Merve AKDENİZ LEBLEBİCİER, Fatıma YAMAN, Dilan BULUT ÖZKAYA

Omuz İmpingment Sendromlu Hastalarda Rehabilitasyon Protokolüne Eklenen Ayna Terapisi ile İlgili Sonuçlar: Prospektif Randomize Kontrollü Çalışma

Ayna tedavisi, etkilenen ekstremitenin fonksiyonelliğini artıran ve kronik ağrıların tedavisinde etkili olan bir yöntemdir. Bu çalışmada ayna tedavisinin omuz impingment sendromu üzerine etkisini araştırmayı amaçladık. Çalışma grubunda 31, kontrol grubunda 31 olmak üzere dahil edilme kriterlerine uygun 62 hasta çalışmaya dahil edildi. Çalışma grubu geleneksel fizyoterapi ve ayna tedavisi alırken, kontrol grubu yalnızca geleneksel fizyoterapi aldı. Hastalar tedaviden önce ve tedaviden hemen sonra ağrı için Vizuel Analog Skala (VAS) skoru, omuz eklem hareket açıklığı için goniometrik ölçüm, fonksiyonellik için modifiye Constant-Murley skorlaması ve kinezyofobi için Tampa Kinezyofobi Skalası (TSK) ile değerlendirildi. Tedavi sonrası VAS skorundaki değişiklik çalışma grubu için 5.51 ± 1.89, kontrol grubu için 2.80 ± 2.61 ve anlamlılık p<0.01 idi. TSK skorundaki değişim çalışma grubu için 10.83 ± 9.53 ve kontrol grubu için 1.66 ± 4.85 idi (p<0.01). Toplam Constant-Murley skorundaki değişim çalışma grubu için 23.77 ± 11.41 ve kontrol grubu için 9.60 ± 9.70 idi ve anlamlılık p<0.01 olarak hesaplandı. Bu çalışma, tek taraflı omuz impingment sendromu olan hastalarda geleneksel tedaviye ayna tedavisinin eklenmesinin ağrı şiddetini, fonksiyonelliğini ve kinezyofobi düzeylerini iyileştirebileceğini göstermiştir. İmpingment sendromunda ağrı ile birlikte hareket korkusunun azalması ayna terapinin daha önce uygulanmadığı farklı hastalıkların tedavisinde de kullanılabileceğini göstermiştir.

Anahtar Kelimeler:

Omuz impingment sendromu, ayna terapisi, ağrı, kinezyofobi

Outcomes with Additional Mirror Theraphy to Rehabilitation Protocol in Patients with Shoulder Impingement Syndrome: A Prospective Randomized Controlled Study

Mirror therapy is a method that increases the functionality of the affected extremity and is effective in the treatment of chronic pain. In this study, we aimed to investigate the effect of mirror therapy on shoulder impingement syndrome. The study included 62 participants, including 31 in the intervention group (IG) and 31 in the control group (CG) who met the inclusion criteria. IG received mirror therapy with conventional physiotherapy while CG received only conventional physiotherapy. The patients were evaluated before treatment and immediately after treatment with Visual Analog Scale (VAS) score for pain, goniometric measurement for shoulder range of motion, modified Constant-Murley score for functionality, and Tampa Kinesiophobia Scale (TSK) for kinesiophobia. After treatment, the change in the VAS score was 5.51 ± 1.89 for IG, 2.80 ± 2.61 for CG, and the significance was p<0.01. The change in the TSK score was 10.83 ± 9.53 for IG and 1.66 ± 4.85 for CG (p<0.01). The change in the total Constant-Murley score was 23.77 ± 11.41 for IG and 9.60 ± 9.70 for CG, and the significance was calculated as p<0.01. This study showed that the addition of mirror therapy to conventional treatment can improve pain severity, functionality, and levels of kinesiophobia in patients with unilateral shoulder impingement syndrome. The decrease in fear of movement along with pain in impingement syndrome has shown that mirror theraphy can be used in the treatment of different diseases for which it has not been used before.

Keywords:

Shoulder impingement syndrome, mirror therapy, pain, kinesiophobia,

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