Diz Osteoartritinde Kısa Dalga Diatermi ve Ekstrakorporeal Şok Dalga Tedavisinin Etkinliğinin Karşılaştırılması: Yarı Deneysel Klinik Çalışma
Bibliographic record
Abstract
ÖzAmaç: Fizik tedavi ajanları, diz osteoartritinde (OA) semptomların hafifletilmesi ve fonksiyonların iyileştirilmesi amacıyla yaygın olarak kullanılmaktadır.Bu çalışmanın amacı, kısa dalga diatermi (KDD) veya ekstrakorporeal şok dalga tedavisini (ESWT) içeren kombine fizik tedavi protokollerinin diz OA'lı hastalarda ağrı ve fonksiyonel durum üzerine etkinliğini karşılaştırmaktır.Gereç ve Yöntem: Evre 2-3 diz OA'sı olan 49 hasta ile prospektif, yarı deneysel bir çalışma yürütüldü.Grup 1'e sıcak paket (HP) + transkutanöz elektriksel sinir stimülasyonu (TENS) + KDD, Grup 2'ye ise HP + TENS + ESWT uygulandı.ESWT haftada bir olmak üzere toplam dört seans yapıldı.Hastalar başlangıçta, tedavi bitiminde, 3. ve 6. aylarda görsel analog skala (VAS), Western Ontario and McMaster Universities osteoartrit indeksi (WOMAC) ve Lequesne OA şiddet indeksi ile değerlendirildi.Bulgular: Ortalama yaş Grup 1'de 58,3±5,2, Grup 2'de 54,9±6,5 yıl idi (p>0,05).Her iki grupta da tüm takiplerde başlangıca göre anlamlı iyileşme görüldü (p<0,05).Grup 1, kısa dönemde özellikle istirahat VAS, Lequesne indeksi skorları ve WOMAC skorlarında daha belirgin düzelme gösterdi (p<0,05).Altıncı ayda ise gruplar arasında anlamlı fark bulunmadı (p>0,05).Sonuç: Her iki kombine protokol de diz OA tedavisinde etkilidir.KDD kısa dönemde daha üstün görünse de orta vadede sonuçlar benzerdir.Anahtar kelimeler: Diz osteoartriti, kısa dalga diatermi, ekstrakorporeal şok dalga tedavisi Objective: Physical therapy agents are widely used in knee osteoarthritis (OA) to relieve symptoms and improve function.This study aimed to compare the effectiveness of combined physical therapy protocols including short-wave diathermy (SWD) or extracorporeal shock wave therapy (ESWT) on pain and functional status in patients with knee OA. Materials and Methods: A prospective, quasi-experimental trial was conducted with 49 patients with stage 2-3 knee OA.Group 1 received hot pack (HP) + transcutaneous electrical nerve stimulation (TENS) + SWD, while Group 2 received HP + TENS + ESWT.ESWT was administered once weekly for four sessions.Patients were evaluated at baseline, post-treatment, and at 3 and 6 months using the visual analog scale (VAS), the Western Ontario and McMaster Universities osteoarthritis index (WOMAC), and the Lequesne OA severity index.Results: Mean ages were 58.3±5.2 years (Group 1) and 54.9±6.5 years (Group 2) (p>0.05).Both groups showed significant improvements at all follow-ups compared to baseline (p<0.05).Group 1 demonstrated greater short-term improvements, particularly in rest VAS, Lequesne index scores and WOMAC scores (p<0.05).By 6 months, no significant differences were found between the groups (p>0.05).Conclusion: Both combined protocols were effective in knee OA.SWD showed superior short-term effects, while mid-term outcomes were comparable.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.010 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".