Lateral epikondilit tedavisinde ekstrakorporeal şok dalga terapisiyle kombine eksantrik ve kombine izotonik egzersizlerin karşılaştırılması
Küçük Resim Yok
Tarih
2025
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İnönü Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışma lateral epikondilit tedavisinde ekstrakorporeal şok dalga ile beraber uygulanan kombine izotonik egzersiz tekniğinin etkinliğini araştırmak amacıyla planlandı. Meteryal ve Metot: 18-65 yaş arası lateral epikondilit tanısı alan bireyler kapalı zarf yöntemiyle ekstrakorporeal şok dalga terapisi grubu, eksantrik egzersiz ve ekstrakorporeal şok dalga terapisi grubu ya da kombine izotonik egzersiz ve ekstrakorporeal şok dalga terapisi uygulanan gruplardan birine randomize edildi. Kombine izotonik egzersiz ve eksantrik egzersiz grubunda olan hastalara haftada 3 gün 5 hafta boyunca fizyoterapist kontrolünde rehabilitasyon programına alındı. Aynı zamanda ekstrakorporeal şok dalga terapisi her üç grup için haftada bir kez olmak üzere 5 hafta uygulandı. Ağrı şiddeti Vizüel Analog Skalası, basınç ağrı eşiği algometre, kas kuvveti manuel bir dinomometre, kavrama kuvveti dijital el dinomometresi, fonksiyonellik düzeyi Kol Omuz ve El Sorunları Anketi (DASH) kullanılarak değerlendirildi. Bulgular: Tüm tedavi gruplarında grup içi karşılaştırmalarda tüm parametrelerde anlamlı fark bulundu (p<0.05). Aktivite halindeki ağrı şiddetinde ve basınç ağrı eşiği ölçümlerinde gruplar arasında kombine izotonik egzersiz grubu lehine anlamlı farklılık mevcuttu (p<0.05). Dinlenme sırasındaki ağrı şiddeti ve kas kuvveti ölçümlerinde gruplar arasında anlamlı fark bulunmadı (p>0.05). DASH skorları gruplar arasında kombine izotonik egzersiz grubunda daha büyük etkiye sahip anlamlı farklılık bulundu (p=0.046). Sonuç: Ekstrakorporeal şok dalga ile birlikte uygulanan kombine izotonik egzersizin ağrı, basınç ağrı eşiği ve fonksiyonellikte diğer gruplara göre daha anlamlı iyileşmeye neden olduğu gösterildi. Anahtar kelimeler: Ağrı, Egzersiz, Tedavi, Ekstrakorporeal şok dalga terapisi, Rehabilitasyon.
Aim: It was planned to investigate the effectiveness of combined isotonic exercise technique applied with Extracorporeal shock wave in the treatment of lateral epicondylitis. Material and Method: Individuals between the ages of 39-65 diagnosed with lateral epicondylitis were randomized to one of the Extracorporeal shock wave group, eccentric exercise and Extracorporeal shock wave group, or combined isotonic and Extracorporeal shock wave groups using the closed envelope method. Patients in the combined isotonic exercise and eccentric exercise group were included in the rehabilitation program under the supervision of a physiotherapist 3 days a week for 5 weeks. Extracorporeal shock wave was also applied once a week for 5 weeks for all three groups. Pain intensity was assessed using the Visual Analog Scale, pressure pain threshold algometer, muscle strength using a hand-held dynamometer, grip strength using a digital hand dynamometer, and functionality using the Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH). Results: In all treatment groups, significant differences were found in all parameters in intragroup comparisons (p<0.05). There was a significant difference between the groups in terms of pain intensity during activity and pressure pain threshold measurements in favor of the combined isotonic exercise group (p<0.05). No significant difference was found between the groups in terms of pain intensity and muscle strength measurements during rest (p>0.05). DASH scores showed a significant difference between the groups with a greater effect in the combined isotonic exercise group (p=0.046). Conclusion: Combined isotonic exercise with ESWT was shown to cause significant improvements in pain, pressure pain threshold,, and functionality. Keywords: Pain, Exercise, Treatment, Extracorporeal shock wave therapy, Rehabilitation
Aim: It was planned to investigate the effectiveness of combined isotonic exercise technique applied with Extracorporeal shock wave in the treatment of lateral epicondylitis. Material and Method: Individuals between the ages of 39-65 diagnosed with lateral epicondylitis were randomized to one of the Extracorporeal shock wave group, eccentric exercise and Extracorporeal shock wave group, or combined isotonic and Extracorporeal shock wave groups using the closed envelope method. Patients in the combined isotonic exercise and eccentric exercise group were included in the rehabilitation program under the supervision of a physiotherapist 3 days a week for 5 weeks. Extracorporeal shock wave was also applied once a week for 5 weeks for all three groups. Pain intensity was assessed using the Visual Analog Scale, pressure pain threshold algometer, muscle strength using a hand-held dynamometer, grip strength using a digital hand dynamometer, and functionality using the Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH). Results: In all treatment groups, significant differences were found in all parameters in intragroup comparisons (p<0.05). There was a significant difference between the groups in terms of pain intensity during activity and pressure pain threshold measurements in favor of the combined isotonic exercise group (p<0.05). No significant difference was found between the groups in terms of pain intensity and muscle strength measurements during rest (p>0.05). DASH scores showed a significant difference between the groups with a greater effect in the combined isotonic exercise group (p=0.046). Conclusion: Combined isotonic exercise with ESWT was shown to cause significant improvements in pain, pressure pain threshold,, and functionality. Keywords: Pain, Exercise, Treatment, Extracorporeal shock wave therapy, Rehabilitation
Açıklama
Anahtar Kelimeler
Fizyoterapi ve Rehabilitasyon, Physiotherapy and Rehabilitation
