Firdevs ARIKAN
(İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)
AYSEL YILDIZ ÖZER
(İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)
Nur KESİKTAŞ
(İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)
Ayşe KARAN
(İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)
Lütfiye MÜSLÜMANOĞLU
(İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)
Yıl: 2011Cilt: 14Sayı: 1ISSN: 1309-3843 / 1307-7384Sayfa Aralığı: 1 - 8Türkçe

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The effectiveness of pulsed magnetic field theraphy i idiopathic Carpal Tunnel syndrome: A randomized, double blind, sham controlled trial
Karpal Tünel Sendromu (KTS) tedavisinde öncelikle konservatif tedavi yaklaşımlarına odaklanılır. Pulse manyetik alan tedavisi (PMAT) KTS için konservatif yöntemlerden biridir. Bu randomize, plasebo kontrollü, çift kör çalışmada idiopatik karpal tünel sendromlu hastalarda pulse manyetik alan tedavisinin klinik ve elektrofizyolojik parametrelere etkinliği araştırıldı. Yöntem Alınma kriterlerini taşıyan 38 hastanın (57 elin) 36’sı (53 el) çalışmayı tamamladı. Fizyoterapist tarafından 1:1 randomize edilen hastaların 18 ‘i (27 el) pulse manyetik alan 20’si de (30 el) plasebo manyetik alan tedavisi gördü Her hasta tedavi öncesinde, sonrasında ve tedaviden 1 ay sonra klinik ve elektrofizyolojik son noktalarla değerlendirildi. Klinik son noktalar VAS, semptom skoru ve ağrı nedeniyle uyanma skorundan oluşurken elektrofizyolojik son noktalar median duyusal distal latans, duyusal amplitüd, duyusal sinir ileti hızı, motor distal latans, motor amplitüd ve motor sinir ileti hızını içeriyordu. İstatistik analizlerde, SPSS 10.1 bilgisayar programı kullanılarak student t-test, chi-square test, Mann-Whitney U Wilcoxon test uygulandı. Bu testlerin sonucu olarak, her iki tedavinin, tedavi sonrası ve tedaviden 1 ay sonra klinik ve elektrofizyolojik son noktalara etkin olduğu, ancak pulse manyetik alan tedavisinin klinik ve elektrofizyolojik olarak plaseboya üstün olmadığı görüldü. Bu çalışmanın takip süresi ve çalışılan el sayısı göz önüne alındığında daha sağlıklı sonuçlar elde etmek için fazla sayıda ve uzun dönem takipleri olan hastalarla çalışmanın gerekli olduğu ortaya çıkmaktadır.
Fen > Tıp > Genel ve Dahili Tıp
Fen > Tıp > Rehabilitasyon
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