DİZ OSTEOARTRİTİ OLAN HASTALARDA BALNEOTERAPİNİN ERKEN DÖNEM ETKİNLİĞİNİN DEĞERLENDİRİLMESİ

AMAÇ: Balneoterapi, diz osteoartritinde önerilen ve kullanılan farmakolojik olmayan bir yöntemdir. Bu çalışmanın amacı diz osteoartritli hastalarda balneoterapiyle birlikte uygulanan fizik tedavi programının erken dönem etkinliğini değerlendirmektir. GEREÇ VE YÖNTEM: Primer diz osteoartriti tanısı almış 60 hasta çalışmaya dahil edildi ve basit rastgele yöntem ile balneoterapi grubu (n=30) ve kontrol grubu (n=30) olarak randomizasyon yapıldı. Her iki gruptaki hastalar hot pack, transkutanöz elektrik stimülasyonu ve ultrasondan (1 MHz, 1,5 Watt/cm2) oluşan 15 seans fizik tedavi programı ile tedavi edildi. Balneoterapi grubundaki hastalara fizik tedavi programına ek olarak 20 dakika/gün süren on beş seans balneoterapi programı uygulandı. Hastalar tedavilerin başlangıcında ve tedavinin sonunda Vizüel Analog Skalası (VAS), WOMAC ve izokinetik kas testi ile değerlendirildi. BULGULAR: Her iki grupta tedavi sonrası VAS, tüm WOMAC skorları ve izokinetik test ölçümlerinde istatistiksel olarak anlamlı iyileşme kaydedildi (p<0,001). Gruplar arası değerlendirme parametrelerinin yüzde değişimleri karşılaştırıldığında; balneoterapi grubu lehine VAS (p=0,047), WOMAC ağrı (p=0,002), WOMAC sertlik (p=0,004), WOMAC fonksiyon (p=0,001), WOMAC total (p=0,001) skorlarında anlamlı azalma varken, izokinetik kas gücü ölçümlerinde anlamlı farklılık saptanmadı (p>0,05). SONUÇ: Diz osteoartriti olan hastalarda fizik tedavi programı ile birlikte uygulanan balneoterapi, erken dönemde ağrıyı azaltmada ve fiziksel fonksiyonu artırmada etkilidir.

Anahtar Kelimeler:

Balneoterapi, Diz Osteoartriti, İzokinetik Test, Fizik Tedavi

EVALUATION OF EARLY PERIOD EFFECTIVENESS OF BALNEOTHERAPY IN PATIENTS WITH KNEE OSTEOARTHRITIS

OBJECTIVE: Balneotherapy is a non-pharmacological method recommended and used in knee osteoarthritis. The aim of this study is to evaluate the early-term effectiveness of the physical therapy program applied together with balneotherapy in patients with knee osteoarthritis. MATERIAL AND METHODS: Sixty patients diagnosed with primary knee osteoarthritis were included in the study. Randomization was carried out as a balneotherapy group (n=30) and a control group (n =30) by simple randomization method. In Both groups, all of the patients were treated with a fifteen sessions physical therapy program consisting of a hot pack, transcutaneous electrical stimulation, and ultrasound (1 MHz, 1,5 Watt/cm2). Patients in the balneotherapy group were also treated for fifteen sessions balneotherapy program lasting 20 min/day in addition to the physical therapy program. Patients were assessed by Visual Analogue Scale (VAS), WOMAC, and isokinetic muscle testing at the beginning and end of the therapies. RESULTS: A statistically significant improvement was observed in the mean scores of VAS, all WOMAC scores, and isokinetic test measurements after treatment in both groups (p<0.001). Comparison of the groups by percent changes showed that; VAS (p=0.047), WOMAC pain (p=0.002), WOMAC stiffness (p=0.004), WOMAC function (p=0.001), WOMAC total (p=0.001) differed significantly in favor of balneotherapy group, no significant difference was found in isokinetic muscle strength measurements (p>0.05). CONCLUSIONS: Balneotherapy combined with a physical therapy program in patients with knee osteoarthritis is effective in reducing pain and increasing physical function in the early period.

Keywords:

Balneotherapy, Osteoarthritis of Knee, İsokinetic Test, Physical Therapy,

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