THE EFFECTS OF SPA AND PHYSCAL THERAPY ON AN INTERMITTENT CLAUDICATION PATIENT WITH ORTHOPEDIC AND NEURALGIC PROBLEMS

Öz

Abstract. The purpose of our study was to show effects of spa and physical therapy in an Intermittent Claudication (Ie) patient with orthopedic and neuralgic problems. 60- year-old male patient had fracture surgery at forearm and both femurs and operation in knee, suffered from right hemiparasy and has leg pain while walking. In doppler examination, aterom plaques in left lower extremity iliac external and femoral artery were observed. Within 12 days of spa and physical therapy prograr- made up of one session a day, spa pool exercises and physical therapy program were applied. Before and after the treatment Pain Free Walking (PFW) and Maximum Walking (MW) distance and time were measured on the straight ground. After 12 sessions PFW distance increased 112.5 % (32m to 68 m) and MW distance increased 164.7 % (102 m to 270 m). At the end of the 4th session the night pain was relieved. The spa and physical therapy program applied to the IC patient with orthopedic and neuralgic problems gave successful results and showed that spa therapy can also be applied to such patients in addition to physical therapy.

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ORTOPEDİK VE NOROLOJİK PROBLEMİ OLAN BİR İNTERMİTTANT CLAUDİKASYO HASTASINDA KAPLICA VE FİZİK TEDAVİNİN ETKİLERİ

Öz

Çalışmamızın amacı ortopedik ve norolojik problemi olan bir intermittant claudikasyo (iC) hastasmda kaplica ve fizik tedavinin etkilerini göstermektir. 60 yaşındaki erkek hastanm ortopedik olarak onkolda ve her iki femurda kink cerrahisi, diz ekleminde yumusak doku operasyonu yapilrrus olan hasta 15 yil once sag hemiparazi gecirrnis ve yuruyusle birlikte ortaya crkan bacak agnsi belirlenrnistir. Renkli Doppler Ultrasonografik incelemesinde sol alt extremite iliak external arterle femoral arter bileskesinin profundal dalmda aterom plaklan saptanrrusur. Gunde bir seans olmak Uzere 12 gunluk kaphca ve fizik tedavi prograrrunda kaphca havuzunda su ir;i egzersizler ve fizik tedavi prograrru (klasik masaj, tens, progressif rezistif egz) uygulanrrustir. Tedavi oncesi ve sonrasmda duz egimsiz yuruyus platformunda AgnSIZ Yurume (A Y) ve Maksimum Yurume (MY) mesafesi ve suresi olculrnustur. 12 seans sonunda AY mesafesi % 112.5 (32 m'den 68 m) ve MY mesafesi % 164.7 (102m'den 270 m) artrrusnr. Dorduncu seans sonunda hastarruzdaki uykudan uyandiran gece agnsimn kayboldugu belirlenrnistir. Kisa sUrede elde edilen bu sonuclar uzun sUreli tedavi programlan kadar etkili olmustur. Ortopedik ve orolojik problemleriyle birlikte bir vaka olan intermittant claudikasyo hastasmda uygulanan kaphca ve fizik tedavi prograrru basanli sonuclar vermis ve bu tip hastalarda fizik tedaviyle birlikte kaphca tedavisinin de uygulanabilecegini gostermistir

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Kaynakça

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