Omuz ağrılı hastalarda denetimli ev egzersiz tedavisinin engellilik ve fonksiyona etkisi

Yıl 2018, Cilt: 5 Sayı: 3, 143 - 149, 25.12.2018

Emin Ulaş Erdem Banu Ünver

Öz

Amaç: Ev egzersizleri rehabilitasyon protokollerinde geniş ölçüde kullanıldığı halde, klinisyenler bazen hastaların egzersizleri doğru bir biçimde yapıp yapmadığını kontrol etmede yetersiz kalabilirler. Çalışmamızın amacı, denetimli ev egzersiz protokollerinin omuz ağrılı hastalarda engellilik ve fonksiyon üzerine etkisini araştırmaktı.

Yöntem: Omuz ağrısı olan ve ev egzersiz program için fizyoterapi kliniğine yönlendirilen hastalar Denetim Grubu (N=21) ve Kontrol Grubuna (N=20) rastgele olarak ayrıldılar. Tüm gönüllülere omuz için Pendulum, Wand ve İzometrik egzersizleri içeren ev egzersizi program öğretildi. Engellilik değerlendirmesi için Omuz Ağrı ve Engellilik İndeksi (SPADI), fonksiyon değerlendirmesi için Kol, Omuz ve El Sorunları Anketi (DASH) kullanıldı. Tüm hastalar başlangıçta ve altı haftalık egzersiz program sonunda değerlendirildi. Denetim Grubu iki haftada bir egzersizleri doğru yapıp yapmadıkları açısından kontrol edildi ve yanlış ya da unutulan egzersizler yeniden hatırlatıldı.

Bulgular: Altı hafta sonrasında her iki grupta omuz engelliliği ve fonksiyonu açısından anlamlı gelişmeler oldu (p<0,05). Altı hafta içerisindeki DASH ve SPADI puanlarının değişimi açısından gruplar arasında anlamlı fark yoktu (p>0,05).

Sonuç: Ev egzersizleri, omuz ağrısı ve fonksiyonlarının yönetiminde yararlı araçlar olmasına rağmen, sonuçlarımıza göre, omuz ağrısı için evde yapılan egzersizlerin denetlenmesi, engellilik ve fonksiyon bakımından ek fayda sağlamamıştır.

Anahtar Kelimeler

Omuz ağrısı, Egzersiz, Fonksiyonel performans

Effects of supervised home-based exercise therapy on disability and function in patients with shoulder pain

Öz

Purpose: Although home-based exercises are widely used in rehabilitation protocols, sometimes clinicians do not correctly check if patients perform the exercises properly. The objective of our study was to investigate the effects of supervised home exercise protocols on the disability and function in patients with shoulder pain.

Methods: Patients who have shoulder pain and scheduled to physiotherapy clinic for home-based exercises randomly assigned to Supervised Group (N=21) and Control Group (N=20). All volunteers were instructed “home-based exercises” program for shoulder including pendulum, wand and isometric exercises. Shoulder Pain and Disability Index (SPADI) was used for measuring disability and The Disabilities of the Arm, Shoulder and Hand (DASH) was used for assessing functions. All patients were evaluated at baseline and after six weeks exercise program. The Supervised Group was controlled biweekly whether they performed their exercises properly; mistaken or forgotten exercises were reminded again.

Results: After 6 weeks, there were significant improvements regarding shoulder disability and function in both of the groups (p<0.05). There was no significant difference between the groups in terms of the DASH and SPADI score changes in six weeks (p>0.05).

Conclusion: Although home-based exercises are useful tools in managing shoulder pain and functions, according to our results, auditing home-based exercises for shoulder pain could not contribute additional benefit in terms of disability and function.

Anahtar Kelimeler

Shoulder pain, Exercise, Functional performance

Kaynakça

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