Yıl: 2016 Cilt: 62 Sayı: 2 Sayfa Aralığı: 132 - 142 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

The effectiveness of galvanic electrotherapy and a conservative hand exercise program in a rheumatoid hand: a randomized controlled trial

Öz:
Amaç: Bu çalışmada galvani elektroterapisinin romatizmal el ağrısını azaltıp azaltmadığı ve konservatif el egzersizlerinin el gücünde artış sağlayıp sağlamadığı değerlendirildi.Hastalar ve yöntemler: Mart 2012 - Kasım 2012 tarihleri arasında polikliniğimizde takip edilen romatoid artritli 30 kadın hasta (ort. yaş 54.0±11.2 yıl; dağılım 50-75 yıl) rastgele iki gruba ayrıldı. Çalışma grubuna (n=16) konservatif el egzersizi programına ek olarak galvani elektroterapisi uygulandı. Kontrol grubundaki hastalara (n=14) ise, yalnızca konservatif el egzersiz programı uygulandı. Elin ağrı düzeyi Görsel Analog Ölçeği (GAÖ) ile değerlendirildi. El kavrama ve çimdik gücü, dinamometre ile ölçüldü. Özürlülük düzeyi, Sağlık Değerlendirme Anketi (SDA) ile incelendi. Elin fonksiyonel özürlülüğü, Duruöz El İndeksi (DEİ) ile değerlendirildi. Bütün ölçümler her iki el için tedavi öncesi, tedaviden hemen sonra ve beşinci haftada yapıldı.Bulgular: Gruplar arasında GAÖ skoru anlamlı düzeyde farklı değildi. Çalışma grubunda, birinci ve ikinci ölçümler arasında sağ ve sol elin kavrama gücünde anlamlı artış saptandı (p=0.011 ve p=0.025). Kontrol grubunda sağ elin kavrama gücü açısından ölçümler arasında anlamlı bir fark yoktu. Çalışma grubunda, SDA skorlarında ilk ve müteakip ölçümler arasında anlamlı farklılıklar kaydedildi (p=0.001 ve p=0.007).Sonuç: Çalışma bulgularımız, galvani elektroterapisi ve konservatif el egzersizlerinin romatizmal ellerin tedavisinde etkili olduğunu göstermektedir
Anahtar Kelime:

Konular: Rehabilitasyon

Romatizmal elde galvani elektroterapisinin ve konservatif el egzersiz programının etkinliği: Randomize kontrollü çalışma

Öz:
Objectives: This study aims to evaluate whether the galvanic electrotherapy can relieve rheumatic hand pain and whether conservative hand exercises increase the hand strength. Patients and methods: Between March 2012 and November 2012, 30 female patients with rheumatoid arthritis (mean age 54.0±11.2 years; range 50 to 75 years) who were followed in our outpatient clinic were randomized into two groups. The study group (n=16) was administered the galvanic electrotherapy combined with a conservative exercise program. The patients in the control group (n=14) were administered the conservative exercise program alone. The pain level of the hand was evaluated using the Visual Analog Scale (VAS). Hand grip and pinch strength were measured by dynamometry. The level of disability was examined using the Health Assessment Questionnaire (HAQ). The functional disability of the hand was assessed using the Duruöz Hand Index (DHI). All measurements were performed on both hands before and immediately and at five weeks after therapy.Results: The VAS scores did not significantly differ between the groups. In the study group, a significant increase was noted in the grip strength of the right and left hand between the first and second measurement (p=0.011 and p=0.025). In the control group, there was no significant difference between the measurements in terms of the grip strength of the right hand. In the study group, significant differences in the HAQ scores were recorded between first and subsequent measurements (p=0.001 and p=0.007).Conclusion: Our study results show that the galvanic electrotherapy and conservative hand exercises are effective in the treatment of rheumatic hands
Anahtar Kelime:

