Is there an effective way to prescribe a home-based exercise program in patients with knee osteoarthritis? A randomized controlled study

AY, SAİME; KOLDAŞ DOĞAN, Şebnem; Evcik, Fatma Deniz

Is there an effective way to prescribe a home-based exercise program in patients with knee osteoarthritis? A randomized controlled study

Saime AY, (Ufuk Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Ankara, Türkiye)

Şebnem KOLDAŞ DOĞAN, (Ufuk Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Ankara, Türkiye)

Deniz EVCİK (Ufuk Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Ankara, Türkiye)

Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi

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Yıl: 2013 Cilt: 59 Sayı: 1 Sayfa Aralığı: 1 - 6 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Is there an effective way to prescribe a home-based exercise program in patients with knee osteoarthritis? A randomized controlled study

Öz:

Amaç: Bu çalışmanın amacı diz osteoartriti (OA) olan hastalarda egzersiz programı önermede etkili yolu değerlendirmektir. Gereç ve Yöntem: Altmış hasta çalışmaya dahil edildi. Grup 1 hem görsel sunum, hem de yazılı bilgi materyali ile egzersiz programı aldı. Ek olarak fizyoterapi biriminde fizyoterapist gözetiminde egzersizleri öğrendiler. Grup 2 egzersizleri içeren yazılı materyal aldı ve fizyoterapist gözetiminde egzersizleri öğrendiler. Grup 3 egzersiz programı ile ilgili sadece yazılı materyal aldı. Ağrı şiddeti vizüel ağrı skalası (VAS) ve Western Ontario McMaster Universiteler Osteoartrit Indeksi (WOMAC) ağrı skalası ile değerlendirildi. Fonksiyonel kapasite WOMAC fonksiyonel skoru ve WOMAC total skoru ile değerlendirdi. Ayrıca 100 metre yürüme testi, merdiven inip-çıkma süresi ve bir sandalyeye oturup kalkma süresi ile kaydedildi. Tüm değerlendirmeler tedavi öncesi, tedaviden 1 ve 3 aylık takip sonrasında yapıldı. Bulgular: Üç aylık takip sonunda VAS, WOMAC skorları, 100 metre yürüme testi, merdiven inip-çıkma süresi ve sandalyeye oturup kalkma süresinde hem Grup 1 hem de Grup 2de istatistiksel olarak anlamlı iyileşme vardı (p<0,05). Grup 3te ağrı şiddeti dışında tüm parametrelerde istatistiksel olarak anlamlı düzelme saptandı (p<0,05). Tedavi sonrası 1. ayda gruplar arasında WOMAC ağrı skoru hariç diğer değerlendirme parametrelerinde anlamlı farklılık varken 3. ay takip sonunda tüm parametrelerde gruplar arasında istatiksel olarak anlamlı farklılıklar gözlendi (p<0,05). Sonuç: Bulgularımız egzersiz programı önerirken etkili yolun hem görsel sunum hem de yazılı materyalin birlikte verilmesi olduğunu göstermektedir. Eğitim sunumunun eşlik etmesinin OAlı hastalarda tedavi etkinliğini arttırdığı saptanmıştır.

Anahtar Kelime:

Konular: Rehabilitasyon

Diz osteoartriti olan hastalarda ev egzersiz programı önermenin etkili bir yolu var mıdır? randomize kontrollü bir çalışma

Öz:

Objective: The aim of this study was to evaluate an effective way in prescribing exercise program in patients with knee osteoarthritis (OA). Materials and Methods: Sixty patients were included in the study. Group 1 received exercise program with both visual demonstration and written information materials. In addition, they have learned exercises under the supervision of a physiotherapist at the physiotherapy unit. Group 2 has got written materials describing exercises and they learned exercises under the supervision of a physiotherapist. Group 3 received only written materials about exercise program. Pain severity was assessed using a visual analogue scale (VAS) and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Functional ability was evaluated with WOMAC functional score and WOMAC total score as well as 100-meter walk test, time required to ascend and descend, and chair rises. All assessments were performed before the treatment and one month and three months after the treatment. Results: At the end of three months of follow-up, there were statistically significant improvements in VAS, WOMAC scores, 100-meter walking test, time to ascend and descend stairs and sit-to-stand chair rises in both group 1 and 2 (p<0.05). In group 3, statistically significant improvements were detected in all parameters except for pain severity (p<0.05). After one month of follow-up, there were statistically significant differences between the groups in all parameters except for WOMAC pain scores (p<0.05), however, after three months of follow-up, statistically significant differences were observed in all parameters between the groups (p<0.05). Conclusion: Our results showed that an effective way for prescribing an exercise program seems to be giving both visual demonstration and written materials together. Besides, accompanying training lectures were found to be increasing the effectiveness of therapy in patients with OA.

Anahtar Kelime:

Konular: Rehabilitasyon

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

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APA	AY S, KOLDAŞ DOĞAN Ş, Evcik F (2013). Is there an effective way to prescribe a home-based exercise program in patients with knee osteoarthritis? A randomized controlled study. , 1 - 6.
Chicago	AY SAİME,KOLDAŞ DOĞAN Şebnem,Evcik Fatma Deniz Is there an effective way to prescribe a home-based exercise program in patients with knee osteoarthritis? A randomized controlled study. (2013): 1 - 6.
MLA	AY SAİME,KOLDAŞ DOĞAN Şebnem,Evcik Fatma Deniz Is there an effective way to prescribe a home-based exercise program in patients with knee osteoarthritis? A randomized controlled study. , 2013, ss.1 - 6.
AMA	AY S,KOLDAŞ DOĞAN Ş,Evcik F Is there an effective way to prescribe a home-based exercise program in patients with knee osteoarthritis? A randomized controlled study. . 2013; 1 - 6.
Vancouver	AY S,KOLDAŞ DOĞAN Ş,Evcik F Is there an effective way to prescribe a home-based exercise program in patients with knee osteoarthritis? A randomized controlled study. . 2013; 1 - 6.
IEEE	AY S,KOLDAŞ DOĞAN Ş,Evcik F "Is there an effective way to prescribe a home-based exercise program in patients with knee osteoarthritis? A randomized controlled study." , ss.1 - 6, 2013.
ISNAD	AY, SAİME vd. "Is there an effective way to prescribe a home-based exercise program in patients with knee osteoarthritis? A randomized controlled study". (2013), 1-6.

APA	AY S, KOLDAŞ DOĞAN Ş, Evcik F (2013). Is there an effective way to prescribe a home-based exercise program in patients with knee osteoarthritis? A randomized controlled study. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 59(1), 1 - 6.
Chicago	AY SAİME,KOLDAŞ DOĞAN Şebnem,Evcik Fatma Deniz Is there an effective way to prescribe a home-based exercise program in patients with knee osteoarthritis? A randomized controlled study. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 59, no.1 (2013): 1 - 6.
MLA	AY SAİME,KOLDAŞ DOĞAN Şebnem,Evcik Fatma Deniz Is there an effective way to prescribe a home-based exercise program in patients with knee osteoarthritis? A randomized controlled study. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, vol.59, no.1, 2013, ss.1 - 6.
AMA	AY S,KOLDAŞ DOĞAN Ş,Evcik F Is there an effective way to prescribe a home-based exercise program in patients with knee osteoarthritis? A randomized controlled study. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2013; 59(1): 1 - 6.
Vancouver	AY S,KOLDAŞ DOĞAN Ş,Evcik F Is there an effective way to prescribe a home-based exercise program in patients with knee osteoarthritis? A randomized controlled study. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2013; 59(1): 1 - 6.
IEEE	AY S,KOLDAŞ DOĞAN Ş,Evcik F "Is there an effective way to prescribe a home-based exercise program in patients with knee osteoarthritis? A randomized controlled study." Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 59, ss.1 - 6, 2013.
ISNAD	AY, SAİME vd. "Is there an effective way to prescribe a home-based exercise program in patients with knee osteoarthritis? A randomized controlled study". Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 59/1 (2013), 1-6.