Subakromiyal sıkışma sendromu tedavisinde evrelere göre İzokinetik egzersiz, lazer, İyontoforez ve psödoiyontoforez tedavilerinin etkileri ile etkinliklerinin karşılaştırılması
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Dosyalar
Tarih
2015
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Turkiye Klinikleri
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Bu çalışmanın amacı, subakromiyal sıkışma sendromlu (SSS) hastaların tedavilerinde izokinetik
egzersiz, lazer, iyontoforez, psödoiyontoforez tedavilerinin etkinliklerini araştırmak ve bu etkinlikleri evrelere göre karşılaştırmaktır. Gereç ve Yöntemler: Çalışmaya Subakromiyal Sıkışma Sendromu SS tanısı konan
242 hasta alındı. Hastalar 4 gruba ayrıldı. Her grupta 3 evre vardı (evre 2, evre 3 parsiyel yırtık, evre 3 komplet yırtık). Birinci grubun bütün evrelerine izokinetik egzersiz, ikinci gruba iyontoforez yöntemi ile diklofenak jel, üçüncü gruba lazer tedavisi, dördüncü gruba diklofenak jel uygulandı ve iyontoforez cihazı
çalıştırılmadı. Tedavilerin tümü haftada 3 kez, 6 hafta süreyle (18 seans) yapıldı. Hastaların tedavi öncesi ve
tedavi sonrası ağrıları Visuel Analog Skala, omuz fonksiyonları Constant Skoru ve Omuz Özürlülük Skoru,
yaşam kalitesi Nottingham Sağlık Profili ile değerlendirildi. Bulgular: Tedavi öncesine göre tüm gruplarda tüm
skorlarda tedavi sonrası düzelme sağlandı. Grupların kendi aralarındaki karşılaştırmada tüm skorlarda en etkin
yöntemin izokinetik egzersiz, en az atkili olanın ise psödoiyontoforez yöntemi olduğunu bulduk. Lazer ve
iyontoforez tedavileri psödoiyontoforeze göre daha fazla düzelme sağladı. İyontoforez ile lazer karşılaştırıldığında lazer istatistiksel anlamlı olmasa da daha fazla düzelme yaptı. Hastalar evrelere göre karşılaştırıldığında
grupların hepsinde tedavi öncesine göre tedavi sonrası iyileşme saptandı. Tüm evrelerde izokinetik tedavi daha
etkili bulundu, daha sonra lazer tedavisi en az da psödoiyontoforez tedavisi etkili bulundu. Sonuç: Dört grupta
ve 3 evrede de tedaviler, tedavi sonrası etkiydi. Birbirleriyle karşılaştırdığımızda lazer ve iyontoforez yöntemi,
izokinetik kadar olmasa da psödoiyontoforezden üstün ve etkindi.
Objective: The aim of this study is to investigate effectiveness of isokinetic exercise, laser, pseudoiontophoresis and iontophoresis treatment in subacromial impingement syndrome (SIS) patients, and compare this effectiveness according to the stages. Material and Methods: 242 patients who were diagnosed subacromial impingement syndrome were included to study. Patients divided 4 groups. There were three stages in each group (stage 2, stage 3 partial tear, stage 3 complete rupture). Isokinetic exercise to first group's all stages, diclofenac gel by iontophoresis method to second group, laser treatment to third group, and diclofenac gel to fourth group were applied, and iontophoresis device was not worked. All of the treatment was performed three times a week and was carried out for 6 weeks (18 session). Pre-treatment and post-treatment pain of patients was evaluated by Visual Analogue Scale, shoulder function was evaluated by Constant Score and Shoulder Disability Score, and quality of life was assessed using the Nottingham Health Profile. Results: At the end of our study; in all groups in all scores were improved after treatment compared to pre-treatment. The comparison between the groups we have found that the most effective method in all scores is isokinetic exercise, and the least effective method is pseudoiontophoresis method. Laser and iontophoresis treatments provided greater recovery compared to pseudoiontophoresis. Compared to iontophoresis with laser, laser provided greater recovery although is not statistically important. Compared to patients by stage, revealed recovery after treatment than before treatment in all groups. Isokinetic treatment is the most effective, laser treatment is normal effective and pseudoiontophoresis treatment is the least effective were found in all stages. Conclusion: As a result, treatments in four groups and in three stages were effect of after the treatment. If we compare the methods with each other, laser and iontophoresis methods are more superior and more effective than pseudoiontophoresis method, but not as isokinetic method. © 2015 by Türkiye Klinikleri.
Objective: The aim of this study is to investigate effectiveness of isokinetic exercise, laser, pseudoiontophoresis and iontophoresis treatment in subacromial impingement syndrome (SIS) patients, and compare this effectiveness according to the stages. Material and Methods: 242 patients who were diagnosed subacromial impingement syndrome were included to study. Patients divided 4 groups. There were three stages in each group (stage 2, stage 3 partial tear, stage 3 complete rupture). Isokinetic exercise to first group's all stages, diclofenac gel by iontophoresis method to second group, laser treatment to third group, and diclofenac gel to fourth group were applied, and iontophoresis device was not worked. All of the treatment was performed three times a week and was carried out for 6 weeks (18 session). Pre-treatment and post-treatment pain of patients was evaluated by Visual Analogue Scale, shoulder function was evaluated by Constant Score and Shoulder Disability Score, and quality of life was assessed using the Nottingham Health Profile. Results: At the end of our study; in all groups in all scores were improved after treatment compared to pre-treatment. The comparison between the groups we have found that the most effective method in all scores is isokinetic exercise, and the least effective method is pseudoiontophoresis method. Laser and iontophoresis treatments provided greater recovery compared to pseudoiontophoresis. Compared to iontophoresis with laser, laser provided greater recovery although is not statistically important. Compared to patients by stage, revealed recovery after treatment than before treatment in all groups. Isokinetic treatment is the most effective, laser treatment is normal effective and pseudoiontophoresis treatment is the least effective were found in all stages. Conclusion: As a result, treatments in four groups and in three stages were effect of after the treatment. If we compare the methods with each other, laser and iontophoresis methods are more superior and more effective than pseudoiontophoresis method, but not as isokinetic method. © 2015 by Türkiye Klinikleri.
Açıklama
Anahtar Kelimeler
Exercise therapy; Iontophoresis; Placebo effect; Shoulder impingement syndrome
Kaynak
Turkiye Klinikleri Journal of Medical Sciences
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
35
Sayı
3
