Patellofemoral Ağrı Sendromu Tedavisinde Son Beş Yılda Kanıta Dayalı Yeni Fizyoterapi Yaklaşımları

Yıl 2022, Cilt: 5 Sayı: 3, 356 - 364, 01.09.2022

Musa Çankaya , İlkim Çıtak Karakaya

https://doi.org/10.19127/bshealthscience.1052193

Öz

Patellofemoral ağrı sendromu (PFAS), fleksiyon ve ekstansiyon sırasında dize aşırı yüklenme nedeniyle çömelle, koşma, tırmanma ve merdiven inip çıkma gibi ekleme yük binen aktiviteler sırasında ki ön diz ağrısı olarak tanımlanır. Klinik teşhiste altın bir standart yoktur. Olabilecek diğer problemler elimine edilerek tanı konulur. Konservatif tedavide nonsteroid anti-inflamatuvar ilaçlar, dizlik, bantlama, germe ve kuvvetlendirme egzersizleri uygulanmaktadır. Egzersiz programı olarak, PFAS'li hastalarda en etkin yöntemin, kuadriseps ve proksimal kalça egzersizlerinin birleştirilmesi yönünde olduğu belirtilmektedir. PFAS’de kullanılan yeni tedavi yöntemlerini belirlemek amacıyla PubMed, Google Scholar ve Science Direct veri tabanında ‘‘patellofemoral pain syndrome’’,‘‘patellofemoral pain syndrome treatment’’,‘‘intervention for patellofemoral pain syndrome’’ ve ‘‘patellofemoral ağrı sendromu’’,‘‘patellofemoral ağrı sendromu tedavi’’,‘‘patellofemoral ağrı sendromu için müdahale’’ yazılarak İngilizce ve Türkçe dillerinde tarama yapılmıştır. Tarama başlangıç tarihi 2016 olup, belirlenen veri tabanlarında 30 Kasım 2021 tarihine kadar yer alan konuyla ilgili tüm araştırmalar incelenmiştir. Bu araştırmada PFAS’de kullanılan tedaviler ve tedavi yöntemlerindeki yeni yaklaşımlar üzerinde durulmuştur. Yeni çalışmalar, rehberler PFAS’de etkili olabilecek yeni yaklaşımların kullanılabileceğini göstermektedir. 5. Uluslararası Patellofemoral Ağrı tedavisi araştırma konsensüs kararlarında yürümenin tekrar eğitimi ve kan akımı kısıtlamalı egzersizlerin PFAS’de yeni tedavi seçenekleri olarak kullanılabileceğinden bahsedilmiştir. Ayrıca son yıllarda yapılan çalışmalarda dizle ilgili vakum ve elastrometrik breysler ve teknoloji destekli theraband, vücut vibrasyon eğitiminin kullanılabileceği belirtilmiştir.

Anahtar Kelimeler

Patellofemoral sendrom, Ön diz ağrısı sendromu, Kan akışı kısıtlama eğitimi, Tüm vücut vibrasyon eğitimi

New Evidence-Based Physiotherapy Approaches in the Treatment of Patellofemoral Pain Syndrome in the Last Five Years

Öz

Patellofemoral pain syndrome (PFPS) is defined as anterior knee pain during activities that are loaded with joint loads such as crouching, running, climbing, up and down stairs due to knee overload during flexion and extension. There is no gold standard in clinical diagnosis. Other possible problems are eliminated and diagnosis is made. In conservative treatment nonsteroidal anti-inflammatory drugs, knee brace, taping, stretching and strengthening applications are performed. As an exercise program, the most effective method in patients with PFAS is to combine quadriceps and proximal hip exercises. In order to determine new treatments used in PFPS, ‘‘patellofemoral pain syndrome’’, ‘‘patellofemoral pain syndrome treatment’’, ‘‘intervention for patellofemoral pain syndrome’’ were written and screened in PubMed, Google Scholar and Science Direct database. The scanning start date is 2016, and all the researches on the subject up to 30 November 2021 in the determined databases were examined. In this research, the treatments used in PFPS and new approaches in treatment are emphasized. New studies, guidelines show that new approaches that can be effective in PFPS can be used. 5. In the international patellofemoral pain treatment consensus decisions, it was mentioned that gait retrain and blood flow restricted exercises could be used as new treatment options in PFPS. In addition, in recent studies, it has been stated that vacuum and elastrometric knee braces and technology supported theraband, body vibration training can be used.

Anahtar Kelimeler

Patellofemoral syndrome, Anterior knee pain syndrome, Blood flow restriction training, Whole body vibration

Kaynakça

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