Şahika Burcu KARACA, Nursel DOĞANYİĞİT KUZAN

DİZ OSTEOARTRİTİ TEDAVİSİNDE KOMBİNE FİZİK TEDAVİ VE KAPLICA TEDAVİSİNİN ETKİNLİĞİ

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.

Anahtar Kelimeler:

Kaplıca tedavisi; Hot pack; Transkütanöz elektriksel sinir stimulasyonu; Kısa dalga diatermi; Diz osteoartriti

Effectiveness of Combined Physical Therapy and Balneotherapy Treatment on Knee Osteoarthritis

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.

Keywords:

Balneotherapy; Hot pack; Transcutaneous electrical nerve stimulation; Short wave diathermia; Knee osteoarthritis,

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