Evaluation of lontophoresis and rehabilitation outcomes of patients with hand tendon injuries/El tendon yaralanmali hastalarda lyontoforez ve rehabilitasyon sonuclarinin degerlendirilmesi

Objective: The aim of this study was to evaluate both clinically and functionally the outcomes of an iontophoresis and rehabilitation program versus rehabilitation alone applied after tendon repair following hand tendon injuries. Materials and Methods: Twenty-nine patients (5 F [17.2%], 24 M [82.7%]...

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Veröffentlicht in:Türkiye fiziksel tip ve rehabilitasyon dergisi 2008-09, p.107
Hauptverfasser: Demirel, Alev Cevikol, Unlu, Ece, Noyan, Sema, Tellioglu, Ali Teoman, Sanli, Elif, Gurcay, Eda, Cakci, Aytul, Umay, Ebru
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container_title Türkiye fiziksel tip ve rehabilitasyon dergisi
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creator Demirel, Alev Cevikol
Unlu, Ece
Noyan, Sema
Tellioglu, Ali Teoman
Sanli, Elif
Gurcay, Eda
Cakci, Aytul
Umay, Ebru
description Objective: The aim of this study was to evaluate both clinically and functionally the outcomes of an iontophoresis and rehabilitation program versus rehabilitation alone applied after tendon repair following hand tendon injuries. Materials and Methods: Twenty-nine patients (5 F [17.2%], 24 M [82.7%]; mean age: 28.82 ± 13.96 years) were included in the study. Group I (n=14) and Group II (n=15) patients were all included in a rehabilitation program and hand splints. In addition, Group I patients were given iontophoresis (2 mA) with 1% potassium iodide (KI), 5 days/week, for 3 weeks. Evaluations were made by goniometer for range of motion (ROM), Semmes Weinstein Monofilament Test (SWMT) for superficial sensory evaluation, Nine Hole Peg Test (NHPT) for hand dexterity, hand dynamometer and pinchmeter for grip strength and lateral, palmar and fingertip strengths, Health Assessment Questionnaire (HAQ) for daily living activities, and Functional Status scale for functional status before and after the 12 weeks rehabilitation program. Results: In Group I SWMT and in Group II, lateral strength showed significant improvement after treatment (p
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Materials and Methods: Twenty-nine patients (5 F [17.2%], 24 M [82.7%]; mean age: 28.82 ± 13.96 years) were included in the study. Group I (n=14) and Group II (n=15) patients were all included in a rehabilitation program and hand splints. In addition, Group I patients were given iontophoresis (2 mA) with 1% potassium iodide (KI), 5 days/week, for 3 weeks. Evaluations were made by goniometer for range of motion (ROM), Semmes Weinstein Monofilament Test (SWMT) for superficial sensory evaluation, Nine Hole Peg Test (NHPT) for hand dexterity, hand dynamometer and pinchmeter for grip strength and lateral, palmar and fingertip strengths, Health Assessment Questionnaire (HAQ) for daily living activities, and Functional Status scale for functional status before and after the 12 weeks rehabilitation program. Results: In Group I SWMT and in Group II, lateral strength showed significant improvement after treatment (p&lt;0.05). Both groups showed significant improvement in flexion ROM of wrist, hand dexterity, grip strength, palmar and fingertip strengths, daily activities and functional status (p&lt;0.05) after treatment compared with baseline results, but no significant difference was determined between the two groups. Conclusions: Patients with hand tendon injuries