DİZ OSTEOARTRİTİ (GONARTROZ) OLAN HASTALARDA EGZERSİZ VE TRANSKÜTANÖZ ELEKTRİKSEL SİNİR STİMÜLASYONU (TENS) UYGULAMASININ KARŞILAŞTIRILMASI
Öz
Giriş: Diz osteoartriti (gonartroz) eklem kıkırdağında dejenerasyon, eklem aralığında daralma ve osteofit oluşumu ile karakterize
kronik ve sıklıkla ilerleyici bir eklem bozukluğudur. Egzersiz ve transkütanöz elektriksel sinir stimülasyonu (TENS) gonartrozda sık
kullanılan tedavi yöntemlerindendir. Çalışmamızın amacı gonartrozlu hastalarda egzersiz ve TENS tedavisi sonrası klinik değişimler
arasındaki ilişkiyi araştırmaktır.
Materyal-Metod: American College of Rheumatology (ACR) sınıflama kriterlerine göre gonartroz tanısı almış hastalar çalışmaya alındı.
16 kadın ve 16 erkekten oluşan 32 hasta randomize olarak egzersiz ve TENS uygulaması olarak iki gruba ayrıldı. Birinci gruba (n:16)
8 hafta boyunca haftada 5 gün diz çevresi izometrik egzersiz programı uygulandı, ikinci gruba (n:16) 8 hafta boyunca haftada 2 kez
TENS uygulandı. Tedavi öncesi ve sonrası ağrıyı değerlendirmek için VAS (Vizüel Ağrı Skalası), ağrı, tutukluk ve fonksiyonelliği değerlendirmek
için Western Ontario ve McMaster Universities Osteoarthritis Index (WOMAC) anketi uygulandı.
Bulgular: Her iki grubun da tedavi öncesi ve tedavi sonrası VAS ve WOMAC skorları arasında istatistiksel olarak anlamlı fark yoktu.
Her iki grupta da VAS, WOMAC değerleri tedavi ile istatistiksel olarak anlamlı şekilde azalmıştı (p<0,001). Tedavi sırasında herhangi
bir yan etkiye rastlanmadı.
Sonuç: Egzersiz ve TENS’in gonartrozlu hastalarda klinik bulgular ve fonksiyonellik açısından güvenli ve etkili bir tedavi olduğunu
ancak birbirlerine üstünlükleri olmadığını düşünmekteyiz.
Anahtar Kelimeler
Kaynakça
- 1. Lin C-WC, Taylor D, Bierma-Zeinstra SM, Maher CG. Exercise for osteoarthritis of the knee. Physical therapy. 2010;90(6):839-42.
- 2. Dieppe FDLR, JM HRHCJ, Nevitt KRLN. Zhang Y Sowers M McAlindon TSpector TD Poole AR Yanovski SZ Ateshian G Sharma L Buckwalter JA Brandt KD Fries JF. Osteoarthritis: new insights. Part 1: the disease and its risk factors. Ann Intern Med. 2000;133(8):635-46.
- 3. Woolf AD, Pfleger B. Burden of major musculoskeletal conditions. Bulletin of the world health organization. 2003;81:646-56.
- 4. Bijlsma JW, Berenbaum F, Lafeber FP. Osteoarthritis: an update with relevance for clinical practice. The Lancet. 2011;377(9783):2115-26.
- 5. McAlindon T, Driban J, Henrotin Y, Hunter D, Jiang G-L, Skou ST, et al.OARSI clinical trials recommendations: design, conduct, and reporting of clinical trials for knee osteoarthritis. Osteoarthritis and cartilage.2015;23(5):747-60.
- 6. Control CfD, Prevention. Prevalence of disabilities and associated health conditions among adults-- United States, 1999. MMWR Morbidity and mortality weekly report. 2001;50(7):120.
- 7. Esser S, Bailey A. Effects of exercise and physical activity on knee osteoarthritis.Current pain and headache reports. 2011;15(6):423-30.
COMPARISON OF EXERCISE AND TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS) IN PATIENTS WITH KNEE OSTEOARTRITIS
Öz
Introduction: Knee osteoarthritis (gonarthrosis) is a chronic and often progressive joint disorder characterized by degeneration in
joint cartilage, narrowing of the joint space and new bone formation. Exercise and transcutaneous electrical nerve stimulation (TENS)
are common treatment methods in gonarthrosis. The aim of our study is to investigate the relationship between clinical changes after
exercise and TENS in patients with gonarthrosis
Materials and Methods: Patients diagnosed as gonarthrosis according to American College of Rheumatology (ACR) classification
criteria were included in the study. Thirty-two patients consisting of 16 women and 16 men were randomly divided into two groups
as exercise and TENS. The first group (n: 16) received an isometric exercise program around the knee 5 days a week for 8 weeks,
and TENS was applied to the second group (n: 16) 2 times a week for 8 weeks. VAS (Visual Pain Scale) was used to assess pain before
and after treatment, and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaire was used to assess
pain, joint stiffness and functionality.
Results: There was no statistically significant difference between pre-treatment and post-treatment VAS and WOMAC scores in both
groups. VAS and WOMAC values in both groups decreased statistically significantly with treatment (p <0.001). No side effects were
encountered during treatment.
Conclusion: We think that exercise and TENS is a safe and effective treatment in terms of clinical findings and functionality in patients
with gonarthrosis, but not superior to each other.
Anahtar Kelimeler
Kaynakça
- 1. Lin C-WC, Taylor D, Bierma-Zeinstra SM, Maher CG. Exercise for osteoarthritis of the knee. Physical therapy. 2010;90(6):839-42.
- 2. Dieppe FDLR, JM HRHCJ, Nevitt KRLN. Zhang Y Sowers M McAlindon TSpector TD Poole AR Yanovski SZ Ateshian G Sharma L Buckwalter JA Brandt KD Fries JF. Osteoarthritis: new insights. Part 1: the disease and its risk factors. Ann Intern Med. 2000;133(8):635-46.
- 3. Woolf AD, Pfleger B. Burden of major musculoskeletal conditions. Bulletin of the world health organization. 2003;81:646-56.
- 4. Bijlsma JW, Berenbaum F, Lafeber FP. Osteoarthritis: an update with relevance for clinical practice. The Lancet. 2011;377(9783):2115-26.
- 5. McAlindon T, Driban J, Henrotin Y, Hunter D, Jiang G-L, Skou ST, et al.OARSI clinical trials recommendations: design, conduct, and reporting of clinical trials for knee osteoarthritis. Osteoarthritis and cartilage.2015;23(5):747-60.
- 6. Control CfD, Prevention. Prevalence of disabilities and associated health conditions among adults-- United States, 1999. MMWR Morbidity and mortality weekly report. 2001;50(7):120.
- 7. Esser S, Bailey A. Effects of exercise and physical activity on knee osteoarthritis.Current pain and headache reports. 2011;15(6):423-30.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Araştırma |
| Yazarlar | |
| Yayımlanma Tarihi | 31 Ağustos 2020 |
| Yayımlandığı Sayı | Yıl 2020 Cilt: 14 Sayı: 2 |