Lomber Faset Sendromlu Hastalarda Pulse Radyofrekans Uygulamasının Sağlıkla İlişkili Yaşam Kalite Üzerinde Etkileri

Year 2023, Volume: 10 Issue: 1, 1 - 5, 10.04.2023

Kemal Paksoy

https://doi.org/10.47572/muskutd.1002687

Abstract

Pulse radyofrekans (PRF) tedavisi lomber faset sendromuna (LFS) bağlı ağrı tedavisi için analjezi sağlamada alternatif tedavi olarak önerilmektedir. Bu çalışmada klinik başarının yanında sağlıkla ilgili yaşam kalitesi üzerine etkinliğinin değerlendirilmesi amaçlanmıştır. LFS nedeni ile PRF uygulaması yapılan hastalarda klinik etkinliği değerlendirmek için Vizüel Ağrı Skalası (VAS) ve Oswestry Özürlülük İndeksi (OÖİ) kullanıldı. Sağlıkla ilgili yaşam kalite değerlendirmesi ise Medical Outcome Study Short Form-36 (SF-36) ile yapıldı. Değerlendirme işlem öncesi, işlem sonrası birinci ay ve on ikinci ayda yapıldı. Toplam 12 hastaya PRF uygulaması yapıldı. İşlem öncesi ile işlem sonrası birinci ay ve on ikinci ay VAS ve OÖİ değerlerindeki değişiklikler istatistiksel olarak anlamlıydı (p<0.001). Aynı şekilde SF-36 değerlendirmesindeki değişiklikler de işlem öncesine göre işlem sonrası birinci ay ve on ikinci ayda anlamlıydı (p<0.001). LFS hastalarında PRF uygulaması ağrı üzerinde iyileştirici etkiye sahiptir. Lomber faset sendromuna bağlı oluşan bel ağrılarının hastalarda sağlıkla ilgili yaşam kalitelerini bozduğu tedavi sonrasında ise tatmin edici yaşam kalitesine kavuşmaya yardım ettiği tespit edildi. Bu tarz ağrılarda PRF uygulamasının etkinliği akılda tutulmalıdır.

Keywords

Kısa Form-36, Lomber Faset Sendromu, Oswestry Özürlülük İndeksi, Pulse Radyofrekans, Vizüel Ağrı Skalası

Effects of Pulse Radiofrequency Application on Health-Related Quality of Life in Patients with Lumbar Facet Syndrome

Abstract

Pulse radiofrequency (PRF) therapy is recommended as an alternative therapy to provide analgesia for the treatment of pain associated with lumbar facet syndrome (LFS). In this study, it was aimed to evaluate its effectiveness on the health-related quality of life as well as clinical success. Visual analog scale (VAS) and Oswestry Disability Index (ODI) were used to evaluate clinical efficacy in patients who underwent PRF for LFS. Health-related quality of life assessment was done with the Medical Outcome Study Short Form-36 (SF-36). Evaluation was done before the procedure, at the first month and at the twelfth month after the procedure. A total of 12 patients underwent PRF. The changes in VAS and ODI values before the procedure and at the first and 12th months after the procedure were statistically significant (p<0.001). Likewise, the changes in the SF-36 evaluation were significant in the first and twelfth months after the procedure compared to the pre-procedure (p<0.001). PRF application has a healing effect on pain in LFS patients. It has been determined that low back pain due to lumbar facet syndrome impairs the health-related quality of life of the patients and helps to achieve a satisfactory quality of life after the treatment. The effectiveness of PRF application should be kept in mind in such pains.

Keywords

Short Form-36, Lumbar Facet Syndrome, Oswestry Disability İndex, Pulse Radiofrequency, Visual Analog Scale

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