Effects of Magnetic Field Therapy on Edema, Range of Joint Motion, Depression, and Life Quality in Patients with Chronic Venous Insufficiency

Yıl 2017, Cilt: 22 Sayı: 3, 183 - 192, 19.04.2017

Özlem Çinar Özdemir , Ramazan Kurul Elif Duygu M. Fatih Uysal Yeşim Bakar , Ömer Osman Pala , Kemalettin Erdem Handan Ankaralı

https://doi.org/10.21673/anadoluklin.303034

Öz

Objective: The aim of this study is to investigate the effect of
low-frequency alternating magnetic field (LFAM) therapy on edema, quality of
life, depression and range of motion in patients with chronic venous
insufficiency.

Material and Methods: Fifty-five
patients with chronic venous insufficiency who were C3-C6 according to CEAP
(Clinical, Ethiological, Anatomic, Pathophysiological) classification were
included the study. The demographic information of the patients was obtained
and analyzed before the study. Clinical evaluations included the Venous
Insufficiency Epidemiological and Economic Study-Quality of Life Questionnaire
(VEINES-QOL), Beck Depression Inventory (BDI), range of motion and
circumferential measurements. Patients were divided into two groups using
random number generator as treatment (n = 21) and control group (n = 24). All
tests were performed twice at the beginning and at the end of the study.
Following the initial assessment, low-frequency electromagnetic field therapy
was administered to the treatment group for 5 days a week for 6 weeks.
Individuals were asked to use compression socks for 6 weeks at the same time.
The control group used only compression socks for 6 weeks.

Results: When the first and last measurements of both groups were compared,
there was a significant difference in the ankle dorsiflexion and plantar
flexion and depression measurements. (p = 0.000, p = 0.007, p = 0.000). When
the groups were compared in terms of circumferential measurements, depression
and quality of life, a significant difference was found  in depression evaluation and circumferential
measurements of the ankle (CB) and the area above the ankle (CB1) (p <0.05)

Discussion and conclusion: This study showed that low frequency low dose
alternating electromagnetic field therapy increases joint range of motion,
decreases edema and depression in individuals with chronic venous
insufficiency. This is the first study in our country where magnetic field
therapy has been used in other stages of Chronic Venous Insufficiency. We
consider that the repetition of the study with larger-sampled and long-term
follow-up will contribute the literature.

Anahtar Kelimeler

: Magnetic Field, Edema, Quality of Life

Kronik Venöz Yetmezliği Olan Bireylerde Manyetik Alan Tedavisinin Ödem, Eklem Hareket Açıklığı, Depresyon ve Yaşam Kalitesine Etkisi

Öz

Amaç:
Bu
çalışmanın amacı düşük frekanslı kesikli manyetik alan (KEMA) tedavisinin
kronik venöz yetmezliği olan hastalarda ödem, yaşam kalitesi, depresyon ve
eklem hareket açıklığı üzerine etkisini incelemektir.

Gereç ve Yöntemler: Bu çalışmaya kronik venöz yetmezlik tanısı
almış, CEAP (Klinik, Etyolojik, Anatomik,
Patofizyolojik) sınıflamasına göre C3-C6 olan 44 hasta dahil edildi.  Hastaların demografik bilgileri
çalışma öncesinde toplandı ve analiz edildi. Klinik değerlendirmelerde ise Venöz
Yetmezlikte Epidemiyolojik ve Ekonomik Çalışma-Yaşam Kalitesi Anketi (VEINES-QOL), Beck Depresyon Ölçeği
(BDÖ), eklem hareket açıklığı ve çevre ölçümleri kullanıldı. Hastalar
tedavi (n=21)  ve kontrol grubu (n=24)
olarak rastgele sayı oluşturucu kullanılarak iki gruba ayrıldı. Tüm testler
çalışmanın başlangıcında ve bitişinde olmak üzere iki kez uygulandı. İlk değerlendirmenin ardından düşük frekanslı
elektromanyetik alan terapisi haftanın 5 günü 6 hafta boyunca uygulama grubuna
uygulandı. Bireylere aynı zamanda kompresyon çorabı
verilerek 6 hafta kullanmaları istendi. Kontrol grubu ise 6 hafta boyunca
sadece kompresyon çorabı kullandı.

Bulgular:
Her
bir grubun ilk ölçüm, son ölçüm değerleri karşılaştırıldığında, tedavi grubunda
etkilenen ekstremitede ayak bileği dorsi fleksiyon ve plantar felksiyon
hareketlerinde ve depresyon ölçümlerinde anlamlı fark bulundu (p=0.000,
p=0.007, p=0.000). Çevre ölçümleri, depresyon ve yaşam kaliteleri bakımından
gruplar karşılaştırıldığında depresyon değerlendirmesi ve ayak bileği (CB) ve ayak
bileği üstündeki bölgenin (CB1) çevre ölçümlerinde anlamlı fark olduğu saptandı
(p<0.05).

Tartışma
ve sonuç:  Bu çalışma
düşük seviye düşük doz kesikli Elektromanyetik alan tedavisi uygulamasının
Kronik Venöz Yetmezliği olan bireylerde eklem hareket açıklığını arttırdığını,
ödem ve depresyonu azalttığını gösterdi. Bu çalışma ülkemizde manyetik
alan tedavisinin Kronik Venöz Yetmezliğin diğer evrelerinde de kullanıldığı ilk
çalışmadır. Uzun dönem
takip yapılan daha büyük bir örneklemle çalışma tekrarlanmasının literatüre
katkı sağlayacağı düşüncesindeyiz.

Anahtar Kelimeler

Manyetik alan, ödem, yaşam kalitesi

Kaynakça

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