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Effects of Tai Chi exercise on pain, functional status, and quality of life in patients with osteoarthritis or inflammatory arthritis. 太极拳运动对骨关节炎或炎症性关节炎患者疼痛、功能状态和生活质量的影响。
IF 1.1 4区 医学 Q3 REHABILITATION Pub Date : 2024-08-26 eCollection Date: 2024-09-01 DOI: 10.5606/tftrd.2024.13140
Nataša Kalebota, Nadica Laktašić Žerjavić, Kristina Kovač Durmiš, Milan Milošević, Antun Andreić, Biljana Končar, Mladen Vedriš, Petar Turković, Nikolino Žura, Iva Žagar, Mislav Pap, Porin Perić

Objectives: This study aims to assess the impact of a Tai Chi exercise program (TCEP) on pain, spinal flexibility, muscle strength, stability and balance, functional status, and quality of life (QoL) among home-dwelling patients with osteoarthritis (OA) or inflammatory arthritis (iA).

Patients and methods: Between October 2018 and April 2019, a total of 28 participants (4 males, 24 females; median age: 62 years; range, 34 to 79 years) who completed the training program participating in at least 18 sessions were included. The TCEP consisted of 50 sessions for 60 min twice a week. The average attendance rate was high (78%, 39 sessions).

Results: Chest mobility (breathing index, p<0.001), sagittal mobility of cervical (p<0.001), thoracic (p=0.009), and lumbar spine (Schober's test, p<0.001) improved significantly in participants with OA and iA. The improvement in functional status was significant only in participants with OA (Lequesne index, p=0.014). Although the change in Lequesne index was statistically significant, the median value remained in the range of severe disability and the change did not reach the minimal clinically important difference. Although the trends were positive, the changes in pain (Visual Analog Scale pain, p=0.599), stability and balance (functional reach test, p=0.341), muscular strength (wall sit test, p=0.069), and health-related QoL (15D, p=0.065) were non-significant in participants with OA and iA.

Conclusion: Our study results suggest that a 25-week TCEP is safe and can improve chest and spinal mobility in home-dwelling individuals with OA or iA.

研究目的本研究旨在评估太极锻炼计划(TCEP)对居家骨关节炎(OA)或炎性关节炎(iA)患者的疼痛、脊柱柔韧性、肌肉力量、稳定性和平衡性、功能状态以及生活质量(QoL)的影响:在2018年10月至2019年4月期间,共纳入28名完成培训计划的参与者(4名男性,24名女性;中位年龄:62岁;范围:34至79岁),他们至少参加了18次课程。TCEP 共有 50 节课,每周两次,每次 60 分钟。平均出勤率很高(78%,39 节课):结果:胸廓活动度(呼吸指数、肺活量指数我们的研究结果表明,为期 25 周的 TCEP 是安全的,可以改善居家的 OA 或 iA 患者的胸部和脊柱活动度。
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引用次数: 0
Investigation of the effects of different treatment approaches on lumbar stabilizer muscles and diaphragm motility in individuals with chronic low back pain. 研究不同治疗方法对慢性腰痛患者腰部稳定肌和膈肌运动的影响。
IF 1.1 4区 医学 Q3 REHABILITATION Pub Date : 2024-08-26 eCollection Date: 2024-09-01 DOI: 10.5606/tftrd.2024.13257
Kansu Kanlı, Pembe Hare Yigitoglu, Ahmet Özgül

Objectives: This study aimed to examine effects of core stabilization and aerobic exercises on lumbar stabilizer muscles and diaphragm motility in individuals with chronic low back pain (CLBP).

Patients and methods: Fifty-one patients (19 males, 32 females; mean age: 32.7±8.8 years; range, 20 to 60 years) with CLBP were included in this randomized controlled trial between March 2021 and May 2022. The patients were divided into three groups: the core group, the aerobic group, and the control group. Conventional treatments (hotpack, transcutaneous electrical nerve stimulation, ultrasound, and McKenzie exercises) were applied to all three patient groups. The core group received core stabilization exercises, and the aerobic group received aerobic exercises. The control group received only conventional treatments. Exercises were continued for six weeks. All patients were assessed through the Beck Depression Inventory (BDI), Visual Analog Scale (VAS), Roland Morris Disability Questionnaire (RMDQ), and Nottingham Health Profile (NHP). Trunk flexor and extensor strength, as well as trunk flexor and back extensor endurance, was examined. Structural features of the multifidus (MF), transversus abdominis (TrA), external oblique (EO), internal oblique (IO), and diaphragm muscles, as well as diaphragm motility, were evaluated with ultrasound imaging. All measurements were repeated before and after six weeks of treatment.

