The efficacy of Radial and Focused Extracorporeal Shock-Wave Therapies in the Treatment of Subacute Coccydynia According to Age and Body Mass Index

Şah, Volkan

doi:10.505/vtd.2023.86143

The efficacy of Radial and Focused Extracorporeal Shock-Wave Therapies in the Treatment of Subacute Coccydynia According to Age and Body Mass Index

Volkan ŞAH (Yüzüncü Yıl Üniversitesi, Tıp Fakültesi, Spor Hekimliği Anabilim Dalı, Van, Türkiye)

Van Tıp Dergisi

5 2

Yıl: 2023 Cilt: 30 Sayı: 1 Sayfa Aralığı: 38 - 47 Metin Dili: İngilizce DOI: 10.505/vtd.2023.86143 İndeks Tarihi: 04-05-2023

The efficacy of Radial and Focused Extracorporeal Shock-Wave Therapies in the Treatment of Subacute Coccydynia According to Age and Body Mass Index

Öz:

Introduction: The aim of this study is to investigate the effects of Radial Extracorporeal Shock Wave Therapy (r-ESWT) and Focused ESWT (f-ESWT) methods in the treatment of subacute coccydynia according to age and BMI. Materials and Methods: Sixty patients were randomized into the three ESWT groups (Radial, Focused, Sham). All patients were evaluated with Visual Analog Scale (VAS) and Oswestry Disability Index (ODI) before treatment, right after 4 sessions of treatment (4 weeks), 1 month after the end of treatment (8th week), and 3 months after the end of treatment (16th week). Results: Compared with baseline, the mean VAS scores of patients aged 18-35 showed a statistically significant decrease in the 4th week only in r-ESWT group. VAS scores at week 16 in the 18-35 age range decreased more in the r-ESWT group than in the f-ESWT group. The 16th week ODI scores decreased more in the r-ESWT group than in the f-ESWT group at the ages of 18-35, and in the f-ESWT group at the ages of 36-50 compared to the r-ESWT group. While VAS and ODI scores at week 16 decreased more in the r-ESWT group in normal weight patients, these two scores decreased more in the r-ESWT group in overweight/obese patients at the same week. Conclusion: The r-ESWT could be preferable in the ages of early adulthood (18-35) and normal weight patients (BMI <25) and the f-ESWT could be preferable in the ages of middle adulthood (36-50) and overweight/obese patients (BMI ≥25) in the treatment of coccydynia.

Anahtar Kelime:

Radyal ve Odaklı Ekstrakorporeal Şok-Dalga Terapilerinin Subakut Koksidini Tedavisinde Yaşa ve Vücut Kitle İndeksine Göre Etkinliği

Öz:

