Exercise-Induced Hypoalgesia After Static Low-Angle Squat Exercise in Patients with Knee Osteoarthritis

Abstract

Amaç: Bu çalışmanın amacı, diz osteoartriti (OA) olan hastalarda statik düşük açılı squat (SDAS) egzersizi sonrasında egzersiz kaynaklı hipoaljezi (EKH) etkisinin basınç ağrı eşiği (BAE) üzerindeki etkisini araştırmaktır. Yöntem: Diz osteoartriti olan 32 hasta çalışmaya dahil edildi. Hastaların demografik ve klinik verileri kaydedildi. Algometre kullanılarak ağrılı diz ve biseps kasındaki BAE'ler ölçüldü, ağrı şiddeti için görsel analog skala (GAS) kullanıldı. Katılımcılara, standartlaştırılmış tek seanslık SDAS egzersizi yaptırıldı. BAE'leri egzersiz öncesi ve hemen sonrasında değerlendirildi. Ağrı şiddeti, egzersiz öncesi, sırasında ve sonrasında GAS kullanılarak değerlendirildi. Egzersiz öncesi ve sonrasında mobiliteyi ölçmek için Zamanlı Kalk ve Yürü testi (ZKYT) kullanıldı. Sonuçlar: Diz ekleminin medial ve lateral taraflarındaki BAE’ler, SDAS egzersizi sonrasında anlamlı bir artış gösterdi (p<0.001). Biseps ve kuadriseps kaslarındaki basınç ağrı eşiklerinde bir değişiklik gözlenmedi (p>0.05). Düşük açılı squat egzersizi sırasında ağrı şiddeti anlamlı şekilde artarken, egzersiz sonrasında anlamlı şekilde azaldı (p<0.001). ZKYT skorları egzersiz sonrasında azaldı (p<0.001). SDAS egzersizinin hipoaljezik etkileri, diz OA olan hastalarda ağrı ve mobilite üzerinde orta ile büyük (Cohen’s d -0.35 ila -0.73) arasında değişen etkilere sahipti. Sonuç: Bu çalışma, SDAS egzersizinin egzersiz yapılan ekstremitede lokal hipoaljezi, daha az ağrı ve daha iyi fiziksel performans sağladığını göstermiştir. Sonuçlarımız, SDAS egzersizinin hipoaljezik etkisinin altında yatan mekanizmalara dair kanıtlar sunarak, diz osteoartriti olan bireyler için etkili bir egzersiz müdahalesi olarak potansiyelini vurgulamaktadır. Anahtar Kelimeler: Hipoaljezi, Egzersiz, Kronik ağrı, Osteoartrit, Diz

Keywords

• Hypoalgesia
• Exercise
• Chronic pain
• Osteoarthritis
• Knee

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