Comparison of the efficacy of phonophoresis and conventional ultrasound therapy in patients with primary knee osteoarthritis

UÇAR, Demet; EM, Serda; NAS, Kemal; Gur, Ali; OKTAYOĞLU, Pelin; Caglayan, Mehmet; BOZKURT, Mehtap; YARDIMEDEN, İbrahim; ÇEVİK, Figen

Comparison of the efficacy of phonophoresis and conventional ultrasound therapy in patients with primary knee osteoarthritis

Pelin OKTAYOĞLU, (Dicle Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Diyarbakır, Türkiye)

Ali GÜR, (Gaziantep Üniversitesi, Devlet Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Gaziantep, Türkiye)

İbrahim YARDIMEDEN, (Evrensel Hastanesi, Fiziksel Tıp ve Rehabilitasyon, Bölümü, Diyarbakır, Türkiye)

Mehmet ÇAĞLAYAN, (Dicle Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Diyarbakır, Türkiye)

Figen ÇEVİK, (Özel Fizyopolitan Fizik Tedavi ve Rehabilitasyon Dal Merkezi, Fiziksel Tıp ve Rehabilitasyon, Bölümü, Diyarbakır, Türkiye)

Mehtap BOZKURT, (Dicle Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Diyarbakır, Türkiye)

Serda EM, (Dicle Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Diyarbakır, Türkiye)

Demet UÇAR, (Dicle Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Diyarbakır, Türkiye)

Kemal NAS (Dicle Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Diyarbakır, Türkiye)

Erciyes Tıp Dergisi

3 0

Yıl: 2014 Cilt: 36 Sayı: 1 Sayfa Aralığı: 11 - 18 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Comparison of the efficacy of phonophoresis and conventional ultrasound therapy in patients with primary knee osteoarthritis

Öz:

Amaç: Primer diz osteoartriti (OA) olan hastalarda ultrason (US) ve fonoforez (FF) etkinliğini karşılaştırmak. Materyal ve Metot: Kırk hasta FF ve US şeklinde iki gruba ayrıldı. Farmakolojik ajan içermeyen akustik jel US grubuna uygulanırken %1.16 diklofenak dietilamonium içeren bir jel FF grubuna 10 seans uygulandı. Western Ontario ve McMaster Üniversiteleri Osteoartrit İndeksi (WOMAC) ağrı alt skalası ve Visual Analog Skalası (VAS) ağrı değerlendirmesi için kullanıldı. WOMAC fiziksel fonksiyon alt skalası, Lequesne fonksiyonel indeks ve Stanford Sağlık Değerlendirme Anketi (HAQ) fiziksel aktivitelerin değerlendirilmesi için kullanıldı. Hastalar 3 aylık takip periyodunda değerlendirildi. Bulgular: FF grubunda, ağrısız yürüme süresi 2. hafta hariç tüm takip zamanlarında düzeldi (p<0.05). Ağrısız yürüme mesafesi ve VAS skorları da tüm takip zamanlarında düzeldi (p<0.05). US grubunda, yürüyüş ve diz fleksiyonu sırasında VAS skorları, WOMAC ağrı ve fiziksel fonksiyon skorları ve total WOMAC skorları tüm takip zamanlarında anlamlı olarak düzeldi (p<0.05). Sonuç: Her iki tedavi modalitesi de etkili bulundu. Tedavilerden biri diğerine üstündür diyemeyiz ancak USe kıyasla FF ağrısız yürüme süresini daha başarılı şekilde artırabilir.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Primer diz osteoartriti olan hastalarda fonoforez ve konvansiyonel ultrason tedavisinin etkinliğinin karşılaştırılması

Öz:

