Kortikosteroid Enjeksiyonunun Subakromiyal Sıkışma Sendromunun Konservatif Tedavisinde Etkinliği

Yıl 2018, , 683 - 689, 27.12.2018

Safa Gürsoy

https://doi.org/10.17098/amj.501834

Öz

Amaç: Çalışmamızın amacı omuz subakromial sıkışma sendromunun (SSS) tedavisinde tek başına fizik

tedavi ile fizik tedavi ile kombine subakromial kortikosteroid enjeksiyonu uygulamasının etkinliğinin

karşılaştırılmasıdır.

Materyal ve Metot: 30‐65 yaş arası, rotator kılıf yırtığı olmayan 56 SSS tanısı alan hasta çalışmaya dahil

edildi. Yalnızca fizik tedavi alan hastaların oluşturduğu Grup 1(n=26) ile fizik tedavi ile birlikte

subakromial kortikosteroid enjeksiyonu yapılan hastaların oluşturduğu Grup 2(n=30), işlem öncesi

döneme kıyasla 3., 6. ve 12. ayda ölçülen Visual Analog Scale (VAS) ve American Shoulder and Elbow

Surgeons (ASES) skorlamaları kullanılarak karşılaştırıldı.

Bulgular: Her iki grup arasında anlamlı farklılık 3. ve 6. ay VAS ve ASES skorlarında Grup 2(fizik tedavi

ile birlikte enjeksiyon uygulaması) lehine bulunmuştur (p<0,001) 12. ay takiplerinde VAS(p=0,539) ve

ASES(p=0,117) ölçümlerindeki değişim, gruplar açısından istatistiksel olarak anlamlı değildir. Her iki

grupta da işlem öncesi döneme göre 3. ve 6. ay takiplerinde istatistik olarak anlamlı bir artış

saptanmıştır.

Sonuç: Kortikosteroid enjeksiyonu ile birlikte fizik tedavi uygulaması sadece fizik tedavi uygulaması ile

kıyaslandığında kısa dönemde daha etkili olduğu ancak her iki yöntemin de ağrıyı azalttığı ve

fonksiyonlarda iyileşme sağladığı düşünülmektedir.

Anahtar Kelimeler

Subakromial sıkışma sendromu, kortikosteroid enjeksiyonu, fizik tedavi

Efficacy of Corticosteroid Injection in the Conservative Treatment of Subacromial Impingement Syndrome

Öz

Objectives: The aim of our study was to compare the efficacy of
physical therapy and the combination of physical therapy and subacromial
corticosteroid injection in the treatment of shoulder subacromial impingement
syndrome (SIS).

Materials and Methods: 56 patients aged between 30-65, who did not have a
rotator cuff tear and were diagnosed with SIS, were enrolled in this study.
Group 1 (n=26) constituted by patients who were only receiving physical therapy
and Group 2 (n=30) constituted by patients who were receiving the combination
of physical therapy and subacromial corticosteroid injection were compared
using Visual Analogue Scale (VAS) and American Shoulder and Elbow Surgeons
(ASES) scores at post-treatments months 3, 6 and 12 in comparison to the
pre-treatment period.

Results: There was a statistically significant difference between the two groups
in favor of Group 2 (combination of physical therapy and injection) in terms of
VAS and ASES scores at months 3 and 6 (p<0.001). The change in VAS (p=0.539)
and ASES (p=0.117) measurements of the groups at month 12 was not statistically
significant. There was a statistically significant increase in both groups
throughout the 3^rd and 6^th months follow-up period as
compared to the pre-treatment period.

Conclusion: It is thought that the combination of corticosteroid
injection and physical therapy is more effective in the short-term as compared
to physical therapy only, however both methods alleviate pain and provide
improvement in functions.  

Anahtar Kelimeler

Subacromial impingement syndrome, corticosteroid injection, physical therapy

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