Effectiveness of Physical Therapy In Ankylosing Spondylitis: A Randomized Controlled Study
Yıl: 2021 Cilt: 12 Sayı: 42 Sayfa Aralığı: 44 - 50 Metin Dili: İngilizce DOI: 10.17944/mkutfd.843202 İndeks Tarihi: 29-07-2022
Effectiveness of Physical Therapy In Ankylosing Spondylitis: A Randomized Controlled Study
Öz: Objective: To evaluate the effects of physical therapy on pain, disease activity, functional and emotional status and quality of life inpatients with ankylosing spondylitis (AS).Method: The study included 31 patients with a diagnosis of AS and were randomly separated into two groups as the physical therapyand the control group. The patients in the physical therapy group were applied with 15 sessions of physical therapy (hot-pack,ultrasound, transcutaneous electrical nerve stimulation (TENS), hydrotherapy) and home exercise program. The control group receivedthe home exercise program. Evaluations were made of groups before treatment, then in the 2nd and 6th weeks. The Visual Analog Scale(VAS) daily and night, Ankylosing Spondylitis Function Index (BASFI), Ankylosing Spondylitis Disease Activity Index (BASDAI), modifiedSchober, fingertip to floor distance, lateral flexion, cervical rotation, intermalleolar distance, tragus-wall distance,Ankylosing SpondylitisMetrology Index (BASMI), chest expansion and the chin-manubrium distance were measured. The Beck Depression Inventory (BDI) andthe Short-Form-36 (SF-36)were completed before treatment and in the 6th week.Results: When the two groups were compared, the VAS (daily) score in the 2nd and 6th weeks and improvement in the general healthparameters of the SF-36 at 6 weeks were seen to be statistically significant in the treatment group (p<0.05). In the comparison of theparameters between 0 and 6 weeks, statistically significant improvements were determined in the treatment group in the VAS dayand night(p<0.01), modified Schober, chest expansion (p<0.05), BASDAI (p<0.01), BASMI and the general health, mental health, socialfunction parameters of the SF-36 (p<0.05).Conclusion: Physical therapy has positive effects on pain and quality of life in patients with AS.
Anahtar Kelime: Ankilozan Spondilitte Fizik Tedavinin Etkinliği: Randomize Kontrollü Bir Çalışma
Öz: Amaç: Ankilozan spondilit (AS) hastalarında fizik tedavinin ağrı, fonksiyon, hastalık aktivitesi, emosyonel durum ve yaşam kalitesi üzerine etkisininin değerlendirilmesi. Materyal ve Metod: Çalışmaya AS tanısı alan 31 hasta dahil edildi. Hastalar randomize olarak fizik tedavi grubu ve kontrol grubu olarak ikiye ayrıldı. Fizik tedavi grubuna 15 seans fizik tedavi (sıcak paket, ultrason, transkutanöz elektriksel sinir stimülasyonu (TENS), hidroterapi), ev egzersiz programı verildi. Kontrol grubuna ev egzersiz programı verildi. Her iki gruba tedavi öncesi, 2. ve 6. haftalarda vizüel analog skala (VAS) gece ve günlük, Ankilozan Spondilit Fonksiyon İndeksi (BASFİ), Ankilozan Spondilit Hastalık Aktivite İndeksi (BASDAİ), modifiye schober, el parmak zemin mesafesi, lateral fleksiyon, servikal rotasyon, intermalleolar mesafe, tragus duvar mesafesi ve Ankilozan Spondilit Metroloji İndeksi (BASMİ), göğüs eksansiyonu, çene manubrium mesafesi ölçüldü. Tüm hastalara tedavi öncesi ve 6. hafta Beck Depresyon Ölçeği (BDI) ve Kısa Form (SF-36) dolduruldu. Bulgular: Gruplar karşılaştırıldığında tedavi grubunda 2. haftada VAS (günlük), 6. haftada VAS (günlük) ve SF-36’nın genel sağlık parametrelerindeki düzelme istatistiksel olarak anlamlı idi (p<0.05). 