Yıl: 2013 Cilt: 10 Sayı: 2 Sayfa Aralığı: 102 - 107 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Effectiveness of home exercise program in patients-with knee osteoarthritis

Öz:
Diz osteoartritli (OA) hastalarda izotonik, izometrik ve eklem hareket açıklığı (EHA) egzersizlerinden oluşan ev programının ağrı, fonksiyonel kapasite ve yaşam kalitesi üzerine etkisini araştırmak. Diz OA tanısı alan 75 hasta çalışmaya alındı. Hastalara 8 hafta aktif EHA, kuadriseps ve hamstringler için izometrik ve izotonik egzersizlerden oluşan ev programı uygulandı. Hastalarda bazalde, tedavi bitiminde ve tedavi bittikten sonra 12 haftada Vizüel Analog Skala (VAS) ile ağrı şiddeti, The Western Ontario and Mcmaster Universities Arthritis İndeks (WOMAC) ile fonksiyonel durum, Lequesne diz eklemi şiddet indeksi (LŞİ) ile hastalığın şiddeti, 36- Item Short-Form Health Survey (SF-36) ile yaşam kalitesi belirlendi. 8 haftanın sonundaDiz OAli 75 hastanın 52nin ev egzersiz programını düzenli uyguladığı tespit edildi. 52 diz OAli hastanın tedavi bitiminde VAS, WOMAC, LŞİ ve SF-36 alt skorlarından fiziksel fonksiyon, ağrı ve sosyal fonksiyon skorlarında bazale göre belirgin düzelme mevcuttu ve bu düzelme azalmakla birlikte tedavi bittikten sonra 12 haftada da devam ediyordu. Yine hastalarda egzersiz programı bitiminde SF-36 alt skorlarından mental sağlık, emosyonel rol, fiziksel rol, genel sağlık ve vitalite skorlarında bazale göre belirgin düzelme mevcuttu, ancak bu düzelme tedavi bittikten sonra 12 haftada devam etmiyordu. Sonuçlarımız diz OAli hastalarda ev egzersiz programının fonksiyonel düzeyi arttırdığı, ağrı düzeyini azalttığı ve yaşam kalitesini düzelttiğini göstermektedir. Bu nedenle diz OAli hastaları takip eden sağlık profesyonelleri tedavi planlarken ev egzersiz programlarını mutlaka gözönünde bulundurmalıdır.
Anahtar Kelime:

Konular: Cerrahi

Diz osteoartritli hastalarda ev egzersiz programının etkinliği

Öz:
To investigate effects of home exercise program including isotonic, isometric and joint range of motion (ROM) exercises on pain, functional capacity and quality of life in knee OA patients. Seventy-five patients with knee OA were included into the study. Patients were exposed to home exercise program including 8-week active ROM, and isometric and isotonic exercises for quadriceps and hamstrings. In patients, severity of pain, functional capacity, severity of disease and quality of life were assessed with Visual Analogue Scale (VAS), The Western Ontario and McMaster Universities Arthritis Index (WOMAC), Lequesne s knee severity index (LSI) and 36-Item Short-Form Health Survey (SF-36) on admission, at the end of and 12th week after the treatment, respectively. At the end of 8th week, of 75 patients, 52 were determined to perform home exercise program regularly. At the end of treatment for 52 patients with knee OA, a significant improvement was seen in physical function, bodily pain and social functioning scores among subscales of SF-36, and VAS, WOMAC and LSI, compared to basal findings. The improvement also continued at 12th week after the treatment. Also, a marked amelioration was observed in role limitation physical, health perception, mental health, role limitation emotional and energy scores among subscales of SF-36, after completing exercise program; however, the amelioration disappared at 12th week after the teratment. Our findings indicate home exercise program increases functional level, decreases pain severity and improves quality of life. Therefore, physicians following-up patients with knee OA should take home exercise programs into consideration while planning treatment regimes.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA YILMAZ H, DEMİR POLAT H, KARACA G, KÜÇÜKSEN S, AKKURT H (2013). Effectiveness of home exercise program in patients-with knee osteoarthritis. , 102 - 107.
Chicago YILMAZ Halim,DEMİR POLAT H. Almula,KARACA Gülten,KÜÇÜKSEN SAMI,AKKURT H. Ekrem Effectiveness of home exercise program in patients-with knee osteoarthritis. (2013): 102 - 107.
MLA YILMAZ Halim,DEMİR POLAT H. Almula,KARACA Gülten,KÜÇÜKSEN SAMI,AKKURT H. Ekrem Effectiveness of home exercise program in patients-with knee osteoarthritis. , 2013, ss.102 - 107.
AMA YILMAZ H,DEMİR POLAT H,KARACA G,KÜÇÜKSEN S,AKKURT H Effectiveness of home exercise program in patients-with knee osteoarthritis. . 2013; 102 - 107.
Vancouver YILMAZ H,DEMİR POLAT H,KARACA G,KÜÇÜKSEN S,AKKURT H Effectiveness of home exercise program in patients-with knee osteoarthritis. . 2013; 102 - 107.
IEEE YILMAZ H,DEMİR POLAT H,KARACA G,KÜÇÜKSEN S,AKKURT H "Effectiveness of home exercise program in patients-with knee osteoarthritis." , ss.102 - 107, 2013.
ISNAD YILMAZ, Halim vd. "Effectiveness of home exercise program in patients-with knee osteoarthritis". (2013), 102-107.
APA YILMAZ H, DEMİR POLAT H, KARACA G, KÜÇÜKSEN S, AKKURT H (2013). Effectiveness of home exercise program in patients-with knee osteoarthritis. European Journal of General Medicine, 10(2), 102 - 107.
Chicago YILMAZ Halim,DEMİR POLAT H. Almula,KARACA Gülten,KÜÇÜKSEN SAMI,AKKURT H. Ekrem Effectiveness of home exercise program in patients-with knee osteoarthritis. European Journal of General Medicine 10, no.2 (2013): 102 - 107.
MLA YILMAZ Halim,DEMİR POLAT H. Almula,KARACA Gülten,KÜÇÜKSEN SAMI,AKKURT H. Ekrem Effectiveness of home exercise program in patients-with knee osteoarthritis. European Journal of General Medicine, vol.10, no.2, 2013, ss.102 - 107.
AMA YILMAZ H,DEMİR POLAT H,KARACA G,KÜÇÜKSEN S,AKKURT H Effectiveness of home exercise program in patients-with knee osteoarthritis. European Journal of General Medicine. 2013; 10(2): 102 - 107.
Vancouver YILMAZ H,DEMİR POLAT H,KARACA G,KÜÇÜKSEN S,AKKURT H Effectiveness of home exercise program in patients-with knee osteoarthritis. European Journal of General Medicine. 2013; 10(2): 102 - 107.
IEEE YILMAZ H,DEMİR POLAT H,KARACA G,KÜÇÜKSEN S,AKKURT H "Effectiveness of home exercise program in patients-with knee osteoarthritis." European Journal of General Medicine, 10, ss.102 - 107, 2013.
ISNAD YILMAZ, Halim vd. "Effectiveness of home exercise program in patients-with knee osteoarthritis". European Journal of General Medicine 10/2 (2013), 102-107.