Results: In all groups, post-treatment values of VAS rest/activity, trunk flexor endurance, back extensor endurance, trunk flexor/extensor muscle strength, BDI, RMDQ and, NHP scores improved significantly compared to pre-treatment (p=0.001). Resting and contraction thicknesses of TrA, MF, EO, and IO muscles increased significantly in both the core (p=0.001/0.001, p=0.001/0.002, p=0.001/0.001, and p=0.001/0.001, respectively) and aerobic groups (p=0.001/0.013, p=0.002/0.020, p=0.001/0.004, and p=0.001/0.010, respectively), while the control group did not show any significant difference (p=0.229/0.064, p=0.052/0.102, p=0.069/0.449, and p=0.094/0.146, respectively). After treatment, all groups showed significant increments in end-expiratory thickness (p=0.001), end-inspiratory thickness (p=0.001), motility of diaphragm during normal breathing (control, p=0.003; core, p=0.001; aerobic, p=0.001), and deep breathing (control, p=0.007; core, p=0.001; aerobic, p=0.001).

Conclusion: While aerobic and core stabilization exercises provided significant improvements in individuals with CLBP, the core stabilization group showed the best improvement in all parameters. Accordingly, the necessity of aerobic and core stabilization exercises in treatment programs comes to the fore in individuals with CLBP.

研究目的本研究旨在探讨核心稳定运动和有氧运动对慢性腰背痛(CLBP)患者腰部稳定肌和膈肌运动的影响:在 2021 年 3 月至 2022 年 5 月期间,51 名慢性腰背痛患者(19 名男性,32 名女性;平均年龄:32.7±8.8 岁;范围:20 至 60 岁)被纳入这项随机对照试验。患者被分为三组:核心组、有氧组和对照组。三组患者均接受常规治疗(热敷、经皮神经电刺激、超声波和麦肯锡运动)。核心组接受核心稳定运动,有氧组接受有氧运动。对照组只接受常规治疗。运动持续六周。通过贝克抑郁量表(BDI)、视觉模拟量表(VAS)、罗兰-莫里斯残疾问卷(RMDQ)和诺丁汉健康档案(NHP)对所有患者进行评估。对躯干屈肌和伸肌力量以及躯干屈肌和背部伸肌耐力进行了检查。通过超声波成像评估了多裂肌 (MF)、腹横肌 (TRA)、腹外斜肌 (EO)、腹内斜肌 (IO) 和膈肌的结构特征以及膈肌运动情况。在治疗前和治疗六周后重复进行所有测量:结果:与治疗前相比,各组治疗后的 VAS 休息/活动、躯干屈肌耐力、背部伸肌耐力、躯干屈肌/伸肌肌力、BDI、RMDQ 和 NHP 评分均有显著改善(P=0.001)。核心组(p=0.001/0.001、p=0.001/0.002、p=0.001/0.001 和 p=0.001/0.001)和有氧组(p=0.001/0.013、p=0.002/0.020、p=0.001/0.004 和 p=0.001/0.010),而对照组则无显著差异(分别为 p=0.229/0.064、p=0.052/0.102、p=0.069/0.449 和 p=0.094/0.146)。治疗后,所有组的呼气末厚度(p=0.001)、吸气末厚度(p=0.001)、正常呼吸时横膈膜的运动(对照组,p=0.003;核心组,p=0.001;有氧组,p=0.001)和深呼吸(对照组,p=0.007;核心组,p=0.001;有氧组,p=0.001)均有明显增加:结论:有氧运动和核心稳定运动能显著改善慢性阻塞性肺病患者的状况,而核心稳定运动组在所有参数方面的改善效果最好。因此,有氧运动和核心稳定运动在慢性阻塞性脑脊髓膜炎患者治疗计划中的必要性凸显出来。
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引用次数: 0
Short-term effectiveness of epidermis dermis fascia kinesiotaping technique in myofascial pain syndrome on upper trapezius: A multi-center, double-blind, randomized clinical study.
IF 1.1 4区 医学 Q3 REHABILITATION Pub Date : 2024-08-26 eCollection Date: 2024-09-01 DOI: 10.5606/tftrd.2024.14151
Duygu Geler Külcü, Arzu Dinç Yavaş, Bahar Çakmak, Belgin Erhan, Birkan Sonel Tur, Figen Ayhan, Gül Tuğba Bulut, Merve Soysal, Nilgün Mesci, Zeynep Alpoğuz, Kamil Yazıcıoğlu, Elif Çiğdem Keleş

