Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Kinezyolojik Bantlama, Halluks Valgus Palyatif Tedavisinde Etkili Bir Yöntem mi? Retrospektif Bir Değerlendirme
Is Kinesiologic Taping an Effective Method in Palliative Treatment of Hallux Valgus? A Retrospective Evaluation
İsmail Eralp KAÇMAZa, Serkan ERKUŞa, Can Doruk BASAa, Vadym ZHAMİLOVa, Ali REİSOĞLUa
aSağlık Bilimleri Üniversitesi İzmir Tepecik Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İzmir, TÜRKİYE
Turkiye Klinikleri J Health Sci. 2020;5(2):236-43
doi: 10.5336/healthsci.2019-70658
Article Language: TR
Full Text
ÖZET
 Amaç: Halluks valgus için literatürde birçok tedavi yöntemi tanımlanmıştır ancak ağrılı halluks valguslarda en uygun tedavi seçeneği hâlâ netleşmemiştir. Çalışmada amacımız, radyolojik olarak deformitesi orta derece olan ancak ağrılı halluks valgus hastalarının kinezyolojik bantlama yöntemi ile konservatif tedavisinin kısa süreli fonksiyonel ve radyolojik sonuçlarını araştırmak ve tedavi süresinin sonuçlar üzerine etkisini retrospektif olarak değerlendirmektir. Gereç ve Yöntemler: 2016-2017 yılları arasında polikliniğe başvuran, eklem ağrısı şikâyeti olan ve 10-50˚ arası halluks valgus açısı olan 21 kadın hastanın 30 ayağı çalışmaya dâhil edildi. Hastalar bantlama süresi olarak 2 gruba ayrıldı (Grup 1: 15 gün bantlama; Grup 2: 30 gün bantlama). İki grubun 30. gün sonuçları karşılaştırıldı. Radyografilerde halluks valgus açıları (HVA) ve intermetatarsal açıları (IMA) ölçüldü. Halluks abduksiyon açısına (HAA) poliklinik kayıtlarından ulaşıldı. Ağrı ve fonksiyonel durumu değerlendirmek için poliklinik kontrollerinde kaydedilmiş olan Vizüel Analog Skala (VAS), Foot Function Index (FFI) ve American Orthopedic Foot & Ankle Society Scoring System (AOFAS) kayıtları kullanıldı. Bulgular: HVA ve HAA düzelme miktarı Grup 2'de Grup 1'e göre daha yüksekti (pHVA=0,66; pHAA=0,69). Bununla birlikte IMA'da iyileşme olmadığı gözlendi (pIMA=0,15). VAS, FFI ve AOFAS puanlarındaki değişikliklerin Grup 2'de Grup 1'e göre daha yüksek olduğu gözlendi (sırasıyla p=0,31, p=0,024 ve p=0,025). Sonuç: Çalışmada kinezyolojik bantlamanın, orta derecede halluks valgus deformitesi olan hastalarda ağrıyı azaltmada etkili olduğu görüldü. Tedavi süresinin uzatılmasının sonuçlar üzerine olumlu etkisi olacağını düşünmekteyiz. Kinezyolojik bantlamanın, halluks valgus tedavisinde uygun seçilmiş hastalarda özellikle ağrı palyasyonu açısından makul, basit ve etkili bir yöntem olduğu düşünüyoruz.

Anahtar Kelimeler: Halluks valgus; uygulamalı kinezioloji; kas-iskelet ağrısı; ağrı ölçümü
ABSTRACT
 Objective: Many diagnostic and treatment methods for hallux valgus have been described over the years. The aim of this study was to investigate the short-term functional and radiological results of kinesiology taping method in the conservative treatment of patients with hallux valgus. Material and Methods: Thirty feet of 21 female patients who presented to the outpatient clinic between 2016-2017, complained of joint pain and had hallux valgus angle between 10-50˚ were included in the study. The patients were divided into two groups as taping time (Group 1: 15 days taping; Group 2: 30 days taping). The 30th day results of the two groups were compared. Hallux valgus angles (HVA) and intermetatarsal angles (IMA) were measured on radiographs. Hallux abduction angle (HAA) was obtained from outpatient clinic records. Visual Analogue Scale (VAS), Foot Function Index (FFI) and American Orthopedic Foot & Ankle Society Scoring System (AOFAS) records were used to evaluate pain and functional status. Results: HVA and HAA recovery were higher in Group 2 than Group 1 (pHVA=0.66; pHAA=0.69). However, no improvement was observed in IMA (pIMA=0.15). Changes in VAS, FFI and AOFAS scores were higher in Group 2 than Group 1 (respectively p=0.31, p=0.024 ve p=0.025). Conclusion: In this study, kinesiologic taping was found to be effective in reducing pain in patients with moderate hallux valgus deformity. We think that kinesiologic taping is a reasonable, simple and effective method in selected patients for hallux valgus treatment.

Keywords: Hallux valgus; applied kinesiology; musculoskeletal pain; pain measurement
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