demonstrated improvement in clinical findings in addition to improvement in functional status with appropriate rehabilitation, but KI iontophoresis had no additive effect on rehabilitation outcomes. Key Words: Hand tendon injury, grip strength, functional status, iontophoresis, rehabilitation Ozet Amac: Bu calismanin amaci el tendon yaralanmalarini takiben, tendon tamiri sonrasi uygulanan iyontoforez ve rehabilitasyon ve sadece rehabilitasyon sonuclarini klinik ve fonksiyonel olarak degerlendirmektir. Gerec ve Yontem: Calismaya 29 hasta (5 K [%17,2], 24 E [%82,7]; yas ortalamasi: 28,82 ± 13,96 yi) dahil edildi. Grup I (n=14) ve Grup II'deki (n=15) tum hastalara rehabilitasyon programi ve splintleme uygulandi. Grup I'deki hastalara bu tedaviye ek olarak %1'lik potasyum iyodur (KI) ile iyontoforez (2mA) tedavisi haftada bes gun, toplam uc hafta sureyle yapildi. Hastalarin goniyometre ile Eklem Hareket Acikliklari (EHA), Semmes Weinstein Monofilaman Test (SWMT) ile yuzeyel duyu degerlendirmesi, Nine Hole Peg Test ile el becerileri, el dinanometresi ile kavrama gucu, pincmetre ile lateral, palmar ve parmak ucu kavramalari, Genel Saglik Degerlendirme Olcegi ile gunluk yasam aktiviteleri, Fonksiyonel Durum Skalasi ile fonksiyonel durumlari rehabilitasyon programi oncesi ve 12 hafta sonra degerlendirildi. Bulgular: Grup I'de yuzeyel duyuda, Grup II'de lateral kavramada tedavi sonrasi anlamli iyilesme kaydedildi (p&lt;0,05). Her iki grup el bilegi fleksiyon yonundeki EHA'si, el becerileri, kavrama gucleri, palmar ve parmak ucu kavramalari, gunluk yasam aktiviteleri ve fonksiyonel durumlari bakimindan tedavi sonrasi anlamli gelisme gosterdi (p&lt;0,05) fakat gruplar arasi karsilastirmalarda anlamli farklilik saptanmadi. Sonuclar: El tendon yaralanmali hastalar, erken tedavi protokolleriyle rehabilite edildiklerinde klinik bulgularin yani sira el becerileri, gunluk yasam aktiviteleri ve fonksiyonel durumlarinin da iyilesme gosterdikleri belirlenmistir. Ancak KI ile iyontoforez tedavisinin rehabilitasyon sonuclarina ek bir katki saglamadigi gorulmustur. Anahtar Kelimeler: El tendon yaralanmasi, kavrama gucu, fonksiyonel durum, iyontoforez, rehabilitasyon</description><identifier>ISSN: 1302-0234</identifier><language>tur</language><publisher>Galenos Yayinevi Tic. Ltd</publisher><subject>Care and treatment ; Diagnosis ; Health aspects ; Iontophoresis ; Rehabilitation ; Risk factors ; Surgery ; Tendon injuries ; Tendons</subject><ispartof>Türkiye fiziksel tip ve rehabilitasyon dergisi, 2008-09, p.107</ispartof><rights>COPYRIGHT 2008 Galenos Yayinevi Tic. Ltd.</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids></links><search><creatorcontrib>Demirel, Alev Cevikol</creatorcontrib><creatorcontrib>Unlu, Ece</creatorcontrib><creatorcontrib>Noyan, Sema</creatorcontrib><creatorcontrib>Tellioglu, Ali Teoman</creatorcontrib><creatorcontrib>Sanli, Elif</creatorcontrib><creatorcontrib>Gurcay, Eda</creatorcontrib><creatorcontrib>Cakci, Aytul</creatorcontrib><creatorcontrib>Umay, Ebru</creatorcontrib><title>Evaluation of lontophoresis and rehabilitation outcomes of patients with hand tendon injuries/El tendon yaralanmali hastalarda lyontoforez ve rehabilitasyon sonuclarinin degerlendirilmesi</title><title>Türkiye fiziksel tip ve rehabilitasyon dergisi</title><description>Objective: The aim of this study was to evaluate both clinically and functionally the outcomes of an iontophoresis and rehabilitation program versus rehabilitation alone applied after tendon repair following hand tendon injuries. Materials