Investigation of the Effects of Video Games-Based Exercise Training on Subacromial Impingement Syndrome

Öz

Background: The aim of our study was to investigate the effectiveness of video games-based exercise training in addition to conservative physiotherapy in terms of pain, functionality and joint position sense in patients with subacromial impingement syndrome.
Materials and Methods: We included patients with subacromial impingement syndrome between 40-65 years of age in Stage II and III classification according to Neer. Fifty patients included in our study were randomly divided into two groups. Conservative physiotherapy plus video games-based exercise training was applied to the first group (n=25), while only conservative physioterapy was applied to the second group (n=25). Both groups were treated for 20 sessions. Pre and post-treatment pain, range of motion, painful arc, muscle strength, joint position sense, and functionality were evaluated.
Results: In both groups, pain intensity and painful arc values were decreased, range of motion and muscle strength values were increased, joint position sense deviations decreased, functional level and quality of life were improved (p<0.05). There were no difference in terms of range of motion, muscle strength (flexion, extension, abduction, internal rotation, external rotation), painful arc, functionality scores (p>0.05). There were significant differences between groups in terms of pain, horizontal adduction muscle strength, joint position sense (p<0.05).
Conclusion: The results of our study showed that the video games-based exercise training plus conservative physiotherapy was more effective in terms of reducing pain, increasing joint position sense and increasing the level of functionality than only conservative physiotherapy. Therefore, we think that patients’ treatment should be supported by video games-based exercise training.

Key Words: Subacromial impingement syndrome, Exercise, Technologic rehabilitation, Pain, Joint position sense

Subakromiyal Sıkışma Sendromunda Video Oyunları Tabanlı Egzersiz Eğitiminin Etkilerinin İncelenmesi

Öz

Amaç: Bu çalışmanın amacı, subakromiyal sıkışma sendromu (SSS) tanılı hastalarda konservatif fizyoterapi (KF) ile birlikte uygulanan video oyunları tabanlı egzersiz eğitiminin (VOTEE) ağrı, fonksiyonellik ve eklem pozisyon hissi üzerine etkilerini araştırmaktır. Materyal ve Metod: Çalışmamıza SSS tanılı 40-65 yaş arasındaki Neer evrelemesine göre Evre II ve Evre III sınıflamasına dahil olan olgular alındı. Çalışmamıza dahil edilen 50 hasta randomize olarak iki gruba ayrıldı. İlk gruba (n=25) KF ve VOTEE, ikinci gruba (n=25) sadece KF uygulandı. Her iki grup da 20 seans tedaviye alındı. Olgular tedavi öncesi ve tedavi sonrası ağrı (Vizüel Analog Skala), eklem hareket açıklığı (EHA) ve ağrılı ark (gonyometre), kas kuvveti (dinamometre), eklem pozisyon hissi (lazer imleç yardımlı açı tekrarlama testi), fonksiyonellik (DASH ve SPADI) açısından değerlendirildi. Bulgular: Her iki grupta da ağrı şiddetinde ve ağrılı ark değerlerinde azalma, eklem hareket açıklığı ve kas kuvveti değerlerinde artış, eklem pozisyon hissi deviasyonlarında azalma ve fonksiyonellik düzeyinde artış görüldü (p<0.05). EHA değerleri, kas kuvveti (fleksiyon, ekstansiyon, abduksiyon, internal rotasyon, eksternal rotasyon), ağrılı ark değeri, DASH puanı, SPADI ağrı parametresi açısından gruplararası fark bulunmadı (p>0.05). Ağrı, horizontal adduksiyon kas kuvveti, eklem pozisyon hissi, SPADI disabilite ve SPADI toplam parametresinde fark bulundu (p<0.05). Sonuç: Çalışmamızın sonucunda KF ile birlikte uygulanan VOTEE’nin, sadece KF uygulamasına göre ağrının azalması, eklem pozisyon hissinde artış ve fonksiyonellik düzeyinde artış sağladığı belirlendi. Bu nedenle, SSS’li hastalarda uygulanan KF’nin VOTEE ile desteklenebileceği düşünmekteyiz.

Anahtar Kelimeler

• Subakromiyal sıkışma sendromu
• egzersiz
• teknolojik rehabilitasyon
• eklem pozisyon hissi
• ağrı

Kaynakça

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