DONUK OMUZDA MATRİKS RİTM TERAPİ VE GERME EGZERSİZLERİNİN KARŞILAŞTIRILMASI: RANDOMİZE KONTROLLÜ ÇALIŞMA ARAŞTIRMA MAKALESİ
Abstract
Amaç: Donuk omuz hastalarında Matriks Ritm Terapinin kısa dönem etkilerini değerlendirmekti.
Yöntemler: Donuk omuz tanısı konan 43 hasta (ortalama yaş; 52.6 yıl, aralık 44–67 yıl)
randomize olarak 2 tedavi grubuna ayrıldı: Matriks Ritm Terapi grubu ve germe egzersizleri
grubu. Her iki grup 6 hafta tedavi edildi ve ev egzersiz programı verildi. Eklem hareket
açıklığı konvansiyonel gonyometre ile, ağrı Görsel Analog Skala ile fonksiyonel durum
Constant ve DASH-T skoru ile değerlendirildi. Hastaların genel sağlık durumu Kısa Form-36 ve memnuniyeti global değişim skoru ile incelendi. Bağımsız değişkenlerdeki değişimler
tedaviden önce, tedaviden sonra 3., 6. ve 24. haftada 2x5 mixed model ANOVA ile hesaplandı.
Sonuçlar: Her iki grup da tüm sonuç ölçümlerine göre anlamlı olarak iyileşti (p<0.05). 2x5
mixed model ANOVA ile, Kısa Form-36’nın fiziksel toplam skoru (p=0.009) ve Constant skoru
(0.009), grup-zaman ilişkisi açısından germe egerszileri yapılan grupta 24. haftada anlamlı
bulundu. Paired Simple T test bu farkın germe egzersiz grubunda Constant skorunda 3 ve 6.
haftada, Kısa Form-36 fiziksel toplam skorunda ise 6. haftadaki gelişmeden olduğunu ortaya
koydu.
Tartışma: Her iki tedavi grubunda da hastalar belirgin olarak düzeldi fakat germe egzersizleri
grubu fonksiyon, genel fiziksel sağlık ve hasta memnuniyeti açısından Matriks Ritm Terapi
grubuna göre daha iyi bulundu.
References
- 1. Davies G, Ellenbecker T. Focused exercise aids shoulder hypomo- bility. Biomechanics. 1999;6:77-81.
COMPARISON OF MATRIX RHYTHM THERAPY AND STRETCHING EXERCISES ON FROZEN SHOULDER: RANDOMISED CONTROLLED TRIAL
Abstract
Purpose: To compare the short-term effectiveness of Matrix Rhythm Therapy and stretching
exercises in patients with frozen shoulder.
Methods: Forty-three patients (mean age 52.6 years) with frozen shoulder were randomly
assigned to one of 2 treatment groups: Matrix Rhythm Therapy group and stretching exercises group. Both groups were treated for 6 weeks and performed the same home exercise
program. The range of motion was measured using a conventional goniometer. Constant
score and the Disabilities of the Arm, Shoulder and Hand score was used for functional
assessment. General health status and satisfaction of the patients were evaluated by Short
Form Health Survey-36 and Global Rating of Change score, respectively. The changes in
dependent variables before treatment and after 3, 6 weeks of treatment and 24 weeks of
follow-up were analyzed using 2X5 mixed-model analysis of variance (ANOVA) to assess
overall group, time, and group interaction effects.
Results: Both groups had significant improvement in all outcome measurements (p<0.05).
Two by 5 mixed-model ANOVA revealed a significant group-time interaction for Constant
score (p=0.009) and Short Form Health Survey-36 physical component score (p=0.009) patients receiving stretching exercise at 24 weeks’ follow-up. Pairwise comparison showed that
SF-36 physical component score at 6 weeks and Constant score at 3 and 6 weeks follow ups
were better in stretching exercise group.
Discussion: The patients improved with both treatment strategies; however, stretching
exercise was found to be superior to Matrix Rhythm Therapy for function, physical health,
and satisfaction of the patients.
References
- 1. Davies G, Ellenbecker T. Focused exercise aids shoulder hypomo- bility. Biomechanics. 1999;6:77-81.
Details
| Subjects | Health Care Administration |
|---|---|
| Journal Section | Articles |
| Authors | |
| Publication Date | December 15, 2016 |
| Published in Issue | Year 2016 Volume: 27 Issue: 3 |