Comparison of different rehabilitation approaches effectiveness in individuals with knee osteoarthritis

Yıl 2019, Cilt: 6 Sayı: 1, 32 - 41, 12.04.2019

Elif Baysal Miray Budak , Esra Atılgan , Devrim Tarakcı

Öz

Purpose: To investigate the effects of different rehabilitation practices on the range of motion, muscle strength, pain, physical function and quality of life in patients with knee Osteoarthritis (OA).

Methods: Thirty patients between the ages of 40-65 with knee OA were included in the study and divided into 3 groups. Transcutaneous Electrical Nerve Stimulation (TENS), ultrasound, hotpack/coldpack and home exercise program were given to the Group 1 (N=10) for 15 days. Group 2 (N=10) received three doses of Platelet-Rich Plasma (PRP) followed by home exercise program for 15 days. The Control Group (N=10) received only home exercise program for 15 days. All individuals were evaluated using goniometer for range of motion (ROM), manual muscle test for M. Quadriceps femoris muscle strength, Visual Analogue Scale for pain, The Western Ontario and McMaster Universities Arthritis (WOMAC) Scale for physical function and Short Form-12 Quality of Life Scale Mental (SF-12 - MC) and Physical Component (SF-12 - PC) for quality of life at baseline and end of treatment.

Results: Statistically significant difference was found at pain and WOMAC score at the time of activity in all groups. Statistically significant difference was found at ROM and SF-12 MC score in group 1 and 2, at resting pain and SF-12 PC score in control group (p<0.05).

Conclusion: Electrotherapy treatment and PRP approach as an adjunct to knee OA to knee OA treatment, it is thought that home exercise program can be used to relieve symptoms and improve quality of life in knee OA.

Anahtar Kelimeler

Osteoarthritis, Electrotherapy, Exercise therapy, Platelet-rich plasma

Diz osteoartritli bireylerde farklı rehabilitasyon uygulamalarının etkinliklerinin karşılaştırılması

Öz

Amaç: Diz osteoartritli (OA) bireylerde farklı rehabilitasyon uygulamalarının, eklem hareket açıklığı, kas kuvveti, ağrı, fiziksel fonksiyon ve yaşam kalitesi üzerine etkilerini araştırmaktır.

Yöntem: Diz OA tanılı 40-65 yaş aralığında 30 hasta çalışmaya dahil edildi ve 3 gruba ayrıldı. Elektroterapi uygulanan 1. gruba (N=10) 15 seans Transkutanöz Elektriksel Sinir Uyarımı (TENS), ultrason, sıcak/soğuk uygulama ve 15 gün boyunca ev egzersiz programı verildi. 2. gruba (N=10) üç doz Plateletten Zengin Plazma (PRP) uygulaması sonrası 15 gün boyunca ev egzersiz programı verildi. Kontrol grubuna (N=10) 15 gün boyunca sadece ev egzersiz programı verildi. Tedavinin başlangıcında ve sonunda tüm bireylerin, eklem hareket açıklığı (EHA) gonyometre ile, M. Quadriceps femoris kas kuvveti manuel kas testi ile, ağrı Vizüel Analog Skalası ile, fiziksel fonksiyon The Western Ontario and McMaster Universities Arthritis (WOMAC) Skalası ile ve yaşam kalitesi Kısa Form-12 Mental (KF-12 MK) ve Fiziksel Komponent (KF-12 FK) ile değerlendirildi.

Bulgular: Tüm gruplarda aktivite anındaki ağrı ve WOMAC skorunda istatistiksel olarak anlamlı fark bulundu (p<0,05). 1. ve 2. grupta EHA ve KF-12 MK; kontrol grubunda istirahat anındaki ağrı ve KF-12 FK skorunda istatistiksel olarak anlamlı fark bulundu (p<0,05).

Sonuç: Diz OA tedavisinde elektroterapi tedavisi ve PRP uygulamasına ek olarak ev egzersiz programının, diz OA’da hastalığın semptomlarını gidermek ve yaşam kalitesini artırmak için kullanılabileceği düşünülmektedir.

Anahtar Kelimeler

Elektroterapi, Osteoartrit, Egzersiz terapisi, Plateletten zengin plazma

Kaynakça

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