Rukiye ÇİFTÇİ, Ahmet KURTOĞLU, Kahraman Özgür ÇELEBİ

Karpal tünel sendromlu hastalarda elektromyografi biofeedback tedavisinin reaksiyon süresi, ağrı, el kavrama gücü ve üst ekstremite fonksiyonel durum üzerine etkisi

Amaç: Çalışma Karpal Tünel Sendromu (CTS) semptomatik tedavisinde sıklıkla kullanılan konvansiyonel elektrofiziksel ajanlara (EPT) ek uygulanan Elektromyografi Biyo Feedback (EMG-BF)’nin kuvvet ve reaksiyon zamanı gibi motorik parametreler ve ağrı, üst ekstremite fonksiyonu gibi semptomatik-fonksiyonel parametrelere etkisini incelemeyi amaçlamıştır. Gereç ve Yöntem: CTS tanısı alan hastalar iki gruba ayrıldı. Birinci grup sadece konvansiyonel EPT grubu (kontrol grubu, n=46 el), ikinci grup konvansiyonel EPT’ye ek EMG-BF uygulanan grup (araştırma grubu, n=42 el) olarak belirlendi. Her iki grupta hastaların tedavi programı öncesi ve sonrası ağrı (VAS), Hand Grip Strenght (HGS), görsel-işitsel reaksiyon zamanı (VRT-ART) ve üst ekstremite dizabilite (Quick DASH) durumu değerlendirildi. Bulgular: Tedavi sonrasında VRT, ART, HGS ve Quick DASH skorları EPT+EMG-BF grubu lehine anlamlı düzeyde daha iyiydi. Tedavi öncesinde dinlenik (VASr), hareketli (VASm) ve gece (VASn) VAS skorları iki grup arasında benzerdi. Egzersiz sonrasında VAS skorları EPT+EMG-BF grubu lehine daha iyiydi. Sonuç: Araştırmamızda; CTS rehabilitasyonunda EPT uygulamaları etkin sonuçlar vermesine rağmen, EPT uygulamalarıyla birlikte kullanılan EMG-BF uygulamaları rehabilitasyon sürecinde daha anlamlı sonuçlar verdiği tespit edilmiştir.

Anahtar Kelimeler:

Elektromiyografi biofeedback, elektrofiziksel tedavi, karpal tünel sendromu

Effect of electromyography biofeedback treatment on reaction time, pain, hand grip strength, and upper extremity functional status in patients with carpal tunnel syndrome.

Purpose: The aim of the study was to investigate the effect of electromyography biofeedback (EMG-BF), which in addition to conventional electrophysical therapy (EPT) commonly used in the symptomatic treatment of carpal tunnel syndrome (CTS), on motor parameters such as strength and reaction time and symptomatic functional parameters such as pain and function of the upper extremity. Materials and Methods: Patients diagnosed with CTS were divided into two groups. The first group was the conventional EPT group only (control group, n=46 hands), and the second group was the group that received EMG-BF in addition to the conventional EPT treatment (research group, n=42 hands). The pain (VAS), hand grip strength (HGS), audio-visual reaction time (ART-VRT), and upper extremity disability (Quick DASH) of patients in both groups were assessed before and after the treatment program. Results: After treatment, VRT, ART, HGS, and Quick DASH were significantly better in favor of the EPT +EMG- BF group. Before treatment, resting state (VASr), mobile state (VASm), and night state (VASn) VAS values were similar between the two groups. After training, the VAS -values were better in favor of the EPT +EMG- BF –group. Conclusion: Although EPT applications provide effective results in the rehabilitation of CTS, EMG-BF applications together with EPT applications provide more meaningful results in the rehabilitation process.

Keywords:

Carpal Tunnel Syndrome, electrophysical therapy, electromyography-biofeedback,

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