Lateral Epikondiliti olan Hastalarda Nöral Terapi Etkinliğinin Değerlendirilmesi: Randomize Kontrollü Çalışma
Öz
Amaç: Bu çalışmanın amacı lateral epikondilitli (LE) hastalarda nöral terapinin
ağrı ve fonksiyonel durum üzerine etkisinin değerlendirilmesidir.
Ayrıca, hastaların klinik bulgularında meydana gelen değişiklikler
ile demografik özelliklerinin korelasyonunun değerlendirilmesi planlanmıştır.
Materyal ve Metot: LE
tanısı olan toplam 42 hasta randomize olarak 2 gruba ayrıldı (Nöral terapi
& kontrol) Kontrol grubundaki hastalara istirahat, non-steroidal
anti-inflamatuar ilaç, germe egzersizleri ve el bileği splinti verildi. Nöral
terapi (NT) grubundaki hastalara 8 seans NT uygulaması yapıldı.
Her iki grupta, tedavi öncesinde ve tedavi bitiminde hastaların görsel ağrı
skalası (GAS), basınç ağrı eşiği (algometre ile) ve Duruöz el indeksi (DEI) skorları
kaydedildi.
Bulgular: Tüm
skorlar her iki grupta düzelme gösterdi. Fakat, GAS, algometre ve DEI skorları
NT grubunda daha belirgin olarak düzeldi. Her
iki grupta klinik değişiklikler ile demografik
özellikler arasında korelasyon saptanmadı.
Sonuç: Nöral
terapi lateral epikondilitli hastaların tedavisinde etkili ve güvenli bir
tedavi yöntemidir.
Anahtar Kelimeler
Nöral terapi lateral epikondilit lokal anestezik rehabilitasyon
Kaynakça
- 1. Shiri R, Viikari-Juntura E, Varonen H, Heliövaara M. Prevalence and determinants of lateral and medial epicondylitis: a population study. Am J Epidemiol 2006;164:1065–74.
- 2. Buchbinder R, Green S, Struijs P. Musculoskeletal disorders: tennis elbow. Clin Evid 2008;5:1117–37.
- 3. Weber C, Thai V, Neuheuser K, Groover K, Christ O. Efficacy of physical therapy for the treatment of lateral epicondylitis: a meta-analysis. BMC Musculoskelet Disord 2015;16:223.
- 4. Assendelft WJ, Hay EM, Adshead R, Bouter LM. Corticosteroid injections for lateral epicondylitis: a systematic overview. Br J Gen Pract 1996;46:209–16.
- 5. Mishra AK, Skrepnik NV, Edwards SG, Jones GL, Sampson S, Vermillion DA, Ramsey ML, Karli DC, Rettig AC. Efficacy of platelet-rich plasma for chronic tennis elbow: a double-blind, prospective, multicenter, randomized controlled trial of 230 patients. Am J Sports Med 2014;42:463–71.
- 6. Smidt N, Assendelft WJ, Arola H, Malmivaara A, Greens S, Buchbinder R, van der Windt DA, Bouter LM. Effectiveness of physiotherapy for lateral epicondylitis: a systematic review. Ann Med 2003;35:51–62.
- 7. Wong SM, Hui AC, Tong PY, Poon DW, Yu E, Wong LK. Treatment of lateral epicondylitis with botulinum toxin: a randomized, double-blind, placebo-controlled trial. Ann Intern Med 2005;143:793-7.
- 8. Arirachakaran A, Sukthuayat A, Sisayanarane T, Laoratanavoraphong S, Kanchanatawan W, Kongtharvonskul J. Platelet-rich plasma versus autologous blood versus steroid injection in lateral epicondylitis: systematic review and network meta-analysis. J Orthop Traumatol 2016;17:101-12.
- 9. Nazlikul H. Nöralterapi Ders Kitabı. Istanbul: Nobel Kitabevi; 2010.
- 10. Weinschenk S. Neural therapy—A review of the therapeutic use of local anesthetics. Acupuncture and Related Therapies 2012;1:5–9.
- 11. Egli S, Pfister M, Ludin SM, Puente de la Vega K, Busato A, Fischer L. Long-term results of therapeutic local anesthesia (neural therapy) in 280 referred refractory chronic pain patients. BMC Complement Altern Med 2015;15:200.
