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

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

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.

Keywords:

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

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