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Kinezyo Bantlamanın Diz Osteoartritli Hastalarda Ağrı ve Fonksiyon Üzerine Etkinliği: Randomize, Tek Kör, Kontrollü Bir Çalışma
The Effectiveness of Kinesio Taping on Pain and Function in Patients with Knee Osteoarthritis: A Randomized, Single-Blind, Controlled Study
Received Date : 09 Nov 2021
Accepted Date : 29 Sep 2022
Available Online : 04 Oct 2022
Doi: 10.31609/jpmrs.2021-87002 - Makale Dili: EN
J PMR Sci. 2023;26(1):1-9
ÖZET
Amaç: Bu çalışmanın amacı, diz osteoartritli hastalarda ev egzersiz programı üzerine ek olarak yapılan kinezyo bantlamanın [kinesio taping (KT)] ağrı ve fonksiyonellik üzerine etkilerini belirlemektir. Gereç ve Yöntemler: Çalışmaya, diz osteoartriti olan toplam 60 (47 kadın, 13 erkek) erişkin hasta dâhil edildi. Hastalar randomize olarak 2 gruba ayrıldı; Grup I (n=30, KT ve ev egzersizleri) ve Grup II (n=30, sadece ev egzersizleri). Her iki grup da aynı ev egzersiz programını aldı ve tedavi grubu ek olarak 3 gün arayla 3 kez KT aldı. Katılımcılar tedaviden önce, tedavinin başlangıcından 9 gün ve 30 gün sonra değerlendirildi. İstirahat ve yürüme sırasındaki ağrı şiddeti 10 cm vizüel analog skala (VAS) ile değerlendirildi. Fonksiyonel değerlendirme için Batı Ontario ve McMaster Üniversitesi Osteoartrit [Western Ontario and McMaster Universities Osteoarthritis (WOMAC)] indeksi ve kalk-yürü testi kullanıldı. Bulgular: Çalışma 55 (Grup I’de n=29 ve Grup II’de n=26) hasta ile tamamlandı. Her iki grupta da 9 ve 30. günlerde yürüme sırasındaki VAS-ağrısı ve kalk-yürü testi puanlarında anlamlı iyileşmeler görüldü (p<0,001). WOMAC indeksi toplam skorları, her iki grupta da 30. günde anlamlı olarak iyileşti (p=0,002). Sonuç ölçütlerinin hiçbirinde ise 2 grup arasında anlamlı fark bulunmadı (p>0,05). Sonuç: Bu çalışma, diz osteoartritinde ev egzersiz programına KT eklenmesinin sadece ev egzersiz programından üstün olmadığını göstermiştir.
ABSTRACT
Objective: The study aimed to determine the effects of additional kinesio taping (KT) over the home exercise program on pain and functionality in patients with knee osteoarthritis. Material and Methods: A total of 60 (47 female, 13 male) adult patients with knee osteoarthritis were included in the study. Patients were randomized into 2 groups; Group I (n=30, KT and home exercises) and Group II (n=30, home exercises only). Both groups received the same home exercise program and the treatment group additionally received KT 3 times at 3-day intervals. Participants were assessed before treatment, at 9 days and 30 days from the beginning of treatment. Pain intensity at rest and during walking was assessed by a 10 cm visual analog scale (VAS). Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and the Timed Up and Go Test were used for functional evaluation. Results: The study ended with 55 (n=29 in Group I and n=26 in Group II) patients. Both groups displayed significant improvements concerning VAS-pain during walking and Timed Up and Go test scores on the 9th and 30th days of treatment (p<0.001). WOMAC total scores improved significantly on the 30th day of treatment in both groups (p=0.002). No significant differences were found between the 2 groups in any of the outcome measures (p>0.05). Conclusion: This study demonstrated that the addition of KT to a home exercise program in knee osteoarthritis is not superior to the home exercise program only.
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