Diz osteoartritli hastalarda plateletten zengin plazma enjeksiyonu sonrası fizyoterapinin ağrı, fiziksel fonksiyon ve fonksiyonel performans üzerine etkisinin incelenmesi: bir pilot çalışma

Yıl 2021, Cilt: 8 Sayı: 1, 1 - 9, 07.05.2021

Sibel Bozgeyik , Levend Karaçoban , Feza Korkusuz , Zafer Erden

Öz

Amaç: Bu çalışma, diz osteoartritli (OA) hastalarda plateletten zengin plazma (PRP) enjeksiyonu sonrası fizyoterapinin ağrı,
fiziksel fonksiyon ve fonksiyonel performans üzerine etkisini incelemek amacı ile planlandı.

Yöntem: Çalışmaya Kellgren-Lawrence sınıflamasına göre evre I-III arasında olan ve diz OA nedeniyle dizine PRP enjeksiyonu
yapılmış olan 11 kadın hasta dahil edildi. Hastaların yaş ortalaması 54,09±4,59 yıl; vücut kütle indeksi ortalaması ise
28,69±5,01 kg/m2 idi. Hastaların başlangıç ölçümleri enjeksiyondan sonra 3-5 gün içerisinde yapıldı. Katılımcıların aktivite
sırasındaki ağrı şiddetleri Görsel Analog Skalası (GAS) ile, fiziksel fonksiyonları Western Ontario and McMaster Universities
Osteoarthritis Index (WOMAC) ile değerlendirildi. Fonksiyonel performansı değerlendirmek için süreli kalk yürü testi (SKY) ve
basamak çıkma testi kullanıldı. Tüm değerlendirmeler tedavi öncesi ve sonrası yapıldı. Fizyoterapi programı kapsamında, her
seans 45-60 dk, haftada 2 gün, 6 hafta süresince aynı fizyoterapist tarafından lateral yapıları gevşetmek ve patellar
mobilizasyonu içeren manuel terapi, diz ve kalça çevresi kaslara kuvvetlendirme ve fonksiyonel egzersizler uygulandı.

Bulgular: Çalışmaya katılan bireylerin yaş ortalamaları 54,0±4,5 yıl; vücut kütle indeksi ortalamaları 28,69±5,01 kg/m2 idi.
Fizyoterapi sonrası ağrı değerlerinde (p=0,003), WOMAC skorlarında (p=0,003), SKY testi skorlarında (p=0,003) ve basamak
çıkma inme testi skorlarında (p=0,003) tedavi öncesine göre istatistiksel olarak anlamlı azalma bulundu.

Sonuç: Çalışmamızın sonucunda PRP enjeksiyonu sonrası uygulanan fizyoterapi programının diz OA’li hastaların ağrı,
fonksiyon ve performansını iyileştirmede etkili olduğu bulundu.

Anahtar Kelimeler

diz, osteoartrit, egzersiz, plateletten zengin plazma, ağrı

Investigation of the effect of physiotherapy on pain, physical function, and functional performance in patients with knee osteoarthritis after platelet rich plasma injection: a pilot study

Öz

Purpose: This study was planned to investigate the effect of physiotherapy on pain, physical function, and functional
performance after platelet rich plasma (PRP) injection in patients with knee osteoarthritis (OA).

Methods: The study included 11 female patients who were between stage I-III according to the Kellgren-Lawrence
classification and injected with PRP due to knee OA. The mean age of patients was 54.09±4.59 years and mean body mass
index was 28.69±5.01 kg/m2. The initial measurements of the patients were made within 3-5 days after the injection. The
Pain intensity of the participants during the activity was evaluated using the Visual Analog Scale (VAS); and their physical
functions were evaluated using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). The Timed-up
and go test (TUG) and climb up and down stairs tests were used to assess the functional performance. All evaluations were
applied before and after treatment. Within the scope of the physiotherapy program, manual therapy including relaxation of the
lateral structures and patellar mobilization, strengthening and functional exercises to the muscles around the knee and hips
were performed by the same physiotherapist with each session 45-60 minutes, 2 days a week for 6 weeks.

Results: The average age of the individuals was 54.0±4.5 years; mean body mass index was 28.69±5.01 kg/m2. There was a
statistically significant decrease in pain values (p=0.003), WOMAC scores (p=0,003), TUG test scores (p=0.003) and climd
up and down stairs test scores (p=0.003) after physiotherapy compared to pretreatment.

Conclusion: As a result of our study, it was found that physiotherapy program applied after PRP injection was effective in
improving pain, function, and performance of patients with knee OA.

Anahtar Kelimeler

knee, Osteoarthritis, Exercise, Platelet rich plasma, Pain.

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