Kısa dalga tedavisinin idiyopatik karpal tünel sendromundaki etkinliği: randomize çift kör kontrollü çalışma
Küçük Resim Yok
Tarih
2013
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Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Ilımlı veya orta dereceli karpal tünel sendromunda (KTS) kesikli kısa dalga (KKD) ve kısa dalga (KD) tedavisinin birbirlerine ve plasebo tedaviye üstün olup olmadıklarının araştırılmasıdır. Gereç ve Yöntem: Çalışma klinik ve elektrofizyolojik bulguları ılımlı-orta dereceli KTS ile uyumlu olan 60 el (45 hasta) üzerinde gerçekleştirildi. Olgular KD, KKD ve plasebo olmak üzere üç gruba randomize edildiler. Tüm gruplara 2 hafta süreyle, haftada 5 gün, günde 20 dakika olmak üzere 10 seans tedavi uygulandı. On iki hafta boyunca tüm gruplara tendon ve sinir kaydırma egzersizleri verildi. Tedavi öncesi, sonrası, 1. ve 3. ayda Boston Semptom Şiddet Skalası (BSŞS) ve Boston Fonksiyonel Kapasite Skalası (BFKS), el kavrama ve parmak sıkma gücü ve median sinir ileti çalışmaları, uygulanan tedaviye kör olan bir araştırmacı tarafından gerçekleştirildi. Bulgular: Her üç grupta da, BSŞS ve BFKS skorlarında tedavi öncesi değerlere göre istatistiksel anlamlı düzelme olurken (p<0,05), düzelme oranları açısından gruplar arasında fark saptanmadı (p>0,05). El kavrama gücünde sadece KD grubunda, 1.ve 3.ayda istatistiksel anlamlı artış saptandı (p<0,05). Parmak sıkma gücünde KD grubunda tedavi sonrası, 1.ay ve 3.ayda istatistiksel anlamlı iyileşmeler saptandı (p<0,05). Median sinir duyusal ileti hızlarında sadece KD grubunda istatistiksel anlamlı iyileşme saptanırken (p<0,05), median sinir motor distal latans değerlerinde her üç grupta da istatistiksel anlamlı değişim saptanmadı (p>0,05). Sonuç: Bu çalışmada, karpal tünel sendromunda KD tedavisinin subjektif klinik parametreler üzerinde etkin olduğu, ancak bu etkinliğin plaseboya üstün olmadığı, objektif klinik parametreler olan el kavrama ve parmak sıkma gücünde KKD tedavisine ve plaseboya göre daha üstün olduğu, median sinir duyusal ileti hızlarında düzelmeye yol açtığı sonucuna ulaşılmıştır. Türk Fiz T›p Rehab Derg 2013;59:103-7.
Objective: The aim of this study was to investigate superiority of short wave (SW) and pulsed short wave (PSW) therapies to each other and to placebo in mild and moderate carpal tunnel syndrome (CTS). Materials and Methods: Sixty hands (45 patients) with mild-to-moderate CTS were randomly assigned to receive SW, PSW or sham therapy. All the treatments were applied 20 minutes once a day, 5 days a week, for 2 weeks. Nerve and tendon gliding exercises were given to all hands for 12 weeks. The patients were evaluated before and after the treatment and at the 1st and the 3rd months using the Boston Symptom Severity Scale (BSSS), Boston Functional Status Scale (BFSS), grip strength, pinch strength and median nerve conduction studies by a physician who had been blinded to the treatment. Results: Although statistically significant improvements were obtained in BSSS and BFSS scores in all groups (p<0.05), the differences between the groups were not significant (p>0.05). Grip strength increased significantly only in SW group at the 1st and the 3rd months (p<0.05). Pinch strength increased significantly after the treatment and at the 1st and 3rd months in SW group (p<0.05). Median nerve sensory conduction velocities increased significantly only in SW group (p<0.05). Conclusion: Although SW therapy is effective on subjective clinical parameters, this efficacy is not superior to placebo. SW therapy is effective on objective clinical parameters compared to PSW therapy and placebo and it increases median nerve sensory conduction velocities in mild and moderate CTS. Turk J Phys Med Rehab 2013;59:103-7.
Objective: The aim of this study was to investigate superiority of short wave (SW) and pulsed short wave (PSW) therapies to each other and to placebo in mild and moderate carpal tunnel syndrome (CTS). Materials and Methods: Sixty hands (45 patients) with mild-to-moderate CTS were randomly assigned to receive SW, PSW or sham therapy. All the treatments were applied 20 minutes once a day, 5 days a week, for 2 weeks. Nerve and tendon gliding exercises were given to all hands for 12 weeks. The patients were evaluated before and after the treatment and at the 1st and the 3rd months using the Boston Symptom Severity Scale (BSSS), Boston Functional Status Scale (BFSS), grip strength, pinch strength and median nerve conduction studies by a physician who had been blinded to the treatment. Results: Although statistically significant improvements were obtained in BSSS and BFSS scores in all groups (p<0.05), the differences between the groups were not significant (p>0.05). Grip strength increased significantly only in SW group at the 1st and the 3rd months (p<0.05). Pinch strength increased significantly after the treatment and at the 1st and 3rd months in SW group (p<0.05). Median nerve sensory conduction velocities increased significantly only in SW group (p<0.05). Conclusion: Although SW therapy is effective on subjective clinical parameters, this efficacy is not superior to placebo. SW therapy is effective on objective clinical parameters compared to PSW therapy and placebo and it increases median nerve sensory conduction velocities in mild and moderate CTS. Turk J Phys Med Rehab 2013;59:103-7.
Açıklama
Anahtar Kelimeler
Rehabilitasyon
Kaynak
Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
59
Sayı
2