- 12. Weinschenk S, Hollmann MW, Göllner R, Picardi S, Strowitzki T, Diehl L, Hotz L, Meuser T; Heidelberg University Neural Therapy Education and Research Group (The HUNTER Group). Injections of Local Anesthetics into the Pharyngeal Region Reduce Trapezius Muscle Tenderness. Forsch Komplementmed 2016;23:111-16.
- 13. Cassuto D, Sinclair R, Bonderovic M. Anti-inflammatory properties of local anesthetics and their present and potential clinical implications. Acta Anaesthesiol Scand 2006;50:265–82.
- 14. Duruöz MT, Poiraudeu S, Fermanian J, Menkes CJ, Amor B, Dougados M, et al. Development of validation of a rheumatoid hand functional disability scale that assesses functional handicap. J Rheumatol 1996;23:1167-72.
- 15. Mogk JP, Keir PJ. The effects of posture on forearm muscle loading during gripping. Ergonomics 2003;46:956-75.
- 16. Oskarsson E, Gustafsson BE, Pettersson K, Aulin KP. Decreased intramuscular blood flow in patients with lateral epicondylitis. Scand J Med Sci Sports 2007;17:211-5.
- 17. Fischer L. Myofasciale Triggerpunkte und Neuraltherapie nach Huneke. EHK 1998;3:117–26.
- 18. Fischer L. Pathophysiologie des Schmerzes und Neuraltherapie. Praxis 2003;92:2051–9.
- 19. Nazlikul, H. Thorakale Blockaden und Wirkung der Neuraltherapie in Kombination mit manueller Therapie. Manuelle Medizin 2010;48:329–38.
- 20. Baron R, Jänig W. Schmerzsyndrome mit kausaler Beteiligung des Sympathikus. Anästhesist 1998;47:4–23.
- 21. Ricker G. Pathologie als Naturwissenschaft – Relationspathologie. Berlin: Springer; 1924.
- 22. Mardani-Kivi M, Karimi-Mobarakeh M, Karimi A et al. The effects of corticosteroid injection versus local anesthetic injection in the treatment of lateral epicondylitis: a randomized single-blinded clinical trial. Arch Orthop Trauma Surg 2013;133:757-63.
Evaluation of Neural Therapy Effects in Patients with Lateral Epicondylitis: A Randomized Controlled Trial
Öz
Objectives:
The purpose of the
study is to explore neural therapy (NT) and the effect of it on pain and the
functional status of patients with lateral epicondylitis (LE) and to determine whether clinical
changes and
demographic characteristics have any correlation.
Materials
and Methods: Forty-two patients with LE were randomly allocated
into two groups; NT & control. The control group was given rest,
non-steroidal anti-inflammatory drugs, stretching exercises and a wrist splint.
The patients in the NT group received 8 sessions of
NT. The visual analog scale (VAS), pain pressure threshold (via algometry) and
Duruöz hand index (DHI) scores were noted before and at the end of the
treatment in both groups.
Results:
All parameters
improved in both groups. However, improvement of VAS, algometry and DHI scores were more obvious in the NT group. The
clinical change and demographic
features of the groups showed no correlation.
Conclusion:
NT is a safe and
effective treatment method for treatment of patients with LE.
Anahtar Kelimeler
Neural therapy lateral epicondylitis local anesthetics rehabilitation
Kaynakça
- 1. Shiri R, Viikari-Juntura E, Varonen H, Heliövaara M. Prevalence and determinants of lateral and medial epicondylitis: a population study. Am J Epidemiol 2006;164:1065–74.
- 2. Buchbinder R, Green S, Struijs P. Musculoskeletal disorders: tennis elbow. Clin Evid 2008;5:1117–37.
- 3. Weber C, Thai V, Neuheuser K, Groover K, Christ O. Efficacy of physical therapy for the treatment of lateral epicondylitis: a meta-analysis. BMC Musculoskelet Disord 2015;16:223.
- 4. Assendelft WJ, Hay EM, Adshead R, Bouter LM. Corticosteroid injections for lateral epicondylitis: a systematic overview. Br J Gen Pract 1996;46:209–16.
