Comparison of dşfferent physiotherapy approaches on rehabilitation of amputees with thromboangitis obliterans

Yıl 2011, Cilt: 22 Sayı: 2, 65 - 73, 01.08.2011

Öz

Anahtar Kelimeler

-

Thromboanjitis obliterans nedeni ile ampute olan hastalarda farklı fizyoterapi yaklaşımlarının karşılaştırılması

Öz

Amaç: Çalışmanın amacı, tromboanjitis obliterans (TAO) nedeni ile ampute olmuş hastalarda, 3 farklı fizyoterapi yaklaşımının etkisini karşılaştırmaktı. Gereç ve yöntem: Bu çalışma alt ekstremite amputasyonu olan 34 olgu ile gerçekleştirildi. Amputeler protezleri yapıldıktan sonra 3 gruba ayrıldılar. Grup 1’e (N=12) Konnektif doku manipulasyonu (KDM), egzersiz ve protez eğitimi, Grup 2’ye (N=12) enterferansiyel akım (EA), egzersiz ve protez eğitimi verildi. Grup 3’e (N=10) ise sadece egzersiz ve protez eğitimi uygulandı. Duyu, deri ısısı, Intermitant Klaudikasyo (IK) mesafesi ve süresi, yürüyüş parametreleri ve ambulasyon aktiviteleri tedavi öncesi ve sonrası değerlendirildi. Sonuçlar: Tüm gruplarda tedavi öncesi ve sonrası tüm parametrelerde iyileşme elde edildi (p0.05). Tartışma: Sonuç olarak, KDM, EA ve egzersiz programlarının tromboanjitis obliterans nedeni ile amputeolan hastaların rehabilitasyonunda etkili olduğu söylenebilir