Konular: Rehabilitasyon
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Adams J, Burridge J, Mullee M, Hammond A, Cooper C. Correlation between upper limb functional ability and structural hand impairment in an early rheumatoid population. Clin Rehabil 2004;18:405-13.
  • 2. Dedeoğlu M, Gafuroğlu Ü, Yılmaz Ö, Bodur H. The relationship between hand grip and pinch strengths and disease activity, articular damage, pain, and disability in patients with rheumatoid arthritis. Turk J Rheumatol 2013;28:69-77.
  • 3. O’Brien AV, Jones P, Mullis R, Mulherin D, Dziedzic K. Conservative hand therapy treatments in rheumatoid arthritis--a randomized controlled trial. Rheumatology (Oxford) 2006;45:577-83.
  • 4. Wessel J. The effectiveness of hand exercises for persons with rheumatoid arthritis: a systematic review. J Hand Ther 2004;17:174-80.
  • 5. Ottawa Panel. Ottawa Panel Evidence-Based Clinical Practice Guidelines for Electrotherapy and Thermotherapy Interventions in the Management of Rheumatoid Arthritis in Adults. Phys Ther 2004;84:1016-43.
  • 6. Brosseau L, Judd MG, Marchand S, Robinson VA, Tugwell P, Wells G, et al. Transcutaneous electrical nerve stimulation (TENS) for the treatment of rheumatoid arthritis in the hand. Cochrane Database Syst Rev 2003;3:004377.
  • 7. Brosseau LU, Pelland LU, Casimiro LY, Robinson VI, Tugwell PE, Wells GE. Electrical stimulation for the treatment of rheumatoid arthritis. Cochrane Database Syst Rev 2002;2:003687.
  • 8. Piva SR, Goodnite EA, Azuma K, Woollard JD, Goodpaster BH, Wasko MC, et al. Neuromuscular electrical stimulation and volitional exercise for individuals with rheumatoid arthritis: a multiple-patient case report. Phys Ther 2007;87:1064-77.
  • 9. de Jong Z, Munneke M, Zwinderman AH, Kroon HM, Ronday KH, Lems WF, et al. Long term high intensity exercise and damage of small joints in rheumatoid arthritis. Ann Rheum Dis 2004;63:1399-405.
  • 10. Panel O. Ottawa Panel evidence-based clinical practice guidelines for therapeutic exercises in the management of rheumatoid arthritis in adults. Phys Ther 2004;84:934–72.
  • 11. Brorsson S, Hilliges M, Sollerman C, Nilsdotter A. A sixweek hand exercise programme improves strength and hand function in patients with rheumatoid arthritis. J Rehabil Med 2009;41:338-42.
  • 12. Arnett FC, Edworthy SM, Bloch DA, McShane DJ, Fries JF, Cooper NS, et al. The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum 1988;31:315-24.
  • 13. Küçükdeveci AA, Sahin H, Ataman S, Griffiths B, Tennant A. Issues in cross-cultural validity: example from the adaptation, reliability, and validity testing of a Turkish version of the Stanford Health Assessment Questionnaire. Arthritis Rheum 2004;51:14-9.
  • 14. Duruöz MT, Poiraudeau S, Fermanian J, Menkes CJ, Amor B, Dougados M, et al. Development and validation of a rheumatoid hand functional disability scale that assesses functional handicap. J Rheumatol 1996;23:1167-72.
  • 15. American Academy of Orthopaedic Surgeons. Measurement of joints. Joint motion: Method of measuring and recording. Edinburgh and London: Churchill Livingstone; 1965. p. 10-79.
  • 16. Mathiowetz V, Kashman N, Volland G, Weber K, Dowe M, Rogers S. Grip and pinch strength: normative data for adults. Arch Phys Med Rehabil 1985;66:69-74.
  • 17. Mathiowetz V, Weber K, Kashman N, Volland G. Adult norms for the nine hole peg test of finger dexterity. Occup Ther J Res 1985;5:24-38.
  • 18. Rønningen A, Kjeken I. Effect of an intensive hand exercise programme in patients with rheumatoid arthritis. Scand J Occup Ther 2008;15:173-83.
  • 19. Fraser A, Vallow J, Preston A, Cooper RG. Predicting ‘normal’ grip strength for rheumatoid arthritis patients. Rheumatology (Oxford) 1999;38:521-8.
  • 20. Wessel J. The effectiveness of hand exercises for persons with rheumatoid arthritis: a systematic review. J Hand Ther 2004;17:174-80.
  • 21. Chadwick A. A review of the history of hand exercises in rheumatoid arthritis. Musculoskeletal Care 2004;2:29-39.
  • 22. Cima SR, Barone A, Porto JM, de Abreu DC. Strengthening exercises to improve hand strength and functionality in rheumatoid arthritis with hand deformities: a randomized, controlled trial. Rheumatol Int 2013;33:725-32.