- 5. Mishra AK, Skrepnik NV, Edwards SG, Jones GL, Sampson S, Vermillion DA, Ramsey ML, Karli DC, Rettig AC. Efficacy of platelet-rich plasma for chronic tennis elbow: a double-blind, prospective, multicenter, randomized controlled trial of 230 patients. Am J Sports Med 2014;42:463–71.
- 6. Smidt N, Assendelft WJ, Arola H, Malmivaara A, Greens S, Buchbinder R, van der Windt DA, Bouter LM. Effectiveness of physiotherapy for lateral epicondylitis: a systematic review. Ann Med 2003;35:51–62.
- 7. Wong SM, Hui AC, Tong PY, Poon DW, Yu E, Wong LK. Treatment of lateral epicondylitis with botulinum toxin: a randomized, double-blind, placebo-controlled trial. Ann Intern Med 2005;143:793-7.
- 8. Arirachakaran A, Sukthuayat A, Sisayanarane T, Laoratanavoraphong S, Kanchanatawan W, Kongtharvonskul J. Platelet-rich plasma versus autologous blood versus steroid injection in lateral epicondylitis: systematic review and network meta-analysis. J Orthop Traumatol 2016;17:101-12.
- 9. Nazlikul H. Nöralterapi Ders Kitabı. Istanbul: Nobel Kitabevi; 2010.
- 10. Weinschenk S. Neural therapy—A review of the therapeutic use of local anesthetics. Acupuncture and Related Therapies 2012;1:5–9.
- 11. Egli S, Pfister M, Ludin SM, Puente de la Vega K, Busato A, Fischer L. Long-term results of therapeutic local anesthesia (neural therapy) in 280 referred refractory chronic pain patients. BMC Complement Altern Med 2015;15:200.
- 12. Weinschenk S, Hollmann MW, Göllner R, Picardi S, Strowitzki T, Diehl L, Hotz L, Meuser T; Heidelberg University Neural Therapy Education and Research Group (The HUNTER Group). Injections of Local Anesthetics into the Pharyngeal Region Reduce Trapezius Muscle Tenderness. Forsch Komplementmed 2016;23:111-16.
- 13. Cassuto D, Sinclair R, Bonderovic M. Anti-inflammatory properties of local anesthetics and their present and potential clinical implications. Acta Anaesthesiol Scand 2006;50:265–82.
- 14. Duruöz MT, Poiraudeu S, Fermanian J, Menkes CJ, Amor B, Dougados M, et al. Development of validation of a rheumatoid hand functional disability scale that assesses functional handicap. J Rheumatol 1996;23:1167-72.
- 15. Mogk JP, Keir PJ. The effects of posture on forearm muscle loading during gripping. Ergonomics 2003;46:956-75.
- 16. Oskarsson E, Gustafsson BE, Pettersson K, Aulin KP. Decreased intramuscular blood flow in patients with lateral epicondylitis. Scand J Med Sci Sports 2007;17:211-5.
- 17. Fischer L. Myofasciale Triggerpunkte und Neuraltherapie nach Huneke. EHK 1998;3:117–26.
- 18. Fischer L. Pathophysiologie des Schmerzes und Neuraltherapie. Praxis 2003;92:2051–9.
- 19. Nazlikul, H. Thorakale Blockaden und Wirkung der Neuraltherapie in Kombination mit manueller Therapie. Manuelle Medizin 2010;48:329–38.
- 20. Baron R, Jänig W. Schmerzsyndrome mit kausaler Beteiligung des Sympathikus. Anästhesist 1998;47:4–23.
- 21. Ricker G. Pathologie als Naturwissenschaft – Relationspathologie. Berlin: Springer; 1924.
- 22. Mardani-Kivi M, Karimi-Mobarakeh M, Karimi A et al. The effects of corticosteroid injection versus local anesthetic injection in the treatment of lateral epicondylitis: a randomized single-blinded clinical trial. Arch Orthop Trauma Surg 2013;133:757-63.
Ayrıntılar
| Konular | Sağlık Kurumları Yönetimi |
|---|---|
| Bölüm | Araştırmalar |
| Yazarlar | |
| Yayımlanma Tarihi | 20 Aralık 2017 |
| Yayımlandığı Sayı | Yıl 2017 Cilt: 17 Sayı: 4 |