and Methods: Twenty-nine patients (5 F [17.2%], 24 M [82.7%]; mean age: 28.82 ± 13.96 years) were included in the study. Group I (n=14) and Group II (n=15) patients were all included in a rehabilitation program and hand splints. In addition, Group I patients were given iontophoresis (2 mA) with 1% potassium iodide (KI), 5 days/week, for 3 weeks. Evaluations were made by goniometer for range of motion (ROM), Semmes Weinstein Monofilament Test (SWMT) for superficial sensory evaluation, Nine Hole Peg Test (NHPT) for hand dexterity, hand dynamometer and pinchmeter for grip strength and lateral, palmar and fingertip strengths, Health Assessment Questionnaire (HAQ) for daily living activities, and Functional Status scale for functional status before and after the 12 weeks rehabilitation program. Results: In Group I SWMT and in Group II, lateral strength showed significant improvement after treatment (p&lt;0.05). Both groups showed significant improvement in flexion ROM of wrist, hand dexterity, grip strength, palmar and fingertip strengths, daily activities and functional status (p&lt;0.05) after treatment compared with baseline results, but no significant difference was determined between the two groups. Conclusions: Patients with hand tendon injuries demonstrated improvement in clinical findings in addition to improvement in functional status with appropriate rehabilitation, but KI iontophoresis had no additive effect on rehabilitation outcomes. Key Words: Hand tendon injury, grip strength, functional status, iontophoresis, rehabilitation Ozet Amac: Bu calismanin amaci el tendon yaralanmalarini takiben, tendon tamiri sonrasi uygulanan iyontoforez ve rehabilitasyon ve sadece rehabilitasyon sonuclarini klinik ve fonksiyonel olarak degerlendirmektir. Gerec ve Yontem: Calismaya 29 hasta (5 K [%17,2], 24 E [%82,7]; yas ortalamasi: 28,82 ± 13,96 yi) dahil edildi. Grup I (n=14) ve Grup II'deki (n=15) tum hastalara rehabilitasyon programi ve splintleme uygulandi. Grup I'deki hastalara bu tedaviye ek olarak %1'lik potasyum iyodur (KI) ile iyontoforez (2mA) tedavisi haftada bes gun, toplam uc hafta sureyle yapildi. Hastalarin goniyometre ile Eklem Hareket Acikliklari (EHA), Semmes Weinstein Monofilaman Test (SWMT) ile yuzeyel duyu degerlendirmesi, Nine Hole Peg Test ile el becerileri, el dinanometresi ile kavrama gucu, pincmetre ile lateral, palmar ve parmak ucu kavramalari, Genel Saglik Degerlendirme Olcegi ile gunluk yasam aktiviteleri, Fonksiyonel Durum Skalasi ile fonksiyonel durumlari rehabilitasyon programi oncesi ve 12 hafta sonra degerlendirildi. Bulgular: Grup I'de yuzeyel duyuda, Grup II'de lateral kavramada tedavi sonrasi anlamli iyilesme kaydedildi (p&lt;0,05). Her iki grup el bilegi fleksiyon yonundeki EHA'si, el becerileri, kavrama gucleri, palmar ve parmak ucu kavramalari, gunluk yasam aktiviteleri ve fonksiyonel durumlari bakimindan tedavi sonrasi anlamli gelisme gosterdi (p&lt;0,05) fakat gruplar arasi karsilastirmalarda anlamli farklilik saptanmadi. Sonuclar: El tendon yaralanmali hastalar, erken tedavi protokolleriyle rehabilite edildiklerinde klinik bulgularin yani sira el becerileri, gunluk yasam aktiviteleri ve fonksiyonel durumlarinin da iyilesme gosterdikleri belirlenmistir. Ancak KI ile iyontoforez tedavisinin rehabilitasyon sonuclarina ek bir katki saglamadigi gorulmustur. Anahtar Kelimeler: El tendon yaralanmasi, kavrama gucu, fonksiyonel durum, iyontoforez, rehabilitasyon</description><subject>Care and treatment</subject><subject>Diagnosis</subject><subject>Health