Öz
Amaç
Fizik tedavi ajanları, diz osteoartritinde (OA) semptomların hafifletilmesi ve fonksiyonların iyileştirilmesi amacıyla yaygın olarak kullanılmaktadır. Bu çalışmanın amacı, kısa dalga diatermi (KDD) veya ekstrakorporeal şok dalga tedavisini (ESWT) içeren kombine fizik tedavi protokollerinin diz OA’lı hastalarda ağrı ve fonksiyonel durum üzerine etkinliğini karşılaştırmaktır.
Gereç ve Yöntem
Evre 2-3 diz OA’sı olan 49 hasta ile prospektif, yarı deneysel bir çalışma yürütüldü. Grup 1’e sıcak paket (HP) + transkutanöz elektriksel sinir stimülasyonu (TENS) + KDD, Grup 2’ye ise HP + TENS + ESWT uygulandı. ESWT haftada bir olmak üzere toplam dört seans yapıldı. Hastalar başlangıçta, tedavi bitiminde, 3. ve 6. aylarda görsel analog skala (VAS), Western Ontario and McMaster Universities osteoartrit indeksi (WOMAC) ve Lequesne OA şiddet indeksi ile değerlendirildi.
Bulgular
Ortalama yaş Grup 1’de 58,3±5,2, Grup 2’de 54,9±6,5 yıl idi (p>0,05). Her iki grupta da tüm takiplerde başlangıca göre anlamlı iyileşme görüldü (p<0,05). Grup 1, kısa dönemde özellikle istirahat VAS, Lequesne indeksi skorları ve WOMAC skorlarında daha belirgin düzelme gösterdi (p<0,05). Altıncı ayda ise gruplar arasında anlamlı fark bulunmadı (p>0,05).
Sonuç
Her iki kombine protokol de diz OA tedavisinde etkilidir. KDD kısa dönemde daha üstün görünse de orta vadede sonuçlar benzerdir.
Anahtar Kelimeler:
Anahtar kelimeler: Diz osteoartriti, kısa dalga diatermi, ekstrakorporeal şok dalga tedavisi
Kaynaklar
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