Amaç: Bu çalışmanın amacı, subakut koksidini tedavisinde radyal Ekstrakorporeal Şok Dalga Tedavisi (r-ESWT) ve focused/odaklı ESWT (f-ESWT) yöntemlerinin etkilerini yaşa ve vücut kitle indeksi (VKİ)’ne göre araştırmaktır. Gereç ve Yöntem: Altmış hasta, üç ESWT grubuna (r-ESWT, f-ESWT, Sham ESWT) randomize edildi. Tüm hastalar tedavi öncesi, 4 seans tedaviden hemen sonra (4. hafta), tedavi bitiminden 1 ay sonra (8. hafta) ve tedavi bitiminden 3 ay sonra (16. hafta) Görsel Analog Skala (VAS) ve Oswestry Engellilik İndeksi (ODI) ile değerlendirildi. Bulgular: 18-35 yaş arası hastaların ortalama VAS skorları tedavi öncesi ile karşılaştırıldığında, sadece Radial ESWT grubunda 4. haftada istatistiksel olarak anlamlı düşüş gösterdi. 18-35 yaş aralığında 16. haftada VAS skorları r-ESWT grubunda Odaklı ESWT grubuna göre daha fazla düşüş göstermiştir. 16. hafta ODI skorları; 18-35 yaş aralığında r-ESWT grubunda f- ESWT grubuna göre daha fazla, 36-50 yaş aralığında ise f-ESWT grubunda r-ESWT grubuna göre daha fazla düşüş göstermiştir. Normal kilolu hastalarda 16. haftadaki VAS ve ODI skorları r- ESWT grubunda daha fazla düşerken, aynı haftada aşırı kilolu/obez hastalarda bu iki skor f-ESWT grubunda daha fazla düşüş göstermiştir. Sonuç: Koksidini tedavisinde; r-ESWT erken erişkinlik döneminde (18-35 yaş) ve normal kilolu hastalarda (VKİ <25) tercih edilebilir, f-ESWT ise orta erişkinlik döneminde (36-50 yaş) ve aşırı kilolu/obez (VKİ ≥25) hastalarda tercih edilebilir.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Şah V (2023). The efficacy of Radial and Focused Extracorporeal Shock-Wave Therapies in the Treatment of Subacute Coccydynia According to Age and Body Mass Index. , 38 - 47. 10.505/vtd.2023.86143
Chicago	Şah Volkan The efficacy of Radial and Focused Extracorporeal Shock-Wave Therapies in the Treatment of Subacute Coccydynia According to Age and Body Mass Index. (2023): 38 - 47. 10.505/vtd.2023.86143
MLA	Şah Volkan The efficacy of Radial and Focused Extracorporeal Shock-Wave Therapies in the Treatment of Subacute Coccydynia According to Age and Body Mass Index. , 2023, ss.38 - 47. 10.505/vtd.2023.86143
AMA	Şah V The efficacy of Radial and Focused Extracorporeal Shock-Wave Therapies in the Treatment of Subacute Coccydynia According to Age and Body Mass Index. . 2023; 38 - 47. 10.505/vtd.2023.86143
Vancouver	Şah V The efficacy of Radial and Focused Extracorporeal Shock-Wave Therapies in the Treatment of Subacute Coccydynia According to Age and Body Mass Index. . 2023; 38 - 47. 10.505/vtd.2023.86143
IEEE	Şah V "The efficacy of Radial and Focused Extracorporeal Shock-Wave Therapies in the Treatment of Subacute Coccydynia According to Age and Body Mass Index." , ss.38 - 47, 2023. 10.505/vtd.2023.86143
ISNAD	Şah, Volkan. "The efficacy of Radial and Focused Extracorporeal Shock-Wave Therapies in the Treatment of Subacute Coccydynia According to Age and Body Mass Index". (2023), 38-47. https://doi.org/10.505/vtd.2023.86143

APA	Şah V (2023). The efficacy of Radial and Focused Extracorporeal Shock-Wave Therapies in the Treatment of Subacute Coccydynia According to Age and Body Mass Index. Van Tıp Dergisi, 30(1), 38 - 47. 10.505/vtd.2023.86143
Chicago	Şah Volkan The efficacy of Radial and Focused Extracorporeal Shock-Wave Therapies in the Treatment of Subacute Coccydynia According to Age and Body Mass Index. Van Tıp Dergisi 30, no.1 (2023): 38 - 47. 10.505/vtd.2023.86143
MLA	Şah Volkan The efficacy of Radial and Focused Extracorporeal Shock-Wave Therapies in the Treatment of Subacute Coccydynia According to Age and Body Mass Index. Van Tıp Dergisi, vol.30, no.1, 2023, ss.38 - 47. 10.505/vtd.2023.86143
AMA	Şah V The efficacy of Radial and Focused Extracorporeal Shock-Wave Therapies in the Treatment of Subacute Coccydynia According to Age and Body Mass Index. Van Tıp Dergisi. 2023; 30(1): 38 - 47. 10.505/vtd.2023.86143
Vancouver	Şah V The efficacy of Radial and Focused Extracorporeal Shock-Wave Therapies in the Treatment of Subacute Coccydynia According to Age and Body Mass Index. Van Tıp Dergisi. 2023; 30(1): 38 - 47. 10.505/vtd.2023.86143
IEEE	Şah V "The efficacy of Radial and Focused Extracorporeal Shock-Wave Therapies in the Treatment of Subacute Coccydynia According to Age and Body Mass Index." Van Tıp Dergisi, 30, ss.38 - 47, 2023. 10.505/vtd.2023.86143
ISNAD	Şah, Volkan. "The efficacy of Radial and Focused Extracorporeal Shock-Wave Therapies in the Treatment of Subacute Coccydynia According to Age and Body Mass Index". Van Tıp Dergisi 30/1 (2023), 38-47. https://doi.org/10.505/vtd.2023.86143