Objectives: This study aims to investigate the efficacy of epidermis dermis fascia (EDF) kinesiotaping (KT) technique on pain intensity, number of active trigger points (TrPs), cervical range of motion (ROM) angles, and disability levels in patients with myofascial pain syndrome (MPS) on upper trapezius (UT) muscle.

Patients and methods: Between January 2019 and January 2020, a total of 180 patients (21 males, 159 females; mean age: 35.9±9.0 years; range, 18 to 56 years) with MPS were included. The patients were randomized into either KT with EDF technique (Group 1) or sham KT (Group 2). Outcome measures were Visual Analog Scale (VAS) pain score, number of active TrPs, cervical ROM angles, and Neck Pain Disability Scale (NPDS).

Results: Both groups improved in terms of all outcome parameters except for cervical flexion and extension angles in Group 2. The VAS pain scores significantly decreased in Group 1 (p<0.0001) significantly improved in Group 1. Cervical left (p=0.001) and right (p<0.0001) lateral flexion angles significantly improved in Group 2. There was no significant difference between the groups regarding cervical ROM angles.

Conclusion: Our study results suggest that KT with the EDF technique is an effective method in reducing pain and number of active TrPs, improving disability and cervical ROM angles.

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引用次数: 0
Effectiveness of static, dynamic and combined dry needling techniques in the management of myofascial pain syndrome: A three-group study. 静态、动态和综合干针技术在治疗肌筋膜疼痛综合征中的效果:三组研究。
IF 1.1 4区 医学 Q3 REHABILITATION Pub Date : 2024-08-26 eCollection Date: 2024-09-01 DOI: 10.5606/tftrd.2024.14310
Emre Ata, Mürvet Arda, Ece Küçük, Mustafa Hüseyin Temel, Mehmet Akif Güler, Tuğba Özsoy Ünübol

Objectives: This study aims to evaluate and compare the therapeutic effectiveness of static dry needling (S-DN), dynamic dry needling (D-DN), and a combined technique (CT) for managing myofascial pain syndrome (MPS).

Patients and methods: Between January 1, 2023 and April 15, 2023, a total of 38 patients (9 males, 29 females; mean age: 40.5±12.7 years; range, 22 to 63 years) with MPS who experienced neck pain for less than six months and had at least one painful myofascial trigger point in the trapezius, rhomboids, or levator scapula muscle were included in the study. The patients were divided into three groups: D-DN, S-DN, and CT. Measurements included the Visual Analog Scale (VAS), range of motion (ROM), Neck Disability Index (NDI), and the European Quality of Life 5 Dimensions 3 Level Version (EQ5D3L). All measurements were made at baseline (T0), after the first treatment session (T1), after the final session (T2), and one-month post-treatment (T3).

Results: The group treated with S-DN showed less significant improvement in ROM scores compared to other treatment methods. Both the D-DN and S-DN groups showed decreased VAS scores at rest and during motion across all time points, compared to the CT group. The NDI scores decreased in all groups, while the EQ5D3L scores exhibited no variations between groups or across any time point irrespective of the treatment method employed.

Conclusion: Our study results suggest that all three methods are effective in treating MPS, with D-DN potentially being the preferred method over S-DN and CT due to its time efficiency.

