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Diz Osteoartritinde Ultrason, Kesikli Kısa Dalga Diatermi ve Bisiklet Egzersizlerinin Etkinliği

The Efficacy of Ultrasound, Pulsed Shortwave Diathermy and Bicycle Exercises in Knee Osteoarthritis

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2010

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Objective: The purpose of this study is to investigate if the bicycle exercises being addition to different physical therapy combinations have effects on pain, functional capacity and quality of life in the patients with knee osteoarthritis (OA). Materials and Methods: 80 patients with knee OA were randomly divided into four groups and applied hot pack (HP) + transkutanoz elektrikil neurol stimulastion (TENS) + ultrasound (US) to the first group, HP + TENS + Pulsed shortwave diathermy (PSWD) to the second group, HP + TENS + US + bicycle exercises to the third group and HP + TENS + Pulsed SWD + bicycle exercises to the fourth group. These therapy programs were applied for 3 weeks. Patients were evaluated with pain, the duration of 50 steps walking, and range of motion. Results: Statistically significant improvement was observed all groups at the end of the therapy. The patients in groups who were subjected to bicycle exercises (Groups 3 and 4) were siginficantly better in terms of the decrease in pain and the duration of 50 steps walking than the other groups. Conclusion: Physical therapy combinations involving bicycle exercises were found out to be more efficient than single physical therapy combinations.
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Abstract (Original Language): 
Amaç: Bu çalışmanın amacı; diz osteoartriti (OA) olan hastalarda farklı fizik tedavi kombinasyonlarına ilave edilen bisiklet egzersizlerinin; ağrı, fonksiyonel durum ve yaşam kalitesine katkısının olup olmadığını araştırmaktır. Gereç ve Yöntem: 80 diz OA’li hasta rastgele yöntemle dört gruba ayrılarak; 1. gruba sıcak paket + transkutanöz elektriksel sinir stimülasyonu (TENS) + ultrason, 2. gruba sıcak paket + TENS + kesikli kısa dalga diatermi (KDD), 3. gruba sıcak paket + TENS + ultrason + bisiklet egzersizi, 4. gruba ise sıcak paket + TENS + kesikli KDD + bisiklet egzersizi uygulandı. Tedavi programı 3 hafta süreyle uygulandı. Hastalar; ağrı, 50 adım yürüme süresi ve eklem hareket açıklığı ile değerlendirildiler. Bulgular: Tedavi bitiminde grupların hepsinde istatistiksel olarak anlamlı düzelme görüldü. Bisiklet egzersizlerinin uygulandığı 3. ve 4. grupta ağrı ve 50 adım yürüme süresi istatistiksel olarak anlamlı düzeyde diğer gruplardan daha iyiydi. Sonuç: Bisiklet egzersizleri ile birlikte uygulanan fizik tedavi kombinasyonlarının tek başına uygulanan fizik tedavi kombinasyonlarından daha etkili olduğu sonucuna varıldı.
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  • 2
101-106
  • Turkish

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50 adım yürüme, sn 25.41±5.02 26.42±5.20 21.03±3.90 21.21±2.67 <0.001**
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Sağ uyluk çevresi, cm 45.04±4.91 44.48±5.51 44.70±4.22 45.21±4.91 0.756
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††; Grup 2, 3 ve 4; grup 1’den istatistiksel olarak anlamlı derecde üstün (p<0.05)
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