Objective: To compare the efficacy of phonophoresis (PH) versus ultrasound (US) in patients with primary knee osteoarthritis (OA). Materials and Methods: Forty patients were divided into two groups as PH and US. Acoustic gel containing no pharmacological agent was applied in the US group, whereas a gel containing 1.16% diclofenac diethylamonium was applied in the PH group for 10 sessions. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain subscale and Visual Analogue Scale (VAS) were used for the assessment of pain. The WOMAC physical function subscale, Lequesne functional index and Stanford Health Assessment Questionnaire (HAQ) were used for the assessment of physical activities. Patients were assessed for a 3 month follow-up period. Results: In the PH group, painless walking duration improved at all follow-up times except for week 2 (p<0.05). Painless walking distance and VAS scores also improved at all follow-up times (p<0.05). In the US group, VAS scores during walking and flexion of the knee, WOMAC pain and physical function scores and total WOMAC scores improved significantly at all follow-up times (p<0.05). Conclusion: Both therapeutic modalities were found effective. We suggest neither therapy is superior to the other but PH can improve painless walking duration more successfully than US.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	OKTAYOĞLU P, Gur A, YARDIMEDEN İ, Caglayan M, ÇEVİK F, BOZKURT M, EM S, UÇAR D, NAS K (2014). Comparison of the efficacy of phonophoresis and conventional ultrasound therapy in patients with primary knee osteoarthritis. , 11 - 18.
Chicago	OKTAYOĞLU Pelin,Gur Ali,YARDIMEDEN İbrahim,Caglayan Mehmet,ÇEVİK Figen,BOZKURT Mehtap,EM Serda,UÇAR Demet,NAS Kemal Comparison of the efficacy of phonophoresis and conventional ultrasound therapy in patients with primary knee osteoarthritis. (2014): 11 - 18.
MLA	OKTAYOĞLU Pelin,Gur Ali,YARDIMEDEN İbrahim,Caglayan Mehmet,ÇEVİK Figen,BOZKURT Mehtap,EM Serda,UÇAR Demet,NAS Kemal Comparison of the efficacy of phonophoresis and conventional ultrasound therapy in patients with primary knee osteoarthritis. , 2014, ss.11 - 18.
AMA	OKTAYOĞLU P,Gur A,YARDIMEDEN İ,Caglayan M,ÇEVİK F,BOZKURT M,EM S,UÇAR D,NAS K Comparison of the efficacy of phonophoresis and conventional ultrasound therapy in patients with primary knee osteoarthritis. . 2014; 11 - 18.
Vancouver	OKTAYOĞLU P,Gur A,YARDIMEDEN İ,Caglayan M,ÇEVİK F,BOZKURT M,EM S,UÇAR D,NAS K Comparison of the efficacy of phonophoresis and conventional ultrasound therapy in patients with primary knee osteoarthritis. . 2014; 11 - 18.
IEEE	OKTAYOĞLU P,Gur A,YARDIMEDEN İ,Caglayan M,ÇEVİK F,BOZKURT M,EM S,UÇAR D,NAS K "Comparison of the efficacy of phonophoresis and conventional ultrasound therapy in patients with primary knee osteoarthritis." , ss.11 - 18, 2014.
ISNAD	OKTAYOĞLU, Pelin vd. "Comparison of the efficacy of phonophoresis and conventional ultrasound therapy in patients with primary knee osteoarthritis". (2014), 11-18.

APA	OKTAYOĞLU P, Gur A, YARDIMEDEN İ, Caglayan M, ÇEVİK F, BOZKURT M, EM S, UÇAR D, NAS K (2014). Comparison of the efficacy of phonophoresis and conventional ultrasound therapy in patients with primary knee osteoarthritis. Erciyes Tıp Dergisi, 36(1), 11 - 18.
Chicago	OKTAYOĞLU Pelin,Gur Ali,YARDIMEDEN İbrahim,Caglayan Mehmet,ÇEVİK Figen,BOZKURT Mehtap,EM Serda,UÇAR Demet,NAS Kemal Comparison of the efficacy of phonophoresis and conventional ultrasound therapy in patients with primary knee osteoarthritis. Erciyes Tıp Dergisi 36, no.1 (2014): 11 - 18.
MLA	OKTAYOĞLU Pelin,Gur Ali,YARDIMEDEN İbrahim,Caglayan Mehmet,ÇEVİK Figen,BOZKURT Mehtap,EM Serda,UÇAR Demet,NAS Kemal Comparison of the efficacy of phonophoresis and conventional ultrasound therapy in patients with primary knee osteoarthritis. Erciyes Tıp Dergisi, vol.36, no.1, 2014, ss.11 - 18.
AMA	OKTAYOĞLU P,Gur A,YARDIMEDEN İ,Caglayan M,ÇEVİK F,BOZKURT M,EM S,UÇAR D,NAS K Comparison of the efficacy of phonophoresis and conventional ultrasound therapy in patients with primary knee osteoarthritis. Erciyes Tıp Dergisi. 2014; 36(1): 11 - 18.
Vancouver	OKTAYOĞLU P,Gur A,YARDIMEDEN İ,Caglayan M,ÇEVİK F,BOZKURT M,EM S,UÇAR D,NAS K Comparison of the efficacy of phonophoresis and conventional ultrasound therapy in patients with primary knee osteoarthritis. Erciyes Tıp Dergisi. 2014; 36(1): 11 - 18.
IEEE	OKTAYOĞLU P,Gur A,YARDIMEDEN İ,Caglayan M,ÇEVİK F,BOZKURT M,EM S,UÇAR D,NAS K "Comparison of the efficacy of phonophoresis and conventional ultrasound therapy in patients with primary knee osteoarthritis." Erciyes Tıp Dergisi, 36, ss.11 - 18, 2014.
ISNAD	OKTAYOĞLU, Pelin vd. "Comparison of the efficacy of phonophoresis and conventional ultrasound therapy in patients with primary knee osteoarthritis". Erciyes Tıp Dergisi 36/1 (2014), 11-18.