Effectiveness of Combined Physical Therapy and Balneotherapy Treatment on Knee Osteoarthritis

Year 2019, Volume: 21 Issue: 3, 340 - 346, 31.12.2019

Şahika Burcu Karaca Nursel Doğanyiğit Kuzan

https://doi.org/10.24938/kutfd.578390

Abstract

Objective: The
purpose of this study is to evaluate the effects of hot pack (HP), transcutaneous
electrical nerve stimulation (TENS) and short wave diathermia (SWD) physical
therapy treatment combined with balneotherapy on pain, stiffness, and functional
condition in patients with knee osteoarthritis compared to only physical therapy
group.

Material and Methods: Thirty
two patients (group 1: physical
therapy + spa treatment) and 31 patients (group 2: physical therapy) with
knee osteoarthritis were evaluated before (Day 0) and after (Day 10) treatment using
the Western Ontario and McMaster Universities Arthritis Index (WOMAC) pain, WOMAC
stiffness, WOMAC functional status and WOMAC total scores.

Results: Statistically
significant improvements were identified in the post-treatment WOMAC pain, WOMAC
stiffness, WOMAC functional condition, and WOMAC total scores compared to the pre-treatment
period in both group 1 and 2 (p<0.001). However, there was no statistically significant difference between
the groups.

Conclusion: Both physical therapy with HP, TENS and SWD combined
with 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.

Keywords

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

DİZ OSTEOARTRİTİ TEDAVİSİNDE KOMBİNE FİZİK TEDAVİ VE KAPLICA TEDAVİSİNİN ETKİNLİĞİ

Abstract

Amaç: Bu çalışmanın amacı
diz osteoartritili hastalarda hot pack (HP), trankütanöz elektriksel sinir stimülasyonu
(TENS) ve kısa dalga diatermi (KDD)’den oluşan fizik tedavi ile kombine kaplıca
tedavisinin sadece fizik tedaviye göre ağrı, tutukluk ve fonksiyonel durum üzerine
etkisini araştırmaktır.

Gereç ve Yöntemler: Diz osteoartriti
olan 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 WOMAC
ağrı, WOMAC tutukluk, WOMAC fonksiyonel durum ve WOMAC toplam skorlarında tedavi
öncesi değerlere göre her iki grupta da istatistiksel olarak anlamlı gelişme saptandı
(p<0.001). Ancak tedavi sonuçları arasında gruplar arası istatistiki olarak anlamlı
fark saptanmadı.

Sonuç: Diz osteoartritli
hastalarda hem HP, TENS ve KDD’den oluşan fizik tedavi hem de fizik tedavi ile kombine
kaplıca tedavisi ağrı, tutukluk ve fonksiyonel durum üzerine etkilidir. Ancak iki
tedavi grubunun birbirine üstünlüğü saptanmamıştır.

Keywords

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

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