研究目的本研究旨在评估和比较静态干针疗法(S-DN)、动态干针疗法(D-DN)和综合疗法(CT)治疗肌筋膜疼痛综合征(MPS)的疗效:在2023年1月1日至2023年4月15日期间,共有38名MPS患者(9名男性,29名女性;平均年龄:40.5±12.7岁;年龄范围:22至63岁)被纳入研究,这些患者的颈部疼痛持续时间少于6个月,且斜方肌、菱形肌或肩胛提肌上至少有一个疼痛的肌筋膜触发点。患者被分为三组:D-DN组、S-DN组和CT组。测量项目包括视觉模拟量表(VAS)、活动范围(ROM)、颈部残疾指数(NDI)和欧洲生活质量 5 维 3 级版本(EQ5D3L)。所有测量均在基线(T0)、首次治疗后(T1)、最后一次治疗后(T2)和治疗后一个月(T3)进行:结果:与其他治疗方法相比,S-DN治疗组的ROM评分改善不明显。与 CT 组相比,D-DN 组和 S-DN 组在所有时间点的静息和运动时的 VAS 评分均有所下降。所有治疗组的 NDI 评分均有所下降,而 EQ5D3L 评分在治疗组之间或任何时间点均无变化:我们的研究结果表明,这三种方法都能有效治疗 MPS,其中 D-DN 因其时间效率高而可能比 S-DN 和 CT 更受青睐。
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引用次数: 0
Robot-assisted gait training in stroke.
IF 1.1 4区 医学 Q3 REHABILITATION Pub Date : 2024-08-26 eCollection Date: 2024-09-01 DOI: 10.5606/tftrd.2024.15681
Şebnem Koldaş Doğan

Stroke is the second most common cause of mortality and disability worldwide. Most of the patients cannot regain their walking ability after a stroke. Impaired gait and mobility negatively affect the activities of daily living and quality of life of stroke survivors. Restoring gait and mobility are the most important targets of the rehabilitation approaches. Advances in computers and engineering have enabled robotics to be used in many areas of rehabilitation medicine. One of them is gait training. High-intensity, repetitive task training is crucial for neural plasticity and motor learning. Robot-assisted gait training may be a promising method leading to functional recovery in patients with stroke. In this review, the efficacy of robot-assisted gait training in stroke rehabilitation is discussed in light of current literature.

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引用次数: 0
Comparison of the effect of separate and simultaneous application of Tecar therapy and low-level laser therapy on the neurological symptoms of type 2 diabetic patients with peripheral neuropathy of lower limbs. 比较单独和同时使用泰卡疗法和低强度激光疗法对患有下肢周围神经病变的 2 型糖尿病患者的神经症状的影响。
IF 1.1 4区 医学 Q3 REHABILITATION Pub Date : 2024-08-26 eCollection Date: 2024-09-01 DOI: 10.5606/tftrd.2024.13419
Mitra Javan Amoli, Khosro Khademi-Kalantari, Maryam Niajalili, Aliyeh Daryabor, Sedigheh Sadat Naimi

Objectives: The study aimed to compare the effects of separate and simultaneous application of Tecar therapy and low-level laser therapy on neurological symptoms of type 2 diabetic patients.

Patients and methods: In this randomized control trial conducted between November 2021 and February 2022, 45 patients (30 females, 15 males; mean age: 65.7±7.6 years; range, 51 to 76 years) with type 2 diabetes and peripheral sensory neuropathy of the lower limbs were randomly divided into three groups: Tecar + sham laser (n=15), Tecar + laser (n=15), and laser + sham Tecar (n=15). Outcome measures for both right and left limbs included tibial motor nerve conduction velocity (MNCV), sural nerve amplitude, sole sensation, and ankle-brachial index (ABI) measured before and after 10 sessions and after a three-month follow-up.

Results: In intergroup comparison, the Tecar + laser group significantly improved compared to the laser + sham Tecar group in terms of tibial MNCV in both limbs after 10 sessions and all measured outcomes after three months (p<0.05). In addition, comparison between the Tecar + laser and Tecar + sham laser groups for tibial MNCV (p=0.021 for the right limb and p=0.002 for the left limb) and ABI (p=0.001 for the right limb and p=0.002 for the left limb) in both limbs after three months was significant. In the intragroup comparison, a significant improvement was found in the laser + sham Tecar group for sole sensation (p<0.001) and ABI (p<0.001) of both limbs after three months compared to before the interventions, whereas in the other two groups, significant improvements were found in all four outcomes.

Conclusion: A significant increase was found in neurological outcomes in all three groups after 10 sessions. Moreover, the use of combined Tecar therapy and laser compared to Tecar or laser alone could lead to a more lasting effect in improving the sensory symptoms of type 2 diabetic patients with peripheral neuropathy of the lower limbs.

