Diz osteoartritli hastalarda mulligan hareketle mobilizasyon tekniğinin tedavideki etkinliğinin değerlendirilmesi
Abstract
Bu çalışmanın amacı MWM tekniğinin diz osteoartritli (OA) hastalarda ağrı, normal eklem hareketi, propriosepsiyon ve yaşam kalitesi üzerindeki etkinliğini araştırmaktır. Çalışmaya diz OA tanısı almış 30 hasta dahil edildi. Hastalar iki gruba ayrıldı. 1. Gruba konvansiyonel tedavi, 2. gruba Mulligan Hareketli Mobilizasyon (MHM) tekniği 4 hafta boyunca haftada 3 gün uygulandı. Katılmcıların ağrı (Visüel analog skalası), fiziksel fonksiyon (normal eklem hareket açıklığı, propriosepsiyon), yaşam kalitesi (SF-36) ve engelilik (Western Ontario ve McMaster Üniversiteleri Osteoartrit İndeksi (WOMAC)) parametreleri değerlendirildi. MHM yönteminin ağrıyı azalttığı, diz fleksiyonunu arttırdığı, 15° Fleksiyon açısında propriosepsiyonu iyileştirdiği, ruhsal sağlık hariç tüm yaşam kalitesi alt parametrelerinde iyileşme sağladığı, WOMAC alt parametrelerinin tümünü azalttığı görülmüştür (p<0,05). Gruplar arası karşılaştırıldığında MHM yöntemi Konvansiyonel tedaviye göre ağrı, yaşam kalitesi alt parametrelerinden fiziksel fonksiyon, sosyal işlevsellik, ağrı, genel sağlık algısı üzerinde daha etkili olmuştur (p<0,05). WOMAC alt parametrelerinden sertlik hariç diğer parametrelerde de Konvansiyonel tedaviden daha üstün bulunmuştur(p<0,05). Diz osteoartrisinde kombine fizyoterapi ve MHM Tekniği ağrının azaltılmasında, yaşam kalitesi ve fonksiyonun arttırılmasında etkili birer tedavi seçeneğidirler. MHM yöntemi diz OA'lı hastalarda başka tedavilere ek veya tek başına kullanılabilir bir yöntemdir.
The aim of this study is to investigate the effectiveness of the MWM technique on pain, normal joint movement, proprioception and quality of life in patients with knee osteoarthritis (OA). Thirty patients diagnosed with knee OA were included in the study. The patients were divided into two groups. Conventional treatment was applied to the 1st group, and Mulligan Mobile Mobilization (MHM) technique was applied to the 2nd group, 3 days a week for 4 weeks. Participants' pain (Visual analog scale), physical function (normal range of motion, proprioception), quality of life (SF-36) and disability (Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) parameters were evaluated. It was observed that the MHM method reduced pain, increased knee flexion, improved proprioception when the flexion angle was 15°, improved all sub-parameters of quality of life except mental health, and decreased all sub-parameters of WOMAC (p<0.05). When the groups were compared, the MHM method was more effective on pain, physical function, social functionality, pain, general health perception, which are sub-parameters of quality of life, compared to conventional treatment (p<0.05). Combined physiotherapy and MHM Technique in knee osteoarthritis are effective treatment options in reducing pain, increasing quality of life and function. The MHM method is a method that can be used alone or in addition to other treatments in patients with knee OA.
The aim of this study is to investigate the effectiveness of the MWM technique on pain, normal joint movement, proprioception and quality of life in patients with knee osteoarthritis (OA). Thirty patients diagnosed with knee OA were included in the study. The patients were divided into two groups. Conventional treatment was applied to the 1st group, and Mulligan Mobile Mobilization (MHM) technique was applied to the 2nd group, 3 days a week for 4 weeks. Participants' pain (Visual analog scale), physical function (normal range of motion, proprioception), quality of life (SF-36) and disability (Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) parameters were evaluated. It was observed that the MHM method reduced pain, increased knee flexion, improved proprioception when the flexion angle was 15°, improved all sub-parameters of quality of life except mental health, and decreased all sub-parameters of WOMAC (p<0.05). When the groups were compared, the MHM method was more effective on pain, physical function, social functionality, pain, general health perception, which are sub-parameters of quality of life, compared to conventional treatment (p<0.05). Combined physiotherapy and MHM Technique in knee osteoarthritis are effective treatment options in reducing pain, increasing quality of life and function. The MHM method is a method that can be used alone or in addition to other treatments in patients with knee OA.
Description
Keywords
Fizyoterapi ve Rehabilitasyon, Ağrı, Diz, Diz eklemi, Physiotherapy and Rehabilitation, Fonksiyonel yetkinlik, Pain, Mulligan tekniği, Knee, Knee joint, Osteoartrit, Functional competency, Mulligan technique, Osteoartrit-diz, Osteoarthritis, Propriyosepsiyon, Osteoarthritis-knee, Proprioception, Yaşam kalitesi, Quality of life