  • 23. Dogu B, Sirzai H, Yilmaz F, Polat B, Kuran B. Effects of isotonic and isometric hand exercises on pain, hand functions, dexterity and quality of life in women with rheumatoid arthritis. Rheumatol Int 2013;33:2625-30.
  • 24. Selkowitz DM. Electrical currents. In: Cameron MH, editor. Physical agents in rehabilitation from research to practice. Philadelphia: W. B. Saunders Company; 1999. p. 345-427.
APA Erdoğdu D, BAL HASTÜRK A, KARAAHMET Ö, KARACA UMAY E, NOYAN S, Cakci A (2016). The effectiveness of galvanic electrotherapy and a conservative hand exercise program in a rheumatoid hand: a randomized controlled trial. , 132 - 142.
Chicago Erdoğdu Deniz,BAL HASTÜRK AJDA,KARAAHMET Özgür,KARACA UMAY Ebru,NOYAN Sema,Cakci Aytul The effectiveness of galvanic electrotherapy and a conservative hand exercise program in a rheumatoid hand: a randomized controlled trial. (2016): 132 - 142.
MLA Erdoğdu Deniz,BAL HASTÜRK AJDA,KARAAHMET Özgür,KARACA UMAY Ebru,NOYAN Sema,Cakci Aytul The effectiveness of galvanic electrotherapy and a conservative hand exercise program in a rheumatoid hand: a randomized controlled trial. , 2016, ss.132 - 142.
AMA Erdoğdu D,BAL HASTÜRK A,KARAAHMET Ö,KARACA UMAY E,NOYAN S,Cakci A The effectiveness of galvanic electrotherapy and a conservative hand exercise program in a rheumatoid hand: a randomized controlled trial. . 2016; 132 - 142.
Vancouver Erdoğdu D,BAL HASTÜRK A,KARAAHMET Ö,KARACA UMAY E,NOYAN S,Cakci A The effectiveness of galvanic electrotherapy and a conservative hand exercise program in a rheumatoid hand: a randomized controlled trial. . 2016; 132 - 142.
IEEE Erdoğdu D,BAL HASTÜRK A,KARAAHMET Ö,KARACA UMAY E,NOYAN S,Cakci A "The effectiveness of galvanic electrotherapy and a conservative hand exercise program in a rheumatoid hand: a randomized controlled trial." , ss.132 - 142, 2016.
ISNAD Erdoğdu, Deniz vd. "The effectiveness of galvanic electrotherapy and a conservative hand exercise program in a rheumatoid hand: a randomized controlled trial". (2016), 132-142.
APA Erdoğdu D, BAL HASTÜRK A, KARAAHMET Ö, KARACA UMAY E, NOYAN S, Cakci A (2016). The effectiveness of galvanic electrotherapy and a conservative hand exercise program in a rheumatoid hand: a randomized controlled trial. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 62(2), 132 - 142.
Chicago Erdoğdu Deniz,BAL HASTÜRK AJDA,KARAAHMET Özgür,KARACA UMAY Ebru,NOYAN Sema,Cakci Aytul The effectiveness of galvanic electrotherapy and a conservative hand exercise program in a rheumatoid hand: a randomized controlled trial. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 62, no.2 (2016): 132 - 142.
MLA Erdoğdu Deniz,BAL HASTÜRK AJDA,KARAAHMET Özgür,KARACA UMAY Ebru,NOYAN Sema,Cakci Aytul The effectiveness of galvanic electrotherapy and a conservative hand exercise program in a rheumatoid hand: a randomized controlled trial. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, vol.62, no.2, 2016, ss.132 - 142.
AMA Erdoğdu D,BAL HASTÜRK A,KARAAHMET Ö,KARACA UMAY E,NOYAN S,Cakci A The effectiveness of galvanic electrotherapy and a conservative hand exercise program in a rheumatoid hand: a randomized controlled trial. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2016; 62(2): 132 - 142.
Vancouver Erdoğdu D,BAL HASTÜRK A,KARAAHMET Ö,KARACA UMAY E,NOYAN S,Cakci A The effectiveness of galvanic electrotherapy and a conservative hand exercise program in a rheumatoid hand: a randomized controlled trial. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2016; 62(2): 132 - 142.
IEEE Erdoğdu D,BAL HASTÜRK A,KARAAHMET Ö,KARACA UMAY E,NOYAN S,Cakci A "The effectiveness of galvanic electrotherapy and a conservative hand exercise program in a rheumatoid hand: a randomized controlled trial." Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 62, ss.132 - 142, 2016.
ISNAD Erdoğdu, Deniz vd. "The effectiveness of galvanic electrotherapy and a conservative hand exercise program in a rheumatoid hand: a randomized controlled trial". Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 62/2 (2016), 132-142.