Subakromial s?k??ma sendromu olan hastalarda terapotik ultrason tedavisinin etkinli?i ?zerine yap?lan randomize kontroll? bir ?al??ma
Notice bibliographique
Résumé
Ama?: Subakromial s?k??ma sendromlu hastalarda terapotik ultrason tedavisinin eklem hareket a??kl???, a?r?, fonksiyonel testler ve ya?am kalitesi ?zerine etkinli?inin de?erlendirilmesi ama?land?.Materyal Metod: Subakromial s?k??ma sendromu tan?s? alan 62 hasta ?al??maya al?nd?. Hastalar randomize edilerek iki gruba ayr?ld?. Bir gruba standart egzersiz program? ve terapotik ultrason (n=31) ve di?er gruba standart egzersiz program? ve plasebo ultrason (n=31) verildi. Hastalar 12 hafta boyunca izlendi. Hastalar?n omuz eklem hareket a??kl??? (EHA) goniometre ile, istirahat, gece ve hareketle olu?an omuz a?r?s? 0-10 cm'lik vis?el analog skala (VAS) ile, fonksiyonel durum Western Ontario Rotator Kaf ?ndeksi (WORC), The Society of the American Shoulder and Elbow Surgeons Evaluation (ASESS) ve Constant skorlamas? (CS) ile, ya?am kalitesi short-form 36 (SF-36) ile de?erlendirildi. Bu de?erlendirmeler tedavi ?ncesi, tedavi sonras? 3. ve 12. haftalarda yap?ld?.Bulgular: Tedavi ?ncesinde her iki grup aras?nda ya?, cinsiyet, meslek, e?itim d?zeyi, semptom s?resi, travma ?yk?s?, omuz magnetik rezonans g?r?nt?leme (MRG) evresi a??s?ndan anlaml? fark yoktu ( p>0.05). Tedavi sonras?nda da her iki grupta yap?lan egzersiz say?s? ve antienflamatuar ila? kullan?m? a??s?ndan da anlaml? bir fark saptanmad? ( p>0.05). Her iki grupta da tedavi ile EHA de?erlerinde anlaml? bir iyile?me g?r?ld? (p 0.05).Sonu?: Subakromial s?k??ma sendromu tan?s? alan hastalarda konvansiyonel egzersize devaml? modda terapotik ultrason eklenmesinin a?r? azalmas?na, fonksiyonellik art???na katk? sa?lad??? bulundu. Objective: The aim of this study is to evaluate the effectiveness of ultrasound therapy on the range of motion, pain, functional tests and quality of life in the patients suffering from the subacromial impingement syndrome .Material-Method: 62 patients with the diagnosis of subacromial impingement syndrome were involved in the study. The patients were classified into two groups randomly. One group (n=31) was given standard exercise program and therapeutic ultrasound and the other group (n=31) was given standart exercise program and sham ultrasound. Then the patients were followed up for 12 weeks. The shoulder range of motion (ROM) of the patients was assessed with goniometer; the shoulder pain at rest, during motion, night pain were evaluated with visual analogue scale (VAS) of 0-10 cm; and the functional status with Western Ontario Rotator Cuff Index (WORC), The Society of the American Shoulder and Elbow Surgeons Evaluation (ASESS) and Constant scoring (CS) These evaluations were done before the treatment and after the treatment on the 3th and 12th weeks.Findings: Before treatment, there was no significant difference between the groups in age, sex, occupation, education level, symptom duration, trauma history, shoulder magnetic resonance imaging phase (p>0.05). After treatment, there was no significant difference between the groups in the number of exercise done and antienflamatuar drug use (p>0.05). Significant recovery was determined in shoulder ROM measurements due to treatment in both groups (p<0.05). There was no significant difference between the groups in ROM values after treatment. VAS scores showed significant improvement in both groups. ?mprovement at 12th week was significantly better in ultrasound group than control group in night pain and motion pain scores. ASESS scores were significantly improved in ultrasound group, hovewer improvement in control group was not significant. There was no significant difference between groups in CS before treatment, however CS in ultrasound group at 12th week was significantly better than control group. WORC scores showed significant improved in both groups. Although the difference was not significant, improvement in WORC score in ultrasound group was better than control group. Six of eight SF-36 parameters were significantly improved in ultrasound group, hovewer three of eight SF-36 parameters were significantly improved in control group at 12 weeks. There was no significant difference between groups in SF-36 parameters after treatment.Conclusion: It was found that the therapeutic ultrasound applied together with the conventional exercise program for the subacromial impingement syndrome patients reduces pain and increases the functionality.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,009 | 0,023 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,002 | 0,001 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,001 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,056 | 0,007 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».