Kronik lateral dirsek tendinopatili hastalarda steroid enjeksiyonu, proloterapi ve fizyoterapinin kısa dönemdeki etkilerinin karşılaştırılması

Yıl 2024, Cilt: 10 Sayı: 1, 45 - 54, 23.04.2024

Gökhan Bayrak , Hakan Zora

https://doi.org/10.30569/adiyamansaglik.1407644

Öz

Amaç: Bu çalışmanın amacı, kronik lateral dirsek tendinopatili (LDT) hastalarda steroid enjeksiyonu (SE), proloterapi ve ev-tabanlı fizyoterapinin kısa dönemde ağrı ve fonksiyon üzerindeki etkilerini karşılaştırmaktır.
Gereç ve Yöntem: 2022-2023 yılları arasında ortopedi kliniğine başvuran kronik LDT’li hastalar SE (n=17), proloterapi (n=17) ve ev-tabanlı fizyoterapi (n=17) gruplarına ayrılmıştır. Tedavi öncesi, ikinci ve altıncı hafta ağrı ve fonksiyon için Görsel Analog Skalası (GAS), Kol, Omuz ve El Sorunları Hızlı Anketi (QuickDASH) ve Sağlık Değerlendirme Ölçeği (SDÖ) karşılaştırıldı.
Bulgular: İkinci ve altıncı hafta GAS, QuickDASH ve SDÖ değerleri SE ve proloterapi grubunda ev-tabanlı fizyoterapi grubuna göre anlamlı şekilde düşüktü (p=0.001). Altıncı haftada GAS, QuickDASH ve SDÖ'de SE grubunda proloterapi ve ev-tabanlı fizyoterapiye göre etkili iyileşme sağlanmıştır (p=0,001, η2=0,30-0,42).
Sonuç: SE, proloterapi ve ev-tabanlı fizyoterapi kısa dönemde dirsek ağrısı ve fonksiyonunu iyileştirmektedir, ancak SE daha etkilidir. SE kronik LDT’li hastalarda kısa dönemde iyileşme için etkili olabilir.

Anahtar Kelimeler

Dirsek tendinopatisi, Enjeksiyonlar, Steroidler, Proloterapi, Fizyoterapi

Etik Beyan

Bu çalışmanın etik kurul onayı Muş Alparslan Üniversitesi Bilimsel Araştırma ve Yayın Etiği Kurulundan alınmıştır

Destekleyen Kurum

Bu çalışma herhangi bir kişi veya grup tarafından finansal olarak desteklenmemektedir

Teşekkür

Yoktur

A Comparison of the short-term effects of steroid injection, prolotherapy and home-based physiotherapy in patients with chronic lateral elbow tendinopathy

Öz

Aim: This study aims to compare the effects of steroid injection (SI), prolotherapy, and home-based physiotherapy on pain and function in short-term in chronic lateral elbow tendinopathy (LET) patients.
Materials and Methods: Patients with chronic LET admitted to the orthopedic clinic between 2022 and 2023 were divided into SI (n=17), prolotherapy (n=17) and home-based physiotherapy (n=17) groups. Visual Analogue Scale (VAS), Quick Disability Assessment of Arm, Shoulder and Hand Problems (QuickDASH), and Health Assessment Questionnaire (HAQ) for pain and function before, two, and six weeks after treatment were compared.
Results: Second and sixth-week VAS, QuickDASH and HAQ were significantly lower in SI and prolotherapy than home-based physiotherapy group (p=0.001). In the sixth week, sufficient improvement was achieved in VAS, QuickDASH and HAQ in SI compared to prolotherapy and home-based physiotherapy (p=0.001, η2=0.30-0.42).
Conclusion: SI, prolotherapy, and home-based physiotherapy improved elbow pain and function in short-term, but SI was greater effective. SI may be effective for short-term improvement in chronic LET patients.

Anahtar Kelimeler

Elbow tendinopathy, Injections, Steroids, Prolotherapy, Physiotherapy

Etik Beyan

Ethics committee approval for this study was obtained from Muş Alparslan University Scientific Research and Publication Ethics Committee.

Destekleyen Kurum

This study is not being financially supported by any individual or group

Teşekkür

None

Kaynakça

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