Diz Osteoartritinde Klasik Fizyoterapi ve Farklı Nöromusküler Fasilitasyon Tekniklerinin Ağrı, Eklem Hareket Açıklığı, Kas Kuvveti, Propriosepsiyon, Postüral Kontrol, Diz Fonksiyonları ve Fonksiyonel Performans Üzerine Olan Etkilerinin Karşılaştırılması

Abstract

Gökşen, A., Comparison of Effectiveness of Classical Physiotherapy and Different 'Proprioceptive Neuromuscular Facilitation' Techniques on Pain, Proprioception, Postural Control, Muscle Strength, Joint Range of Motion and Knee Functions in Knee Osteoarthritis; Hacettepe University, Institute of Health Sciences, Physical Therapy and Rehabilitation Program, Ph.D. Thesis, Ankara, 2020. This study was conducted to compare the effects of classical physiotherapy and different 'Proprioceptive Neuromuscular Facilitation (PNF)' techniques on pain, proprioception, postural control, muscle strength, muscular endurance, range of motion (ROM), knee functions and functional performance in knee osteoarthritis (OA). The study included 35 patients between the ages of 47 and 62 who were diagnosed with stage 1-2 KOA. The patients were divided into three groups with block randomization method as Classical Physiotherapy Group (n = 12), PNF-1 Group (n = 12) with Repeated Stretching (TG) Technique, PNF-2 Group (n = 11) with Combined Isotonic Contractions (ICC) technique. PNF was applied to all patterns of the lower extremity in full pattern and patients in all groups were treated for 6 weeks, 3 days a week. ROM with ''Goniometer'', knee pain with ''Visual Analogue Scale'' and ''Algometer'', muscle strength, muscle endurance and proprioception with '' Biodex®System Pro3''; postural control with "Berg Balance scale" and "Biodex®System Pro3 (Biodex Corp. Shirley NY, USA)"; Knee functions with ''Knee injury and Osteoarthritis Outcome Score'' and '' Western Ontario and McMaster Universities Osteoarthritis Index'', functional performance related to the knee with '' Time to Walk (TUG) '', "6 Minute Walk Test" and "Step Climbing Test (BTT)" was evaluated before and after the treatment. Functional performance and knee extensor muscle strength with CIC technique showed more improvement than the other methods and CIC showed more improvement compared to the classical physiotherapy in terms of knee joint position sensation evaluated at 60 ° (p <0.05). Both PNF methods were superior to the classical physiotherapy in terms of pain parameter related to knee function, muscular endurance, mediolateral balance with eyes open and total balance score (p <0.05). In conclusion, all methods were effective in patients with early-stage knee osteoarthritis; however, it was seen the most effective results was obtained by PNF using CIC technique.