0- 6. hafta karşılaştırıldığında fizik tedavi grubunda VAS günlük (p<0.01) ve gece (p<0.01), modifiye schober (p<0.05), göğüs ekspansiyonu (p<0.05), BASDAI (p<0.01), BASMI (p<0.05), SF 36’nın genel sağlık, mental sağlık ve sosyal fonksiyon parametrelerinde (p<0.05) düzelme saptandı. Sonuç: Fizik tedavinin AS’li hastalarda ağrı ve yaşam kalitesi üzerine olumlu etkileri vardır.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Ünal Enginar A, uğurlu h (2021). Effectiveness of Physical Therapy In Ankylosing Spondylitis: A Randomized Controlled Study. , 44 - 50. 10.17944/mkutfd.843202 |
| Chicago | Ünal Enginar Ayşe,uğurlu hatice Effectiveness of Physical Therapy In Ankylosing Spondylitis: A Randomized Controlled Study. (2021): 44 - 50. 10.17944/mkutfd.843202 |
| MLA | Ünal Enginar Ayşe,uğurlu hatice Effectiveness of Physical Therapy In Ankylosing Spondylitis: A Randomized Controlled Study. , 2021, ss.44 - 50. 10.17944/mkutfd.843202 |
| AMA | Ünal Enginar A,uğurlu h Effectiveness of Physical Therapy In Ankylosing Spondylitis: A Randomized Controlled Study. . 2021; 44 - 50. 10.17944/mkutfd.843202 |
| Vancouver | Ünal Enginar A,uğurlu h Effectiveness of Physical Therapy In Ankylosing Spondylitis: A Randomized Controlled Study. . 2021; 44 - 50. 10.17944/mkutfd.843202 |
| IEEE | Ünal Enginar A,uğurlu h "Effectiveness of Physical Therapy In Ankylosing Spondylitis: A Randomized Controlled Study." , ss.44 - 50, 2021. 10.17944/mkutfd.843202 |
| ISNAD | Ünal Enginar, Ayşe - uğurlu, hatice. "Effectiveness of Physical Therapy In Ankylosing Spondylitis: A Randomized Controlled Study". (2021), 44-50. https://doi.org/10.17944/mkutfd.843202 |
| APA | Ünal Enginar A, uğurlu h (2021). Effectiveness of Physical Therapy In Ankylosing Spondylitis: A Randomized Controlled Study. Mustafa Kemal Üniversitesi Tıp Dergisi, 12(42), 44 - 50. 10.17944/mkutfd.843202 |
| Chicago | Ünal Enginar Ayşe,uğurlu hatice Effectiveness of Physical Therapy In Ankylosing Spondylitis: A Randomized Controlled Study. Mustafa Kemal Üniversitesi Tıp Dergisi 12, no.42 (2021): 44 - 50. 10.17944/mkutfd.843202 |
| MLA | Ünal Enginar Ayşe,uğurlu hatice Effectiveness of Physical Therapy In Ankylosing Spondylitis: A Randomized Controlled Study. Mustafa Kemal Üniversitesi Tıp Dergisi, vol.12, no.42, 2021, ss.44 - 50. 10.17944/mkutfd.843202 |
| AMA | Ünal Enginar A,uğurlu h Effectiveness of Physical Therapy In Ankylosing Spondylitis: A Randomized Controlled Study. Mustafa Kemal Üniversitesi Tıp Dergisi. 2021; 12(42): 44 - 50. 10.17944/mkutfd.843202 |
| Vancouver | Ünal Enginar A,uğurlu h Effectiveness of Physical Therapy In Ankylosing Spondylitis: A Randomized Controlled Study. Mustafa Kemal Üniversitesi Tıp Dergisi. 2021; 12(42): 44 - 50. 10.17944/mkutfd.843202 |
| IEEE | Ünal Enginar A,uğurlu h "Effectiveness of Physical Therapy In Ankylosing Spondylitis: A Randomized Controlled Study." Mustafa Kemal Üniversitesi Tıp Dergisi, 12, ss.44 - 50, 2021. 10.17944/mkutfd.843202 |
| ISNAD | Ünal Enginar, Ayşe - uğurlu, hatice. "Effectiveness of Physical Therapy In Ankylosing Spondylitis: A Randomized Controlled Study". Mustafa Kemal Üniversitesi Tıp Dergisi 12/42 (2021), 44-50. https://doi.org/10.17944/mkutfd.843202 |