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引用次数: 0
Effect of low-frequency repetitive magnetic transcranial stimulation in hemichorea-hemiballismus with ipsilateral basal ganglia hemorrhage: A case report. 低频重复经颅磁刺激对伴有同侧基底节出血的半身不遂的影响:病例报告。
IF 1.1 4区 医学 Q3 REHABILITATION Pub Date : 2024-08-26 eCollection Date: 2024-09-01 DOI: 10.5606/tftrd.2024.13022
Kim Heejae

Post-stroke hemichorea-hemiballismus (HCHB) typically manifests as hyperkinetic movements contralateral to the lesion, but rarely occurs ipsilaterally. In this article, we present a rare case who initially presented with left hemiparesis and developed right HCHB after right basal ganglia hemorrhage. To facilitate motor recovery in the left hemiparesis, we applied low-frequency repetitive transcranial magnetic stimulation (rTMS) over the left primary motor cortex. Unexpectedly, the right HCHB was significantly reduced after four weeks of therapy. Post-treatment perfusion imaging showed increased cerebral blood flow in the left middle cerebral artery territory. In conclusion, low-frequency rTMS may be considered an alternative therapy for post-stroke HCHB.

中风后偏瘫(HCHB)通常表现为病变对侧的过度运动,但很少发生在同侧。本文介绍了一例罕见病例,患者最初表现为左侧偏瘫,右侧基底节出血后发展为右侧 HCHB。为了促进左侧偏瘫患者的运动恢复,我们对左侧初级运动皮层进行了低频重复经颅磁刺激(rTMS)。出乎意料的是,治疗四周后,右侧 HCHB 明显减轻。治疗后的灌注成像显示,左侧大脑中动脉区域的脑血流量有所增加。总之,低频经颅磁刺激可被视为卒中后HCHB的替代疗法。
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引用次数: 0
Effects of intra-articular versus peri-articular dextrose prolotherapy in knee osteoarthritis: A clinical trial study. 膝关节骨性关节炎关节内与关节周围葡萄糖增生疗法的效果:临床试验研究。
IF 1.1 4区 医学 Q3 REHABILITATION Pub Date : 2024-08-26 eCollection Date: 2024-09-01 DOI: 10.5606/tftrd.2024.12937
Leila Sadat Mohamadi Jahromi, Hadi Dashtimakan, Sharareh Roshanzamir, Alireza Dabbaghmanesh, Reyhaneh Parvin

Objectives: This study aims to compare the effectiveness of intra-articular and peri-articular dextrose prolotherapy (DPT) in patients with knee osteoarthritis (KOA) without effusion.

Patients and methods: Between August 2018 and November 2018, a total of 51 participants including 27 cases (12 males, 15 females; mean age: 55.7±5.2 years; range, 38 to 70 years) in Group A and 24 cases (9 males, 15 females; mean age: 54.7±4.6 years; range, 38 to 70 years) in Group B were recruited. Group A received intra-articular DPT, while Group B received peri-articular DPT. Treatment was administered two times with two-week intervals. The Visual Analog Scale (VAS), Western Ontario and McMaster Universities Arthritis Index (WOMAC) and Oxford Knee Scale (OKS) questionnaires were filled at baseline, and four and eight weeks after first injection.

Results: At four and eight weeks, the VAS, OKS, and WOMAC scores improved from baseline in both groups. There was no significant difference in the WOMAC and OKS scores between two methods. The VAS scores showed superiority of intra-articular method (p<0.05).

Conclusion: Both peri-articular and intra-articular DPT were effective in patients with KOA. There was no superiority in terms of functional improvement between two groups. However, intra-articular prolotherapy was more effective in decreasing pain in these patients.

研究目的本研究旨在比较膝关节骨性关节炎(KOA)患者关节内和关节周围葡萄糖增生疗法(DPT)对无积液患者的疗效:2018年8月至2018年11月期间,共招募51名参与者,包括A组27例(男12例,女15例;平均年龄:(55.7±5.2)岁;范围:38至70岁)和B组24例(男9例,女15例;平均年龄:(54.7±4.6)岁;范围:38至70岁)。A 组接受关节内 DPT 治疗,B 组接受关节周围 DPT 治疗。治疗共进行两次,每次间隔两周。在基线、首次注射后的四周和八周填写视觉模拟量表(VAS)、西安大略和麦克马斯特大学关节炎指数(WOMAC)和牛津膝关节量表(OKS)问卷:结果:在四周和八周时,两组的 VAS、OKS 和 WOMAC 评分均比基线有所提高。两种方法的 WOMAC 和 OKS 评分无明显差异。VAS 评分显示关节内方法更优(p 结论:关节周围和关节内 DPT 对 KOA 患者均有效。两组患者在功能改善方面没有优劣之分。不过,关节内注射疗法在减轻这些患者的疼痛方面更为有效。
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引用次数: 0
Effectiveness of Rocabado exercises in patients with rheumatoid arthritis in remission with temporomandibular joint involvement: A randomized-controlled study. Rocabado 运动对颞下颌关节受累的类风湿关节炎缓解期患者的疗效:随机对照研究。
IF 1.1 4区 医学 Q3 REHABILITATION Pub Date : 2024-07-26 eCollection Date: 2024-09-01 DOI: 10.5606/tftrd.2024.13517
Manolya Ilhanlı, Ilker Ilhanlı, Simay Aksakallı

