Long-Term Results of the Diagnostic Tests for Subacromial Impingement Syndrome

Year 2015, Volume: 40 Issue: 4, 794 - 799, 05.10.2015

Bayram Kelle , Ferdi Yavuz Burçak Akın

https://doi.org/10.17826/cutf.44921

Abstract

Purpose: Subacromial impingement syndrome (SIS) is the most common cause of shoulder pain. Specific tests and imaging methods are important for the diagnosis. The aim of this study was to evaluate the long term results of specific tests after the treatment. Material and Methods: Eighty-six patients with SIS were enrolled in this study. These patients were divided into two groups as local steroid injection (group I) and conventional physical therapy (groupII). Hawkins-Kennedy, Neer and Jobe tests were applied to patients in both groups before treatment. The tests were classified according the declaration of patients as positive, suspect positive and negative. The tests were applied after treatment again. Results: There were no significant differences for demographic data between groups. The all tests in both group were found mostly positive. It was seen significant change at the third months after treatment. Conclusions: The specific tests were important fort he diagnosis of SIS, furthermore they can demonstrate the efficacy of treatments. The combinad application of these tests are more important for the diagnosis and follow-up of SIS.

Keywords

Subacromial impingement syndrome, hawkins-kennedy test, neer test, jobe test

Subakromiyal Sıkışma Sendromunda Kullanılan Tanısal Testlerin Tedavi Sonrası Uzun Dönem Sonuçları

Abstract

Amaç: Subakromiyal sıkışma sendromu (SSS) omuz ağrısının en önemli nedenleri arasındadır. Tanısında özel testler ve görüntüleme yöntemleri önemli bir yer tutmaktadır. Bu çalışmada özel testlerin tedavi ile uzun dönem sonuçlarının değerlendirilmesi amaçlanmıştır. Materyal ve Metod: Çalışmaya SSS tanısı konulan 86 hasta alındı. Bu hastalar lokal steroid enjeksiyon grubu (grup I= 46) ve konvansiyonel fizik tedavi grubu (grup II= 40) olarak ikiye ayrıldı. Her iki gruptaki hastalara tedavi öncesi Hawkins-Kennedy, Neer ve Jobe testi uygulandı. Bu testler hastanın beyanına göre pozitif, şüpheli pozitif ve negatif olarak sınıflandırıldı. Tedaviden 3 ay sonra bu testler tekrarlandı. Bulgular: İki grup arasında demografk özellikler arasında fark yoktu. Tedavi öncesi her iki grupta da testler büyük oranda pozitif olarak bulundu. 3 ay sonraki değerlendirmede ise iki grupta da tüm testler de anlamlı değişim görüldü (p<0.05). Tartışma: Özel testler hastalığın tanısı için hassas olmakla beraber tedavinin etkinliğini de gösterebilmektedir. Fakat bu testlerin kombine olarak uygulanması hem tanı hem de izlem için daha önem arz etmektedir.

Keywords

Subakromiyal sıkışma sendromu, hawkins-kennedy testi, neer testi, jobe testi

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