aspects</subject><subject>Iontophoresis</subject><subject>Rehabilitation</subject><subject>Risk factors</subject><subject>Surgery</subject><subject>Tendon injuries</subject><subject>Tendons</subject><issn>1302-0234</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid/><recordid>eNqNj0FOAzEMRbMAiUK5g1fsKtJOR6VLhAZxAPaV6XgaV65TxUlRuRqXIyMViSUry_8_-X9fucm88YuZXzTLG3drtve-XbVPfuK-uxNKwcxRIQ4gUXM8hpjI2AC1h0QBP1g4X5iSt_FANsLHKpFmg0_OAcJIZ9K-Uqz7kpjssZNf6YwJBfWAwhW1XJfUI8h5TBxq4Bec6E-aVQMsatlWkJUVetpRknqNE0utwFN3PaAY3V_mnXt47d5f3mY7FNoEQsnBopSxuG2e5-v6c7taL5t_gz8IaGvR</recordid><startdate>20080901</startdate><enddate>20080901</enddate><creator>Demirel, Alev Cevikol</creator><creator>Unlu, Ece</creator><creator>Noyan, Sema</creator><creator>Tellioglu, Ali Teoman</creator><creator>Sanli, Elif</creator><creator>Gurcay, Eda</creator><creator>Cakci, Aytul</creator><creator>Umay, Ebru</creator><general>Galenos Yayinevi Tic. Ltd</general><scope/></search><sort><creationdate>20080901</creationdate><title>Evaluation of lontophoresis and rehabilitation outcomes of patients with hand tendon injuries/El tendon yaralanmali hastalarda lyontoforez ve rehabilitasyon sonuclarinin degerlendirilmesi</title><author>Demirel, Alev Cevikol ; Unlu, Ece ; Noyan, Sema ; Tellioglu, Ali Teoman ; Sanli, Elif ; Gurcay, Eda ; Cakci, Aytul ; Umay, Ebru</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-gale_healthsolutions_A1957557943</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>tur</language><creationdate>2008</creationdate><topic>Care and treatment</topic><topic>Diagnosis</topic><topic>Health aspects</topic><topic>Iontophoresis</topic><topic>Rehabilitation</topic><topic>Risk factors</topic><topic>Surgery</topic><topic>Tendon injuries</topic><topic>Tendons</topic><toplevel>online_resources</toplevel><creatorcontrib>Demirel, Alev Cevikol</creatorcontrib><creatorcontrib>Unlu, Ece</creatorcontrib><creatorcontrib>Noyan, Sema</creatorcontrib><creatorcontrib>Tellioglu, Ali Teoman</creatorcontrib><creatorcontrib>Sanli, Elif</creatorcontrib><creatorcontrib>Gurcay, Eda</creatorcontrib><creatorcontrib>Cakci, Aytul</creatorcontrib><creatorcontrib>Umay, Ebru</creatorcontrib><jtitle>Türkiye fiziksel tip ve rehabilitasyon dergisi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Demirel, Alev Cevikol</au><au>Unlu, Ece</au><au>Noyan, Sema</au><au>Tellioglu, Ali Teoman</au><au>Sanli, Elif</au><au>Gurcay, Eda</au><au>Cakci, Aytul</au><au>Umay, Ebru</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of lontophoresis and rehabilitation outcomes of patients with hand tendon injuries/El tendon yaralanmali hastalarda lyontoforez ve rehabilitasyon sonuclarinin degerlendirilmesi</atitle><jtitle>Türkiye fiziksel tip ve rehabilitasyon dergisi</jtitle><date>2008-09-01</date><risdate>2008</risdate><spage>107</spage><pages>107-</pages><issn>1302-0234</issn><abstract>Objective: The aim of this study was to evaluate both clinically and functionally the outcomes of an iontophoresis and rehabilitation program versus rehabilitation alone applied after tendon repair following hand tendon injuries. Materials and Methods: Twenty-nine patients (5 F [17.2%], 24 M [82.7%]; mean age: 28.82 ± 13.96 years) were included in the study. Group I (n=14) and Group II (n=15) patients were all included in a rehabilitation program and hand splints. In addition, Group I patients were given iontophoresis (2 mA) with 1% potassium iodide (KI), 5 days/week, for 3 weeks. Evaluations were made by goniometer for range of motion (ROM), Semmes Weinstein Monofilament