Objectives: This study aims to investigate the effectiveness of Rocabado exercises in patients with rheumatoid arthritis (RA) in remission with temporomandibular joint (TMJ) involvement.

Patients and methods: Between May 2023 and July 2023, a total of 42 patients (4 males, 38 females; mean age: 47.8±13.9 years; range, 21 to 73 years) were included in this single-center, single-blind, randomized-controlled study. Only the RA patients in remission for at least three months, with TMJ complaints and who had TMJ involvement detected by magnetic resonance imaging (MRI) were included. The patients were randomized into the Rocabado exercise group (n=21) and standard TMJ exercise group (n=21). The home-based exercise programs for both groups continued for six weeks. A Visual Analog Scale (VAS) was used to evaluate pain. The TMJ examination findings were recorded. The maximum interincisal distances were measured. To evaluate the quality of life, the patients were asked to fill the Turkish Oral Health Impact Profile-14 (OHIP-14).

Results: Demographic and baseline characteristics were similar between the groups. Standard TMJ exercises group showed an improvement only for OHIP-14 after treatment. Rocabado exercises group showed a statistically significant improvement for interincisal distance, OHIP-14, VAS pain, number of patients with limited mouth opening, TMJ pain with palpation, and pterygoid pain with palpation after treatment.

Conclusion: Our study results indicate that Rocabado exercises may be effective in RA patients with TMJ involvement in relieving pain and improving the quality of life due to oral health.

研究目的本研究旨在探讨Rocabado运动对颞下颌关节(TMJ)受累的类风湿性关节炎(RA)缓解期患者的有效性:在 2023 年 5 月至 2023 年 7 月期间,共有 42 名患者(4 名男性,38 名女性;平均年龄:47.8±13.9 岁;范围:21 至 73 岁)参与了这项单中心、单盲、随机对照研究。只有缓解期至少三个月、有颞下颌关节主诉且磁共振成像(MRI)检测到颞下颌关节受累的 RA 患者才被纳入研究。患者被随机分为 Rocabado 锻炼组(21 人)和标准颞下颌关节锻炼组(21 人)。两组的家庭锻炼计划均持续六周。采用视觉模拟量表(VAS)评估疼痛。记录颞下颌关节检查结果。测量最大咬合间距。为评估生活质量,要求患者填写土耳其口腔健康影响档案-14(OHIP-14):结果:两组患者的人口统计学特征和基线特征相似。标准颞下颌关节锻炼组在治疗后仅在 OHIP-14 方面有所改善。结论:我们的研究结果表明,Rocabado颞下颌关节锻炼能有效改善颞下颌关节的疼痛:我们的研究结果表明,Rocabado 锻炼对颞下颌关节受累的 RA 患者可能有效,可缓解疼痛并改善口腔健康导致的生活质量。
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引用次数: 0
Does transforaminal epidural steroid injection added to dorsal root ganglion pulsed radiofrequency treatment increase efficacy? 在背根神经节脉冲射频治疗中加入经椎间孔硬膜外注射类固醇是否会提高疗效?
IF 1.1 4区 医学 Q3 REHABILITATION Pub Date : 2024-07-26 eCollection Date: 2024-09-01 DOI: 10.5606/tftrd.2024.13479
Gokhan Yildiz, Hamit Goksu, Erkan Yavuz Akcaboy, Seref Celik, Mustafa Yemliha Ayhan, Samet Sancar Kaya

Objectives: This study aimed to compare the treatment outcomes between dorsal root ganglion (DRG) pulsed radiofrequency (PRF) and DRG PRF plus transforaminal epidural steroid injection (TFESI) in patients with chronic lumbosacral radicular pain.

