KALÇA OSTEOARTRİTLİ KÖPEKLERDE FİZYOTERAPİ- AĞRI, KAS VE TOPALLIK ÜZERİNE ETKİLER: RANDOMİZE KONTROLLÜ BİR ÇALIŞMA

Öz

Amaç: Çalışmamızın amacı kalça osteoartriti (OA) olan köpeklerde fizyoterapi programının etkinliğini incelemekti. Yöntem: Kalça OA'sı olan 20 köpek dört haftalık çalışmaya dahil edildi. Köpekler rastgele olarak fizyoterapi grubu (PTG) ve kontrol grubu (CG) olarak iki gruba ayrıldı. PTG ve CG'deki köpeklerin kalça eklemine hyaluronik asit (HA) enjekte edildi. PTG'deki fizyoterapi programı masaj, elektrofiziksel modaliteler ve egzersizlerden oluşturuldu. Primer değerlendirmeler ağrı yoğunluğu, kas kütlesi ve topallama skorlarıydı. Ağrı değerlendirmesi Basit Ağrı Derecelendirme Skoru (0-4) ile yapıldı. Kas kütlesi uyluk çevresi ölçümleri kullanılarak, topallama ise özel bir skorlama sistemi (0-5) kullanılarak ölçüldü. Sonuçlar: Çalışmanın sonunda, PTG'de ağrı (p=0,006) ve topallık skorları (p=0,005, p=0,006) azalmış ve kas kütlesi artmıştı (p=0,012). Ayrıca, gruplar arası karşılaştırmalar, tüm değişikliklerin CG'ye kıyasla PTG'de istatistiksel olarak daha fazla iyileştiğini göstermiştir (p=0,042, p=0,010, p=0,028, p=0,015). Tartışma: Çalışmamızda kullanılan "HA + fizyoterapi" programının ağrıyı azaltmada ve kas kütlesini artırmada "tek başına HA"ya göre daha etkili olduğunu düşünüyoruz. Bu nedenle, fizyoterapi programlarının OA'lı köpeklerin tedavisinde faydalı ve güvenli olduğunu söyleyebiliriz. Fizyoterapi programları, özellikle hastalığın erken evrelerinden itibaren kas atrofisi ve topallık gelişimini önlemek için kullanılabilir.

Anahtar Kelimeler

• Ağrı
• Hayvanlarda Fizyoterapi
• Kas
• Köpek
• Osteoartrit

PHYSIOTHERAPY IN DOGS WITH HIP OSTEOARTHRITIS – EFFECTS ON PAIN, MUSCLE AND LAMENESS: A RANDOMISED CONTROLLED TRIAL

Abstract

Purpose: The aim of this study was to investigate the effectiveness of a physiotherapy programme in dogs with hip osteoarthritis (OA). Methods: 20 dogs with hip OA were included in the four-weeks study. The dogs were randomly divided into two groups as physiotherapy group (PTG) and control group (CG). Hyaluronic acid (HA) was injected into the hip joint of dogs in PTG and CG. The physiotherapy programme in PTG consisted of massage, electrophysical modalities and exercises. Primer assessments were pain intensity, muscle mass and lameness scores. Pain assessment was performed with Simple Pain Rating Score (0-4). Muscle mass was measured by thigh circumference measurement and lameness was measured by scoring system (0-5). Results: At the end of the study, pain intensity (p=0.006) and lameness scores (p=0.005, p=0.006) were decreased and muscle mass was increased in the PTG (p=0.012). In addition, between group comparisons showed that all changes were statistically improved in the PTG compared to the CG (p=0.042, p=0.010, p=0.028, p=0.015). Conclusion: We think that the "HA + physiotherapy" programme used in our study is more effective than "HA alone" in reducing pain and increasing muscle mass. Therefore, we can say that physiotherapy programmes are beneficial and safe in the treatment of dogs with OA. Physiotherapy programmes can be used to prevent the development of muscle atrophy and lameness, especially from the early stages of the disease.

Keywords

• Animal Physiotherapy
• Dog
• Muscle
• Osteoarthritis
• Pain

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