Kronik Bel Ağrılı Hastalarda Kaplıca Tedavisi ile Kombine Fizik Tedavinin Dizabilite Üzerine Etkisi

Yıl 2017, , 78 - 83, 31.08.2017

Şahika Burcu Karaca , Sevgi Özyeğen Aslan

https://doi.org/10.24938/kutfd.302298

Öz

Giriş: Bel ağrısı bireysel olarak en sık bildirilen muskuloskelatal
kaynaklı ağrıdır. Genellikle tekrarlayıcıdır ve önemli sosyoekonomik sonuçları
vardır. Bu çalışmanın amacı kronik bel ağrılı hastalarda hastanede
yatarak hot pack (HP), transkütanöz elektriksel sinir stimulasyonu (TENS) ve
terapötik ultrason (US)’dan oluşan fizik tedavi ile kombine kaplıca tedavisinin
etkinliğini araştırmaktır.

Gereç ve Yöntem: Kronik bel ağrısı olan 31 hastanın tedavi öncesi (0.
gün) ve tedavi sonrası (10. gün) Oswestry Dizabilite İndeksi (ODI) skorları
değerlendirildi.

Bulgular: Tedavi sonrası ODI skorlarında tedavi öncesi değerlere göre istatistiksel
olarak anlamlı gelişme saptandı (p=0.002).

Sonuç: Kronik
bel ağrılı hastalarda hastanede yatarak HP, TENS ve US’dan oluşan fizik tedavi
ile kombine kaplıca tedavinin dizabilite üzerine olumlu etkisi vardır.

Anahtar Kelimeler

Kaplıca tedavisi, hot pack, transkütanöz elektriksel sinir stimulasyonu, terapötik ultrason, kronik bel ağrısı

THE EFFECTIVENESS OF COMBINED PHYSICAL THERAPY AND BALNEOTHERAPY TREATMENT ON CHRONIC LOW BACK PAIN

Öz

Introduction: Low back pain is the most
commonly reported individual complaint of musculoskeletal origin. It is
generally repetitive, and leads to important socioeconomic outcomes. The aim of
this study is to
investigate the effects of physical therapy involving hot pack (HP), transcutaneous
electrical nerve stimulation (TENS) and therapeutic ultrasound (US) combined
with balneotherapy on patients hospitalized due to chronic low back pain.

Material and Methods: The Oswestry Disability Index (ODI) scores of 31 patients
with chronic low back pain were evaluated before (Day 0) and after (Day 10)
treatment.

Results: Statistically significant improvements were determined in post-treatment
ODI scores when compared with pre-treatment values (p= 0.002).

Conclusion: Physical therapy with HP, TENS, and US combined with
balneotherapy has a positive effect on disability of patients hospitalized due
to chronic low back pain.

Anahtar Kelimeler

Balneotherapy, hot pack, transcutaneous electrical nerve stimulation, therapeutic ultrasound, chronic low back pain

Kaynakça

• Krismer M, van Tulder M. Strategies for prevention and management of musculoskeletal conditions. Low back pain (non-specific). Best Pract Res Clin Rheumatol. 2007;21:77–91.
• 2. Waddell G. The Back Pain Revolution. 2nd edition. Elsevier Health Sciences; 2004.
• 3. Walker BF. The prevalence of low back pain: a systematic review of the literature from 1966 to 1998. J Spinal Disord. 2000;13:205–17.
• 4. Haldeman S, Dagenais S. What have we learned about the evidence-informed management of chronic low back pain? Spine J. 2008;8:266–77.
• 5. Hayden JA, van Tulder MW, Malmivaara a, Koes BW. Exercise therapy for treatment of non-specific low back pain. Cochrane Database Syst Rev 2005;3:CD000335.
• 6. Gay RE, Brault JS. Evidence-informed management of chronic low back pain with traction therapy. Spine J. Elsevier; 2008;8:234–42.
• 7. Wegner I, Widyahening IS, van Tulder MW, Blomberg SEI, de Vet HC, Bronfort G, et al. Traction for low-back pain with or without sciatica. Cochrane database Syst Rev. 2013;8:CD003010.
• 8. Krismer M, van Tulder M. Low back pain (non-specific). Best Pract Res Clin Rheumatol. 2007;21:77–91.
• 9. Guillemin F, Constant F, Collin JF, Boulange M. Short and long-term effect of spa therapy in chronic low back pain. Br J Rheumatol. 1994;33:148–51.
• 10. Constant F, Collin JF, Guillemin F, Boulangé M. Effectiveness of spa therapy in chronic low back pain: a randomized clinical trial. J Rheumatol. 1995;22:1315–20.
• 11. Constant F, Guillemin F, Collin JF, Boulangé M. Use of spa therapy to improve the quality of life of chronic low back pain patients. Med Care. 1998;36:1309–14.
• 12. Konrad K, Tatrai T, Hunka A, Vereckei E, Korondi I. Controlled trial of balneotherapy in treatment of low back pain. Ann Rheum Dis. 1992;51:820–2.
• 13. Yurtkuran M, Kahraman Z, Sivrioğlu K, Afşin Y, Doğan M. Balneotherapy in low back pain. Eur J Phys Med Rehabil. 1997;7:120–3.
• 14. Fairbank JC, Pynsent PB. The Oswestry Disability Index. Spine. 2000;25:2940–52.
• 15. Yakut E, Düger T, Oksüz C, Yörükan S, Ureten K, Turan D, et al. Validation of the Turkish version of the Oswestry Disability Index for patients with low back pain. Spine. 2004;29(5):581–5.
• 16. Kulisch A, Bender T, Németh A, Szekeres L. Effect of thermal water and adjunctive electrotherapy on chronic low back pain: a double-blind, randomized, follow-up study. J Rehabil Med. 2009;41:73–9.
• 17. Tefner IK, Németh A, Lászlófi A, Kis T, Gyetvai G, Bender T. The effect of spa therapy in chronic low back pain: A randomized controlled, single-blind, follow-up study. Rheumatol Int. 2012;32:3163–9.
• 18. Kesiktas N, Karakas S, Gun K, Gun N, Murat S, Uludag M. Balneotherapy for chronic low back pain: A randomized, controlled study. Rheumatol Int. 2012;32:3193–9.
• 19. Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F, et al. Chapter 4: European guidelines for the management of chronic nonspecific low back pain. Eur Spine J. 2006;15:192–300.
• 20. Ebadi S, Ansari NN, Henschke N, Naghdi S, van Tulder MW. The effect of continuous ultrasound on chronic low back pain: protocol of a randomized controlled trial. BMC Musculoskelet Disord. 2011;12:59.
• 21. Savigny P, Kuntze S, Watson P, Underwood M, Ritchie G, Cotterell M, et al. Low back pain: Early management of persistent non-spesific low back pain. London: National Collaborating Centre for Primary Care and Royal College of General Practitioners, 2009, 14.
• 22. Bekkering GE, Hendriks HJM, Koes BW, Oostendorp RB, Ostelo RWJG, Thomassen JMC, et al. Dutch physiotherapy guidelines for low back pain. Physiotherapy. 2003;89:82–96.
• 23. Seco J, Kovacs FM, Urrutia G. The efficacy, safety, effectiveness, and cost-effectiveness of ultrasound and shock wave therapies for low back pain: a systematic review. Spine J. 2011;11:966–77.