Test (SWMT) for superficial sensory evaluation, Nine Hole Peg Test (NHPT) for hand dexterity, hand dynamometer and pinchmeter for grip strength and lateral, palmar and fingertip strengths, Health Assessment Questionnaire (HAQ) for daily living activities, and Functional Status scale for functional status before and after the 12 weeks rehabilitation program. Results: In Group I SWMT and in Group II, lateral strength showed significant improvement after treatment (p&lt;0.05). Both groups showed significant improvement in flexion ROM of wrist, hand dexterity, grip strength, palmar and fingertip strengths, daily activities and functional status (p&lt;0.05) after treatment compared with baseline results, but no significant difference was determined between the two groups. Conclusions: Patients with hand tendon injuries demonstrated improvement in clinical findings in addition to improvement in functional status with appropriate rehabilitation, but KI iontophoresis had no additive effect on rehabilitation outcomes. Key Words: Hand tendon injury, grip strength, functional status, iontophoresis, rehabilitation Ozet Amac: Bu calismanin amaci el tendon yaralanmalarini takiben, tendon tamiri sonrasi uygulanan iyontoforez ve rehabilitasyon ve sadece rehabilitasyon sonuclarini klinik ve fonksiyonel olarak degerlendirmektir. Gerec ve Yontem: Calismaya 29 hasta (5 K [%17,2], 24 E [%82,7]; yas ortalamasi: 28,82 ± 13,96 yi) dahil edildi. Grup I (n=14) ve Grup II'deki (n=15) tum hastalara rehabilitasyon programi ve splintleme uygulandi. Grup I'deki hastalara bu tedaviye ek olarak %1'lik potasyum iyodur (KI) ile iyontoforez (2mA) tedavisi haftada bes gun, toplam uc hafta sureyle yapildi. Hastalarin goniyometre ile Eklem Hareket Acikliklari (EHA), Semmes Weinstein Monofilaman Test (SWMT) ile yuzeyel duyu degerlendirmesi, Nine Hole Peg Test ile el becerileri, el dinanometresi ile kavrama gucu, pincmetre ile lateral, palmar ve parmak ucu kavramalari, Genel Saglik Degerlendirme Olcegi ile gunluk yasam aktiviteleri, Fonksiyonel Durum Skalasi ile fonksiyonel durumlari rehabilitasyon programi oncesi ve 12 hafta sonra degerlendirildi. Bulgular: Grup I'de yuzeyel duyuda, Grup II'de lateral kavramada tedavi sonrasi anlamli iyilesme kaydedildi (p&lt;0,05). Her iki grup el bilegi fleksiyon yonundeki EHA'si, el becerileri, kavrama gucleri, palmar ve parmak ucu kavramalari, gunluk yasam aktiviteleri ve fonksiyonel durumlari bakimindan tedavi sonrasi anlamli gelisme gosterdi (p&lt;0,05) fakat gruplar arasi karsilastirmalarda anlamli farklilik saptanmadi. Sonuclar: El tendon yaralanmali hastalar, erken tedavi protokolleriyle rehabilite edildiklerinde klinik bulgularin yani sira el becerileri, gunluk yasam aktiviteleri ve fonksiyonel durumlarinin da iyilesme gosterdikleri belirlenmistir. Ancak KI ile iyontoforez tedavisinin rehabilitasyon sonuclarina ek bir katki saglamadigi gorulmustur. Anahtar Kelimeler: El tendon yaralanmasi, kavrama gucu, fonksiyonel durum, iyontoforez, rehabilitasyon</abstract><pub>Galenos Yayinevi Tic. Ltd</pub></addata></record>
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source Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Care and treatment
Diagnosis
Health aspects
Iontophoresis
Rehabilitation
Risk factors
Surgery
Tendon injuries
Tendons
title Evaluation of lontophoresis and rehabilitation outcomes of patients with hand tendon injuries/El tendon yaralanmali hastalarda lyontoforez ve rehabilitasyon sonuclarinin degerlendirilmesi
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