DİZ OSTEOARTRİTİ TEDAVİSİNDE KOMBİNE FİZİK TEDAVİ VE KAPLICA TEDAVİSİNİN ETKİNLİĞİ

Şahika Burcu KARACA; Nursel DOĞANYİĞİT KUZAN

Article Details

DİZ OSTEOARTRİTİ TEDAVİSİNDE KOMBİNE FİZİK TEDAVİ VE KAPLICA TEDAVİSİNİN ETKİNLİĞİ

Authors:

Şahika Burcu KARACA | Nursel DOĞANYİĞİT KUZAN

Publisher:

Kirikkale University

Main Topics:

Promotion of health

Journal:

The Journal of Kırıkkale University Faculty of Medicine 2019 Vol.21 Issue 3, pp.340-346

Document Type:

Article

Publication Date:

12/2019

Document Language:

Turkish

Document ID (Org No.):

2000524634

Frequency:

Tri-annual

eISSN:

2148-9645

Abstract:

 


Objective: The
purpose of this study is to evaluate the effects of hot pack (HP), transcutaneous
electrical nerve stimulation (TENS) and short wave diathermia (SWD) physical
therapy treatment combined with balneotherapy on pain, stiffness, and functional
condition in patients with knee osteoarthritis compared to only physical therapy
group.


Material and Methods: Thirty
two patients (group 1: physical
therapy + spa treatment) and 31 patients (group 2: physical therapy) with
knee osteoarthritis were evaluated before (Day 0) and after (Day 10) treatment using
the Western Ontario and McMaster Universities Arthritis Index (WOMAC) pain, WOMAC
stiffness, WOMAC functional status and WOMAC total scores.


Results: Statistically
significant improvements were identified in the post-treatment WOMAC pain, WOMAC
stiffness, WOMAC functional condition, and WOMAC total scores compared to the pre-treatment
period in both group 1 and 2 (p<0.001). However, there was no statistically significant difference between
the groups.







Conclusion: Both physical therapy with HP, TENS and SWD combined
with balneotherapy and only physical therapy group have a positive effect on pain,
stiffness, and functional status in patients with knee osteoarthritis. However,
the two treatments were not superior to each other.


.

 


Amaç: Bu çalışmanın amacı
diz osteoartritili hastalarda hot pack (HP), trankütanöz elektriksel sinir stimülasyonu
(TENS) ve kısa dalga diatermi (KDD)’den oluşan fizik tedavi ile kombine kaplıca
tedavisinin sadece fizik tedaviye göre ağrı, tutukluk ve fonksiyonel durum üzerine
etkisini araştırmaktır.


Gereç ve Yöntemler: Diz osteoartriti
olan 32 hastanın (Grup 1: fizik tedavi+kaplıca tedavisi alan hastalar) ve 31 hastanın
(Grup 2: fizik tedavi alan hastalar ) tedavi öncesi (0.gün) ve tedavi sonrası (10.gün)
Western Ontario and McMaster Universities Arthritis Index (WOMAC) ağrı, WOMAC tutukluk,
WOMAC fonksiyonel durum ve WOMAC toplam skorları değerlendirildi.


Bulgular: Tedavi sonrası WOMAC
ağrı, WOMAC tutukluk, WOMAC fonksiyonel durum ve WOMAC toplam skorlarında tedavi
öncesi değerlere göre her iki grupta da istatistiksel olarak anlamlı gelişme saptandı
(p<0.001). Ancak tedavi sonuçları arasında gruplar arası istatistiki olarak anlamlı
fark saptanmadı.

Sonuç: Diz osteoartritli
hastalarda hem HP, TENS ve KDD’den oluşan fizik tedavi hem de fizik tedavi ile kombine
kaplıca tedavisi ağrı, tutukluk ve fonksiyonel durum üzerine etkilidir. Ancak iki
tedavi grubunun birbirine üstünlüğü saptanmamıştır.


.

Article Details

DİZ OSTEOARTRİTİ TEDAVİSİNDE KOMBİNE FİZİK TEDAVİ VE KAPLICA TEDAVİSİNİN ETKİNLİĞİ

Authors: Şahika Burcu KARACA | Nursel DOĞANYİĞİT KUZAN

Publisher: Kirikkale University

Main Topics: Promotion of health

Journal: The Journal of Kırıkkale University Faculty of Medicine 2019 Vol.21 Issue 3, pp.340-346

Document Type: Article

Publication Date: 12/2019

Document Language: Turkish

Document ID (Org No.): 2000524634

Frequency: Tri-annual

eISSN: 2148-9645

Issues

Authors:

Şahika Burcu KARACA | Nursel DOĞANYİĞİT KUZAN

Publisher:

Kirikkale University

Main Topics:

Promotion of health

Journal:

The Journal of Kırıkkale University Faculty of Medicine 2019 Vol.21 Issue 3, pp.340-346

Document Type:

Article

Publication Date:

12/2019

Document Language:

Turkish

Document ID (Org No.):

2000524634

Frequency:

Tri-annual

eISSN:

2148-9645