Kronik Bel Ağrılı Hastalarda Kaplıca Tedavisi ile Kombine Fizik Tedavinin Dizabilite Üzerine Etkisi

iriş: Bel ağrısı bireysel olarak en sık bildirilen muskuloskelatal kaynaklı ağrıdır. Genellikle tekrarlayıcıdır ve önemli sosyoekonomik sonuçları vardır. Bu çalışmanın amacı kronik bel ağrılı hastalarda hastanede yatarak hot pack (HP), transkütanöz elektriksel sinir stimulasyonu (TENS) ve terapötik ultrason (US)’dan oluşan fizik tedavi ile kombine kaplıca tedavisinin etkinliğini araştırmaktır. Gereç ve Yöntem: Kronik bel ağrısı olan 31 hastanın tedavi öncesi (0. gün) ve tedavi sonrası (10. gün) Oswestry Dizabilite İndeksi (ODI) skorları değerlendirildi. Bulgular: Tedavi sonrası ODI skorlarında tedavi öncesi değerlere göre istatistiksel olarak anlamlı gelişme saptandı (p=0.002). Sonuç: Kronik bel ağrılı hastalarda hastanede yatarak HP, TENS ve US’dan oluşan fizik tedavi ile kombine kaplıca tedavinin dizabilite üzerine olumlu etkisi vardır.

THE EFFECTIVENESS OF COMBINED PHYSICAL THERAPY AND BALNEOTHERAPY TREATMENT ON CHRONIC LOW BACK PAIN

Introduction: Low back pain is the most commonly reported individual complaint of musculoskeletal origin. It is generally repetitive, and leads to important socioeconomic outcomes. The aim of this study is to investigate the effects of physical therapy involving hot pack (HP), transcutaneous electrical nerve stimulation (TENS) and therapeutic ultrasound (US) combined with balneotherapy on patients hospitalized due to chronic low back pain. Material and Methods: The Oswestry Disability Index (ODI) scores of 31 patients with chronic low back pain were evaluated before (Day 0) and after (Day 10) treatment. Results: Statistically significant improvements were determined in post-treatment ODI scores when compared with pre-treatment values (p= 0.002). Conclusion: Physical therapy with HP, TENS, and US combined with balneotherapy has a positive effect on disability of patients hospitalized due to chronic low back pain.

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