Diz Osteoartritli Kişilerde Tek Seans Transkutanöz Elektriksel Sinir Stimülasyonunun Çömelme Sırasında Ağırlık Aktarma Asimetrisine Etkisi

Yıl 2017, Cilt: 8 Sayı: 1, 55 - 59, 14.04.2017

Seher Özyürek İlkşan Demirbüken Salih Angın

https://doi.org/10.22312/sdusbed.306403

Öz

Amaç: Bu çalışmanın amacı tek seans transkutanöz

elektriksel sinir stimülasyonunun (TENS) diz osteoartritli

kişilerde çömelme sırasında ağırlık aktarma asimetrisine

etkisi incelemekti.

Materyal-Method: Prospektif çalışma dizaynı ile retrospektif

analizler kullanılarak yirmi beş diz osteoartritli hasta

çalışmaya dahil edildi. Etkilenmiş dizine tek seans 40 dk

TENS uygulanan kişilerin kaydedilen verilerine retrospektif

olarak fizyoterapi değerlendirme formlarından ulaşıldı. Diz

ağrısı şiddeti vizüel analog skalası (VAS) ile değerlendirildi.

Ayakta duruş ve çömelmedeki (30°, 60° ve 90° diz fleksiyonu)

ağırlık aktarma asimetrisi değerleri TENS uygulaması öncesi,

TENS uygulamasından hemen sonra ve 24 saat sonra olmak

üzere 3 aşamada toplandı.

Bulgular: 30° çömelmedeki ağırlık aktarma asimetrisi

değerlerinde TENS uygulaması sonrası anlamlı fark bulundu

(p<0,05). Uygulama öncesi skorları ile karşılaştırıldığında,

TENS uygulamasından hemen sonra ve 24 saat sonraki ağrı

şiddeti anlamlı olarak azaldı (p<0,001).

Sonuç: Tek seans TENS uygulaması diz ağrısını kontrol altına

almakta ve diz osteoartriti olan kişiler TENS uygulaması

sonrası çömelmeyi gelişmiş ağırlık aktarma simetrisi ile

gerçekleştirebilmektedir.

Anahtar Kelimeler

Diz osteoartriti, Ağrı, Çömelme, Transkutanöz Elektriksel Sinir Stimülasyonu, Ağırlık Aktarma Asimetrisi

The Effect of a Single Session of Transcutaneous Electrical Nerve Stimulation on Weight BearinAsymmetry during Squatting in People with Knee Osteoarthritis

Öz

Objective: The aim of this study was to investigate the effect

of a single session of TENS on weight bearing asymmetry

(WBA) during squatting in people with knee osteoarthritis

(OA).

Material-Method: Using a retrospective analysis of

prospective study design, twenty five patients (6M/19F)

with unilateral knee OA included in the study. Prospectively

recorded data were obtained retrospectively from the

physiotherapy evaluation forms of patients who received a

single session of 40-minute TENS intervention to the affected

knee. Knee pain intensity was assessed with Visual Analog

Scale (VAS). WBA values during standing and squatting

(30°, 60°, and 90° of knee flexion) were collected in 3 stages:

before the TENS intervention (baseline); immediately after

TENS intervention; and 24 hours after TENS intervention.

Results: Significant difference was found for WBA values at

30°of squatting after TENS intervention (p<0.05). Reported

pain intensity both in immediately after and 24 hours after

TENS interventions decreased significantly compared with

baseline scores (p<0.001).

Conclusions: Single session of TENS intervention controls

knee pain and people with knee OA can present squatting

with improved inter-limb weight bearing distribution after

TENS intervention.

Anahtar Kelimeler

Knee Osteoarthritis, Pain, Squatting, Transcutaneous Electrical Nerve Stimulation, Weight Bearing Asymmetry

Kaynakça

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