Patients and methods: Eighty-one patients (39 males, 42 females; mean age: 57.5±11.9 years; range 18 to 65 years) who underwent DRG PRF (Group 1) and 59 patients (34 males, 25 females; mean age: 58.7±12.3 years; range 18 to 65 years) who underwent DRG PRF plus TFESI (Group 2) between February 2021 and June 2022 were enrolled in the retrospective study. A Visual Analog Scale (VAS) was used to assess pain severity. Patients in both groups were evaluated before treatment and at four weeks and six months after treatment.

Results: The four-week and six-month VAS scores were significantly lower than the baseline VAS scores in both groups. There was no significant difference between the groups in terms of the VAS scores at baseline, four weeks, and six months. There was no significant difference between the groups in terms of the rate of pain reduction of 50% or more at either measurement point. The presence or absence of a previous lumbar surgery had no effect on achieving a significant decrease in pain.

Conclusion: Although DRG PRF and TFESI are easy to apply together, adding corticosteroids to DRG PRF treatment for patients with chronic radicular pain did not improve long-term outcomes.

研究目的本研究旨在比较背根神经节(DRG)脉冲射频(PRF)和DRG PRF加经椎间孔硬膜外类固醇注射(TFESI)对慢性腰骶根性疼痛患者的治疗效果:在2021年2月至2022年6月期间,81名患者(39名男性,42名女性;平均年龄:57.5±11.9岁;18至65岁不等)接受了DRG PRF(第1组),59名患者(34名男性,25名女性;平均年龄:58.7±12.3岁;18至65岁不等)接受了DRG PRF加TFESI(第2组)。采用视觉模拟量表(VAS)评估疼痛严重程度。两组患者均在治疗前、治疗后四周和六个月接受了评估:结果:两组患者在治疗后四周和六个月的 VAS 评分均明显低于基线 VAS 评分。两组患者在基线、四周和六个月的 VAS 评分无明显差异。两组患者在任何一个测量点的疼痛减轻率达到或超过 50%,均无明显差异。曾否进行过腰部手术对疼痛是否明显减轻没有影响:结论:虽然 DRG PRF 和 TFESI 很容易同时使用,但在 DRG PRF 治疗慢性根性疼痛患者的同时使用皮质类固醇并不能改善长期疗效。
{"title":"Does transforaminal epidural steroid injection added to dorsal root ganglion pulsed radiofrequency treatment increase efficacy?","authors":"Gokhan Yildiz, Hamit Goksu, Erkan Yavuz Akcaboy, Seref Celik, Mustafa Yemliha Ayhan, Samet Sancar Kaya","doi":"10.5606/tftrd.2024.13479","DOIUrl":"10.5606/tftrd.2024.13479","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to compare the treatment outcomes between dorsal root ganglion (DRG) pulsed radiofrequency (PRF) and DRG PRF plus transforaminal epidural steroid injection (TFESI) in patients with chronic lumbosacral radicular pain.</p><p><strong>Patients and methods: </strong>Eighty-one patients (39 males, 42 females; mean age: 57.5±11.9 years; range 18 to 65 years) who underwent DRG PRF (Group 1) and 59 patients (34 males, 25 females; mean age: 58.7±12.3 years; range 18 to 65 years) who underwent DRG PRF plus TFESI (Group 2) between February 2021 and June 2022 were enrolled in the retrospective study. A Visual Analog Scale (VAS) was used to assess pain severity. Patients in both groups were evaluated before treatment and at four weeks and six months after treatment.</p><p><strong>Results: </strong>The four-week and six-month VAS scores were significantly lower than the baseline VAS scores in both groups. There was no significant difference between the groups in terms of the VAS scores at baseline, four weeks, and six months. There was no significant difference between the groups in terms of the rate of pain reduction of 50% or more at either measurement point. The presence or absence of a previous lumbar surgery had no effect on achieving a significant decrease in pain.</p><p><strong>Conclusion: </strong>Although DRG PRF and TFESI are easy to apply together, adding corticosteroids to DRG PRF treatment for patients with chronic radicular pain did not improve long-term outcomes.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"70 3","pages":"390-396"},"PeriodicalIF":1.1,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Turkish Journal of Physical Medicine and Rehabilitation
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