Öz
Amaç
Egzersiz, osteoporoz (OP) tedavisinin ana bileşenlerinden olmasına rağmen, hastaların uzun vadede egzersiz programlarını takip etmelerinde önemli zorluklar yaşanmaktadır. Bu çalışmada, postmenopozal OP’de yüz yüze ve telerehabilitasyon yöntemleriyle uygulanan egzersiz programının etkinliğini karşılaştırmayı amaçladık.
Gereç ve Yöntem
Çalışmaya, 55-75 yaşları arasında, postmenopozal OP tanısı almış ve teknolojiyi kullanabilen 50 hasta dahil edildi. Hastalar rastgele 2 gruba ayrıldı (grup 1: Yüz yüze, grup 2: Telerehabilitasyon). Egzersiz programı haftada 3 gün, 12 hafta boyunca uygulandı. Değerlendirmeler tedavi öncesi, 6. ve 12. haftalarda yapıldı. Birincil sonuç ölçütleri olan kas kuvveti elde taşınan bir dinamometre ile, denge Tinetti denge-yürüme testi ile, kinezyofobi TAMPA kinezyofobi ölçeği ile, yaşam kalitesi kısa form-36 (SF-36) ile, sağlık kaygısı ise sağlık kaygısı ölçeği (HAS) ile değerlendirildi.
Bulgular
Grup 1’de tedavi sonrası diz ekstansör kas kuvvetinde anlamlı bir değişiklik bulundu (p=0,032, 0,004). Kinezyofobi düzeylerinde bir değişiklik saptanmadı (p>0,05). Grup 1’de tedavi öncesi ve sonrası dengede anlamlı bir fark vardı (p=0,001), ancak grup 2’de böyle bir fark yoktu (p>0,05). HAS’de kaygı ve toplam puanlarda grup 1 lehine anlamlı bir fark görüldü (p=0,025; 0,023). SF-36 genel sağlık (p=0,034) ve duygusal rol kısıtlaması delta değişim değerleri arasında grup 1 lehine anlamlı bir fark görüldü (p=0,011).
Sonuç
Hem yüz yüze hem de telerehabilitasyonun postmenopozal OP’de etkili olduğu bulunmuş olsa da, bu etki yüz yüze tedavide daha fazlaydı. Yüz yüze rehabilitasyona katılımda engeli olan kişiler için telerehabilitasyonun iyi bir seçenek olacağını düşünmekteyiz.
Anahtar Kelimeler:
Postmenopozal osteoporoz, egzersiz tedavisi, telerehabilitasyon, kas gücü, duruş dengesi
Kaynaklar
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