Anahtar Kelimeler

Tromboanjitis obliterans , Ampute , Konnektif doku manipulasyonu , Elektroterapi

Kaynakça

• Hooten WM, Bruns HK, Hays JT. Inpatient Treatment of Severe Nicotine Dependence in a Patient with Thromboangiitis Obliterans (Buerger’s Disease). Mayo Clin Proc. 1998;73:529-532.
• Jiménez-Ruiz CA, Dale LC, Astray Mochales J, et al. Smoking characteristics and cessation in patients with thromboangiitis obliterans. Monaldi Arch Chest Dis. 2006;65:217-221.
• Olin JW, Shih A. Thromboangiitis obliterans (Buerger’s disease). Curr Opin Rheumatol. 2006;18:18-24.
• Batsis JA, Casey KK. Thromboangiitis obliterans (Buerger disease). Mayo Clin Proc. 2007;82:448.
• Takahashi J, Ishihara K, Aoki J. Effect of aqua exercise on recovery of lower limb muscles after downhill running. J Sports Sci. 2006;24:835-842.
• Tugay N, Akbayrak T, Demirtürk F, et al. Effectiveness of transcutaneous electrical nerve stimulation and interferential current in primary dysmenorrhea. Pain Med. 2007;8:295-300.
• Schreuders TA, Selles RW, van Ginneken BT, et al. Sensory evaluation of the hands in patients with Charcot-Marie-Tooth disease using Semmes- Weinstein monofilaments. J Hand Ther. 2008;21:28- 34.
• Mueller MJ, Diamond JE, Delitto A, et al. Insensitivity, Limited Joint Mobility, and Plantar Ulcers in Patients with Diabetes Mellitus. Phys Ther. 1989;69:6:453-459.
• Mueller M J. Identifying patients with diabetes mellitus who are at risk for lower-extremity complications: use of Semmes-Weinstein monofilaments. Phys Ther. 1996;76:68-71.
• Voermann VF, Van Egmond J, Crul BJ. Normal values for sensory thresholds in the cervical dermatomes: a critical note one the use of Semmes- Weinstein monofilaments. Am J Phys Med Rehabil. 1999;78:24-29.
• McGinnis RA, McGrady A, Cox SA, et al. Biofeedback-assisted relaxation in type 2 diabetes. Diabetes Care. 2005;28:2145-2149.
• Tsai PS, Chang NC, Chang WY, et al. Blood pressure biofeedback exerts intermediate-term effects on blood pressure and pressure reactivity in individuals with mild hypertension: a randomized controlled study. J Altern Complement Med. 2007;13:547-554.
• Wonk AM, Lee MY, Chang WH, et al. Clinical trial of a cervical traction modality with electromyographic biofeedback. Am J Phys Med Rehabil.1997;76:19-25.
• Arfvidsson B, Karlsson J, Dahllöf AG, et al. The impact of intermittent claudication on quality of life evaluated by the Sickness Impact Profile technique. Eur J Clin Invest. 1993;23:741-745.
• Scherer SA, Bainbridge JS, Hiatt WR, et al. Gait characteristics of patients with claudication. Arch Phys Med Rehabil. 1998;79:529-531.
• Crowther RG, Spinks WL, Leicht AS, et al. Relationship between temporal-spatial gait parameters, gait kinematics, walking performance, exercise capacity, and physical activity level in peripheral arterial disease. J Vasc Surg. 2007;45:1172- 1178.
• Yiğiter K, Şener G, Erbahçeci F, et al. A comparison of traditional prosthetic training versus proprioceptive neuromuscular facilitation resistive gait training with trans-femoral amputees. Prosthet Orthot Int. 2002;26:213-217.
• Cole MJ, Durham S, Ewins D. An evaluation of patient perceptions to the value of the gait laboratory as part of the rehabilitation of primary lower limb amputees. Prosthet Orthot Int. 2008;32:12-22.
• Vrieling AH, van Keeken HG, Schoppen T, et al. Gait termination in lower limb amputees. Gait Posture. 2008;27:82-90.
• Guven Ulger O, Yiğiter K, Şener G. The effect of physiotherapy approaches on the pain patterns of amputees for Buerger’s Disease. Pain Clin. 2002;14:217-221.
• Citak-Karakaya I, Akbayrak T, Demirtürk F, et al. Short and long-term results of connective tissue manipulation and combined ultrasound therapy in patients with fibromyalgia. J Manipulative Physiol Ther. 2006;29:524-528.
• Deborah H, Mary L, Geraldine R. Intermittent claudication: implementation of an exercise programme. Physiotherapy. 1999;85:149-153.
• Ülger Ö, Yiğiter K, Şener G. Tromboanjitis obliteranslı amputelerde farklı fizyoterapi yaklaşımlarının rehabilitasyona etkisi. Fizyoter Rehabil. 2002; 13:160.
• Goats CG, Keir KA. Connective tissue massage. Br J Sports Med. 1991;25:131-133.
• Kaada B, Torsteinbq O. Increase of plasma beta- endorphins in connective tissue massage. Gen Pharmacol. 1989;20:487-489.
• Low J, Reed A. Interferential Currents. In: Dyson M, ed. Electrotherapy Explained. Oxford: Butterworth. 1993:85-91.
• Domenico G. Pain relief with interferential therapy. Aust J Physiother. 1982;28:14-18.
• Gray JC. Diagnosis of intermittent vascular claudication in a patient with a diagnosis of sciatica. Phys Ther. 1999;79:582-590.
• Gartenmann Ch, Kirchberger I, Herzig M, et al. Effects of exercise training program on functional capacity and quality of life in patients with peripheral arterial occlusive disease. Evaluation of a pilot project. Vasa. 2002;31:29-34.
• Müller-Bühl U, Kirchberger I, Wiesemann A. Relevance of claudication pain distance in patients with peripheral arterial occlusive disease. Vasa. 1999;28:25-29.
• Wind J, Koelemay MJ. Exercise therapy and the additional effect of supervision on exercise therapy in patients with intermittent claudication. Systematic review of randomised controlled trials. Eur J Vasc Endovasc Surg. 2007;34:1-9.
• Bendermacher BL, Kruidenier LM, Nicolaï SP, et al. Supervised exercise therapy for intermittent 36. Scherer SA, Hiatt WR, Regensteiner JG. Lack of claudication. Acta Chir Belg. 2007;107:616-622.
• Marks RM, Long JT, Exten EL. Gait abnormality following amputation in diabetic patients. Foot Ankle Clin. 2010;15:501-507.
• Prinsen EC, Nederhand MJ, Rietman JS. Adaptation strategies of the lower extremities of patients with a transtibial or transfemoral amputation during level walking: a systematic review. Arch Phys Med Rehabil. 2011;92:1311-1325.
• Womack CJ, Sieminski DJ, Katzel LI, et al. Improved walking economy in patients with peripheral arterial occlusive disease. Med Sci Sports Exerc. 1997;29:1286-1290. relationship between gait parameters and physical function in peripheral arterial disease. J Vasc Surg. 2006;44:782-788.