Onur ARMAĞAN, Burcu ORTANCA, Merih ÖZGEN, Funda BERKAN, Setenay ÖNER

De-Quervain’s Tenosinovitli Hastalarda Düşük Düzeyli Laser Tedavisinin Etkisi

Bu çalışmanın amacı de Quervain tenosinoviti olan hastalarda başparmak destekli el bilek ateli ile birlikte düşük düzeyli laser tedavisinin (DDLT) etkinliğini değerlendirmek ve DDLT ile kombine edilen başparmak destekli el bilek atelinin tek başına atelden üstün olup olmadığını araştırmaktı. Pozitif Finkelstein testi ve radyal stiloid hassasiyeti olan 34 kadın hasta çalışmaya dahil edildi. Hastalar 2 gruba ayrıldı. Grup 1(n = 18) deki hastalara DDLT ile birlikte başparmak destekli el bilek splinti uygulandı. Grup 2 (n = 17) deki hastalar sadece başparmak destekli el bilek splinti giydi. Hastalara 3 haftalık bir süre boyunca tam bir splint kullanma talimatı verildi. DDLT, haftada beş kez, toplam 15 seans uygulandı. Değerlendirmeler için görsel analog skala (VAS), kavrama gücü ve hastanın sözel olarak ifade ettiği global iyileşme skoru (VSGI) kullanılmıştır. Klinik değerlendirmeler başlangıçta ve tedavi sonunda yapıldı. Tedaviden önce klinik parametreler tedavi grupları arasında benzerdi. Tedavi sonrası VAS, her iki grupta da tedavi öncesi değerlere göre anlamlı olarak iyileşti (grup 1; p<0.001, grup 2; p=0.016). Kavrama gücü ve VSGI sadece grup’de tedaviden sonra iyileşti (p=0.020, p<0.001). Gruplar birbirleriyle karşılaştırıldığında hiçbir parametrede tedavi sonrası fark yoktu (p> 0.05). Bu çalışmanın sonucunda De Quervain’in tenosinovitinin tedavisinde sadece başparmak desteği wirst ateli veya DDLT ile başparmak destekli el bilek ateli tedavileri arasında bir fark olmadığı düşünülmekle birlikte her iki tedavi yönteminin de semptomatik rahatlama sağladığı sonucuna varılmıştır.

Anahtar Kelimeler:

Düşük düzeyli laser, başparmak destekli el bilek splinti, de Quervain£s tenosynovitis

Effect of Low-Level Laser Treatment in de Quervain’s Tenosynovitis Patients

The aim of the present study was to assess the efficacy of low level laser therapy (LLLT) combined with thumb support wirst splint in patients with de Quervain’s tenosynovitis and to investigate whether the thumb support wirst splint combined with LLLT is superior to splint-alone. Thirty-five female patients with a positive Finkelstein test and radial styloid tenderness were included in this study. Patients were divided two group. Patients in group 1(n=18) were applied LLLT combined thumb support wirst splint and patients in group 2 (n=17) wore thumb support wirst splint-only. Patients were instructed to use one splint full time for a period of 3 weeks. LLLT was applied five times a week, for a total of 15 sessions. Visual analog scale (VAS), grip-strength, and global improvement as reported on a verbal scale (VSGI) were used for evaluations. Clinical evaluations were performed at baseline and at the end of the treatment. Before the treatment, clinical parameters were similar between the treatment groups. Posttreatment VAS significantly improved in both groups compared to the pretreatment values (group 1; p<0.001, group 2; p=0.016 ). Grip strength and VSGI only improved in group 1 after treatment (p=0.020, p<0.001). There was no posttreatment difference in any parameter when the groups were compared with each other (p> 0.05). As a result of this study, it is found that there is no difference between groups in the treatment of De Quervain's tenosynovitis. It has been thought that both treatment methods provide symptomatic relief.

Keywords:

Low level laser, de Quervain’s tenosynovitis, with thumb support wirst splint,

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