Diz osteoartritli hastalarda nöromusküler egzersiz programının fiziksel aktivite, fonksiyonellik ve denge üzerine etkisi
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Dosyalar
Tarih
2018
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İnönü Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/embargoedAccess
Özet
Diz Osteoartritli Hastalarda Nöromusküler Egzersiz Programının Fiziksel Aktivite, Fonksiyonellik ve Denge Üzerine Etkisi Amaç: Bu çalışma 35- 65 yaş arasındaki diz osteoartritli hastalarda nöromusküler egzersiz programının fiziksel aktivite, fonksiyonellik ve denge üzerine etkisini değerlendirmek amacıyla planlandı. Materyal ve metot: Çalışmamıza 35-65 yaş aralığında 60 diz osteoartritli hasta dahil edildi. Hastalar olasılıksız rastlantısal yöntemle seçildi. Rastgele yöntemle deney ve kontrol grubu olmak üzere iki gruba ayrıldı. Deney grubuna klasik fizyoterapi ve nöromusküler diz egzersizleri; kontrol grubuna ise klasik fizyoterapi ve konvansiyonel diz egzersizleri uygulandı. Egzersizler her iki gruba 6 hafta boyunca haftada 6 gün 10 tekrar ve 1 set fizyoterapist eşliğinde; haftada 6 gün 10 tekrar ve 2 set ev egzersizi olarak uygulandı. Hastaların kas kuvveti (manuel kas testi), ağrı (VAS), fonksiyonellik (WOMAC, 2000 IKDC subjektif diz değerlendirme anketi), fiziksel aktivite düzeyi (IPAQ kısa form) ve denge (Y balance test) değerlendirmesi tedavi öncesi ve tedavi sonrası değerlendirildi. Bulgular: Çalışmamızda 6 hafta sonunda alınan ölçümlerde her iki gruptada fiziksel aktivite, fonksiyonellik, denge, kas kuvveti ve ağrıda anlamlı fark bulundu (p< 0.05). Denge, fonksiyonellik değerlendirmesi her iki grupta da anlamlı şekilde artmasına rağmen deney grubundaki tedavi öncesi ve sonrası değerlendirme kontrol grubuna göre daha fazla bulundu (p< 0.05). Sonuç: Sonuç olarak klasik fizyoterapinin diz osteoartritli hastaların tedavisinde etkin bir yöntem olduğu; ancak klasik fizyoterapiye ek olarak uygulanan nöromüsküler eğitimin ağrı üzerine daha fazla etkili olduğu, fiziksel aktivite, fonksiyonellik, dengeyi ise daha fazla arttırdığı bulundu. Anahtar kelimeler: Nöromusküler egzersiz, fiziksel aktivite, denge, osteoartrit, propriosepsiyon
The Effects of Neuromuscular Exercises Training on Physical Activity, Functionality and Balance in Knee Osteoartrithis Aim: The aim of this study is to investigate the effects of neuromuscular exercises training on physical activity, functionality and balance in knee osteoartrithis patients who between 35- 65 years. Material and Method: Sixty patients between 35-65 years with knee osteoartrithis were included this study. The sample of the study was selected by the nonprobability random sampling method. Patients were randomly assigned to two groups: experimental and control. The experimental group performed classical physiotheraphy and neuromuscular exercises; the control group performed classical physiotheraphy and conventional knee exercises. Exercises for both sides six times, one set, ten repeat weekly for six week under supervision of physiotherapist and then for both sides six times, 2 set, 10 repeat as had given home exercises program. Patiens were evaluated muscle strength (manuel muscle test), pain (VAS), functionality (WOMAC, 2000 IKDC), phsical activity (IPAQ short form), balance (Y balance test) values before and after treatment program. Results: Measurements at 6 weeks in our study showed significant improvement in physical activity, functional, balance, muscle strength and pain in both groups (p< 0.05). Although balance and physical functionality evaluate were significantly improve in both groups, experimental group values is higher than control groups. Conclusion: In conclusion, we found that classical physiotherapy was effective in the treatment of patients with knee osteoarthritis; however, neuromuscular exercises training in addition to classical physiotherapy was found to be more effective on pain, physical activity, functionality, balance. Key Words: Neuromuscular exercises, physical activity, balance, osteoartrithis, proprioception
The Effects of Neuromuscular Exercises Training on Physical Activity, Functionality and Balance in Knee Osteoartrithis Aim: The aim of this study is to investigate the effects of neuromuscular exercises training on physical activity, functionality and balance in knee osteoartrithis patients who between 35- 65 years. Material and Method: Sixty patients between 35-65 years with knee osteoartrithis were included this study. The sample of the study was selected by the nonprobability random sampling method. Patients were randomly assigned to two groups: experimental and control. The experimental group performed classical physiotheraphy and neuromuscular exercises; the control group performed classical physiotheraphy and conventional knee exercises. Exercises for both sides six times, one set, ten repeat weekly for six week under supervision of physiotherapist and then for both sides six times, 2 set, 10 repeat as had given home exercises program. Patiens were evaluated muscle strength (manuel muscle test), pain (VAS), functionality (WOMAC, 2000 IKDC), phsical activity (IPAQ short form), balance (Y balance test) values before and after treatment program. Results: Measurements at 6 weeks in our study showed significant improvement in physical activity, functional, balance, muscle strength and pain in both groups (p< 0.05). Although balance and physical functionality evaluate were significantly improve in both groups, experimental group values is higher than control groups. Conclusion: In conclusion, we found that classical physiotherapy was effective in the treatment of patients with knee osteoarthritis; however, neuromuscular exercises training in addition to classical physiotherapy was found to be more effective on pain, physical activity, functionality, balance. Key Words: Neuromuscular exercises, physical activity, balance, osteoartrithis, proprioception
Açıklama
Anahtar Kelimeler
Fizyoterapi ve rehabilitasyon, Physiotherapy and rehabilitation
Kaynak
WoS Q Değeri
Scopus Q Değeri
Cilt
Sayı
Künye
Doğandemir, Gülfem E. (2018). Diz osteoartritli hastalarda nöromusküler egzersiz programının fiziksel aktivite, fonksiyonellik ve denge üzerine etkisi. İnönü Üniversitesi. Malatya.
