Subakromial s?k??ma sendromu olan hastalarda terapotik ultrason tedavisinin etkinli?i ?zerine yap?lan randomize kontroll? bir ?al??ma
Bibliographic record
Abstract
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.
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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 | 0.009 | 0.023 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.056 | 0.007 |
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".