Yıl: 2013 Cilt: 28 Sayı: 1 Sayfa Aralığı: 16 - 26 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Comparison of Mini-squats and Straight Leg Raises in Patients with Knee Osteoarthritis: A Randomized Controlled Clinical Trial

Öz:
Amaç: Bu çalışmada diz osteoartritli (OA) hastalarda ağrı şiddeti, performans, kas kuvveti, fiziksel fonksiyon ve denge üzerine düz bacak kaldırma egzersizi (DBKE) ve mini çömelme egzersizinin (MÇE) etkinliği karşılaştırıldı.Hastalar ve yöntemler: Şubat 2009-Şubat 2010 tarihleri arasında iki taraflı diz OA yakınması ile Başkent Üniversitesi Hastanesi'ne başvuran, 40 kadın hasta (ort. yaş 59.93±10.61 yıl; dağılım 30-65 yıl) bu randomize kontrollü, çift-kör klinik çalışmaya dahil edildi. Hastalar DBKE ve MÇE olmak üzere iki gruba ayrıldı. Her iki egzersiz grubu haftada beş seanstan oluşan toplam üç haftalık bir programa dahil edildi. İki grup da her seansta elektroterapi programı aldı. Görsel analog ölçeği (GAÖ) ile diz ağrısı, Zamanlı Kalk-Yürü (ZKY) testi ile fiziksel performans, Cybex II ile izokinetik kuadriseps ve hamstring kas kuvveti, Spor KAT 3.0 ile statik denge, Diz İncinme ve Osteoartrit Sonuç Skoru-Fiziksel Fonksiyon Kısa Formu (KOOS-PS) ile fiziksel fonksiyon başlangıçta, tedavi sonrasında ve tedaviden bir ay sonra değerlendirildi.Bulgular: Statik denge parametreleri göz önünde bulundurulduğunda egzersiz programı (EP) sonrası (p=0.659) ve takip döneminde (p=0.327) gruplar arası anlamlı fark bulunmadı. Egzersiz programı sonrası (p=0.398) ve takip döneminde (p=0.201) DBKE ve MÇE grupları arasında KOOSPS skorları açısından anlamlı fark bulunmadı. Ayrıca GAÖ skorları açısından EP sonrasında (p=0.149) DBKE ve MÇE grupları arası anlamlı fark bulunmamasına rağmen takip döneminde (p=0.030) anlamlı fark bulundu. Mini çömelme egzersiz grubu, DBKE grubuna kıyasla, EP sonunda anlamlı düzeyde yüksek ZKY testi skorları ve 60°/sn (p=0.024), 90°/sn (p=0.003), 120°/sn (p=0.005) ve 180°/sn'de (p=0.017) daha yüksek sağ izokinetik diz ekstansör kas kuvvetine sahipti.Sonuç: Uzun dönemli takipleri içeren ve bu periyottan sonra DBKE ve MÇE'nin etkinliğini değerlendirebilecek kriterleri kapsayan başka çalışmalara gereksinim vardır.
Anahtar Kelime:

Konular: Romatoloji

Diz Osteoartritli Hastalarda Mini Squat ve Düz Bacak Kaldırma Egzersizlerinin Karşılaştırılması: Randomize Kontrollü Klinik Çalışma

Öz:
Objectives: In this study, we aimed to compare the effects of the straight leg raise exercise (SLRE) and mini squat exercise (MSE) on pain intensity, performance, muscle strength, physical function and balance in patients with knee osteoarthritis (OA). Patients and methods: Forty female patients (mean age 59.93±10.61 years; range 30-65 years) who were admitted to Başkent University Hospital between February 2009 and February 2010 with bilateral knee OA were included in this randomized controlled double-blind clinical trial. The patients were assigned into two groups, including SLRE and MSE. Both exercise groups were scheduled for a three- week program of five sessions per week. Both groups also received an electrotherapy program in each session. Knee pain using the visual analog scale (VAS), physical performance using Timed Up and Go (TUG) Test, isokinetic quadriceps and hamstring muscle strengths using Cybex II, static balance using SportKAT 3000, physical function using Knee Injury and Osteoarhtritis Outcome Score-Physical Function Short Form (KOOS-PS) were assessed at baseline, at treatment end, and one month after treatment end. Results: No significant difference was found in static balance testing parameters after exercise program (EP) (p=0.659) and during follow-up period (p=0.327) between the groups. There was no significant difference in KOOS-PS scores after EP (p=0.398) and during follow-up (p=0.201) between SLRE and MSE groups. There was no significant difference in VAS scores after EP (p=0.149), however significant difference was found during follow-up (p=0.030) between SLRE and MSE groups. Mini squat exercise group had significantly higher TUG scores and higher right knee extensor torque at 60°/sec (p=0.024), 90°/sec (p=0.003), 120°/sec (p=0.005) and 180°/sec (p=0.017) compared to the SLRE group at the end of EP. Conclusion: Further studies are required including long-term follow-up and the evaluation criteria of the effectiveness of SLRE and MSE after this period.
Anahtar Kelime:

