteoarthritis were evaluated before (Day 0) and after (Day 10) treatment usingthe Western Ontario and McMaster Universities Arthritis Index (WOMAC) pain, WOMACstiffness, WOMAC functional status and WOMAC total scores.Results: Statisticallysignificant improvements were identified in the post-treatment WOMAC pain, WOMACstiffness, WOMAC functional condition, and WOMAC total scores compared to the pre-treatmentperiod in both group 1 and 2 (p<0.001). However, there was no statistically significant difference betweenthe groups.Conclusion: Both physical therapy with HP, TENS and SWD combinedwith balneotherapy and only physical therapy group have a positive effect on pain,stiffness, and functional status in patients with knee osteoarthritis. However,the two treatments were not superior to each other.

Amaç: Bu çalışmanın amacıdiz osteoartritili hastalarda hot pack (HP), trankütanöz elektriksel sinir stimülasyonu(TENS) ve kısa dalga diatermi (KDD)’den oluşan fizik tedavi ile kombine kaplıcatedavisinin sadece fizik tedaviye göre ağrı, tutukluk ve fonksiyonel durum üzerineetkisini araştırmaktır.Gereç ve Yöntemler: Diz osteoartritiolan 32 hastanın (Grup 1: fizik tedavi+kaplıca tedavisi alan hastalar) ve 31 hastanın(Grup 2: fizik tedavi alan hastalar ) tedavi öncesi (0.gün) ve tedavi sonrası (10.gün)Western Ontario and McMaster Universities Arthritis Index (WOMAC) ağrı, WOMAC tutukluk,WOMAC fonksiyonel durum ve WOMAC toplam skorları değerlendirildi.Bulgular: Tedavi sonrası WOMACağrı, WOMAC tutukluk, WOMAC fonksiyonel durum ve WOMAC toplam skorlarında tedaviöncesi değerlere göre her iki grupta da istatistiksel olarak anlamlı gelişme saptandı(p<0.001). Ancak tedavi sonuçları arasında gruplar arası istatistiki olarak anlamlıfark saptanmadı.Sonuç: Diz osteoartritlihastalarda hem HP, TENS ve KDD’den oluşan fizik tedavi hem de fizik tedavi ile kombinekaplıca tedavisi ağrı, tutukluk ve fonksiyonel durum üzerine etkilidir. Ancak ikitedavi grubunun birbirine üstünlüğü saptanmamıştır.

Kaplıca tedavisi; Hot pack; Transkütanöz elektriksel sinir stimulasyonu; Kısa dalga diatermi; Diz osteoartriti

Balneotherapy; Hot pack; Transcutaneous electrical nerve stimulation; Short wave diathermia; Knee osteoarthritis

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