FEMOROASETABULAR İMPİNGEMENT SENDROMUNDA FİZYOTERAPİNİN ETKİNLİĞİ

Yıl 2022, , 12 - 19, 15.12.2022

Esra Oya Tosun Aybüke Ersin

https://doi.org/10.54270/atljm.2022.23

Öz

Femoroasetabular impingement sendromu (FAİS) kalça ekleminin iki bileşeni olan asetabulum ve femur proksimali arasındaki mekanik uyumsuzluk nedeniyle kalça ağrısı öncülü bir patolojidir. Özellikle genç erişkinlerde ve aktif kişilerde görülmektedir. Erken dönemde tanı konulmasıyla tedavi edildiğinde osteoartritin gidişi büyük ölçüde engellenebilmektedir. Femoroasetabular impingement sendromunun cam (femur tipi), pincer (kıskaç tip) ve her iki patolojinin bir arada görüldüğü durum olan miks tip olmak üzere 3 tipi vardır. Klinik hikaye, semptomlar, testler ve radyolojik görüntüleme ile beraber tanı konulmaktadır. Tanı sonrası dönemde; ağrı kontrolü, fizyoterapi ve rehabilitasyon uygulamaları, aktivite modifikasyonu, eklem içi enjeksiyon uygulamaları ve non-steroid antiinflamatuar ilaç kullanımı konservatif tedavi seçeneklerini oluşturmaktadır. Tedavi protokolünde konservatif tedavi yaklaşımlarının yetersiz kaldığı durumlarda cerrahi yöntemler önerilmektedir. İmpingement tipine göre çeşitli cerrahi seçenekler bulunmaktadır. Bu derleme makalede, femoroasetabular impingement sendromunda fizyoterapinin hastalar üzerindeki etkinliğinin değerlendirilmesi ve hastalar üzerinde çeşitli parametrelerdeki değişiklikler incelenmektedir.

Anahtar Kelimeler

Femoroasetabular impingement sendromu, fizyoterapi, kalça ağrısı, egzersiz, osteoartrit

Kaynakça

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