Konular: Romatoloji
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA DAŞKAPAN A, ANAFOROĞLU B, PEKYAVAŞ ÖZÜNLÜ N, Tüzün E, NUR COŞAR S, KARATAŞ M (2013). Comparison of Mini-squats and Straight Leg Raises in Patients with Knee Osteoarthritis: A Randomized Controlled Clinical Trial. , 16 - 26.
Chicago DAŞKAPAN Arzu,ANAFOROĞLU Bahar,PEKYAVAŞ ÖZÜNLÜ Nihan,Tüzün Emine Handan,NUR COŞAR Sacide,KARATAŞ Metin Comparison of Mini-squats and Straight Leg Raises in Patients with Knee Osteoarthritis: A Randomized Controlled Clinical Trial. (2013): 16 - 26.
MLA DAŞKAPAN Arzu,ANAFOROĞLU Bahar,PEKYAVAŞ ÖZÜNLÜ Nihan,Tüzün Emine Handan,NUR COŞAR Sacide,KARATAŞ Metin Comparison of Mini-squats and Straight Leg Raises in Patients with Knee Osteoarthritis: A Randomized Controlled Clinical Trial. , 2013, ss.16 - 26.
AMA DAŞKAPAN A,ANAFOROĞLU B,PEKYAVAŞ ÖZÜNLÜ N,Tüzün E,NUR COŞAR S,KARATAŞ M Comparison of Mini-squats and Straight Leg Raises in Patients with Knee Osteoarthritis: A Randomized Controlled Clinical Trial. . 2013; 16 - 26.
Vancouver DAŞKAPAN A,ANAFOROĞLU B,PEKYAVAŞ ÖZÜNLÜ N,Tüzün E,NUR COŞAR S,KARATAŞ M Comparison of Mini-squats and Straight Leg Raises in Patients with Knee Osteoarthritis: A Randomized Controlled Clinical Trial. . 2013; 16 - 26.
IEEE DAŞKAPAN A,ANAFOROĞLU B,PEKYAVAŞ ÖZÜNLÜ N,Tüzün E,NUR COŞAR S,KARATAŞ M "Comparison of Mini-squats and Straight Leg Raises in Patients with Knee Osteoarthritis: A Randomized Controlled Clinical Trial." , ss.16 - 26, 2013.
ISNAD DAŞKAPAN, Arzu vd. "Comparison of Mini-squats and Straight Leg Raises in Patients with Knee Osteoarthritis: A Randomized Controlled Clinical Trial". (2013), 16-26.
APA DAŞKAPAN A, ANAFOROĞLU B, PEKYAVAŞ ÖZÜNLÜ N, Tüzün E, NUR COŞAR S, KARATAŞ M (2013). Comparison of Mini-squats and Straight Leg Raises in Patients with Knee Osteoarthritis: A Randomized Controlled Clinical Trial. Turkish Journal of Rheumatology(.)Archives of Rheumatology, 28(1), 16 - 26.
Chicago DAŞKAPAN Arzu,ANAFOROĞLU Bahar,PEKYAVAŞ ÖZÜNLÜ Nihan,Tüzün Emine Handan,NUR COŞAR Sacide,KARATAŞ Metin Comparison of Mini-squats and Straight Leg Raises in Patients with Knee Osteoarthritis: A Randomized Controlled Clinical Trial. Turkish Journal of Rheumatology(.)Archives of Rheumatology 28, no.1 (2013): 16 - 26.
MLA DAŞKAPAN Arzu,ANAFOROĞLU Bahar,PEKYAVAŞ ÖZÜNLÜ Nihan,Tüzün Emine Handan,NUR COŞAR Sacide,KARATAŞ Metin Comparison of Mini-squats and Straight Leg Raises in Patients with Knee Osteoarthritis: A Randomized Controlled Clinical Trial. Turkish Journal of Rheumatology(.)Archives of Rheumatology, vol.28, no.1, 2013, ss.16 - 26.
AMA DAŞKAPAN A,ANAFOROĞLU B,PEKYAVAŞ ÖZÜNLÜ N,Tüzün E,NUR COŞAR S,KARATAŞ M Comparison of Mini-squats and Straight Leg Raises in Patients with Knee Osteoarthritis: A Randomized Controlled Clinical Trial. Turkish Journal of Rheumatology(.)Archives of Rheumatology. 2013; 28(1): 16 - 26.
Vancouver DAŞKAPAN A,ANAFOROĞLU B,PEKYAVAŞ ÖZÜNLÜ N,Tüzün E,NUR COŞAR S,KARATAŞ M Comparison of Mini-squats and Straight Leg Raises in Patients with Knee Osteoarthritis: A Randomized Controlled Clinical Trial. Turkish Journal of Rheumatology(.)Archives of Rheumatology. 2013; 28(1): 16 - 26.
IEEE DAŞKAPAN A,ANAFOROĞLU B,PEKYAVAŞ ÖZÜNLÜ N,Tüzün E,NUR COŞAR S,KARATAŞ M "Comparison of Mini-squats and Straight Leg Raises in Patients with Knee Osteoarthritis: A Randomized Controlled Clinical Trial." Turkish Journal of Rheumatology(.)Archives of Rheumatology, 28, ss.16 - 26, 2013.
ISNAD DAŞKAPAN, Arzu vd. "Comparison of Mini-squats and Straight Leg Raises in Patients with Knee Osteoarthritis: A Randomized Controlled Clinical Trial". Turkish Journal of Rheumatology(.)Archives of Rheumatology 28/1 (2013), 16-26.