Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Türkiye'de Gerçekleştirilen Lisansüstü Tez Çalışmalarında Pes Planuslu Bireylerde Konservatif Tedavi Yöntemlerinin İncelenmesi: Tanımlayıcı Bir Araştırma
Investigation of Conservative Treatment Methods in Individuals with Pes Planus in Postgraduate Thesis Studies Conducted in Türkiye: A Descriptive Research
Aslı ÖRENa , Banu ÜNVERb , Nilgün BEKb
aİnönü Üniversitesi Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, Malatya, Türkiye
bLokman Hekim Üniversitesi Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, Ankara, Türkiye
Turkiye Klinikleri J Health Sci. 2024;9(3):546-61
doi: 10.5336/healthsci.2024-102936
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışma, ülkemizde gerçekleştirilen lisansüstü tez çalışmalarında pes planuslu bireylerde uygulanan konservatif tedavi yöntemlerini incelemek ve bu çalışmalarda uygulanan tedavi yöntemlerinin etkinliğinin değerlendirildiği parametrelerini tespit etmek ve sonuçları güncel literatür ışığında tartışmak amacıyla planlandı. Gereç ve Yöntemler: Yükseköğretim Kurulu Ulusal Tez Merkezi veri tabanında ''pes planus, pes planovalgus, kalkaneovalgus, pronasyon, arka ayak eversiyonu/valgusu, düşük ark, düztaban, içe basma, ayak postürü, medial longitudinal ark, naviküler yükseklik, naviküler düşme, ayak izi, pedobarografi'' anahtar kelimeleri kullanılarak 147 lisansüstü çalışmaya ulaşıldı. Dâhil edilme kriterlerini sağlayan 23 lisansüstü tez çalışması incelemeye alındı. Bulgular: Pes planusta konservatif tedavi yöntemlerinde en çok araştırılan yaklaşımlar ortez, egzersiz ve bantlama yöntemiydi. Bu yöntemler dışında, birer tezde manipülasyon ve miyofasyal gevşetme uygulamalarının araştırıldığı görüldü. Pes planusa yönelik konservatif tedavi yöntemlerinin etkinliğinin değerlendirmesinde sıklıkla ağrı, ayak postürüne yönelik klinik testler, pedobarografi, yaşam kalitesi/tedavi etkinliğine yönelik ölçekler, alt ekstremite performans testleri ve denge değerlendirmelerinin sonuç ölçütü olarak kullanıldığı görüldü. Sonuç: Ülkemizde gerçekleştirilmiş lisansüstü tez konularının literatürde de sıklıkla araştırılan konular bakımından paralel olduğu, ayrıca çalışma sonuçlarını son yıllarda yapılan derleme ve metaanaliz çalışmaları ile birlikte okuyabilmenin önemli olduğu sonucuna vardık. Literatürde kanıta dayalı sonuçları yüksek konservatif tedavi yöntemlerini ve sonuç ölçümlerini kullanmak; ortak tartışma, sonuç ve uygulamaları da beraberinde getirecektir.

Anahtar Kelimeler: Düztaban; egzersiz; veri tabanı; konservatif tedavi
ABSTRACT
 Objective: This study was planned to examine the conservative treatment methods applied to individuals with pes planus in postgraduate thesis studies conducted in our country and to determine the parameters by which the effectiveness of the treatment methods applied in these studies was evaluated. Material and Methods: Using the keywords ''pes planus, flatfoot, calcaneovalgus, pronation, hindfoot eversion/valgus, low arch, pes planovalgus, in-toeing, foot posture, medial longitudinal arch, navicular height, navicular drop, footprint, pedobarography'' in the database of the Council of Higher Education National Thesis Center. 147 postgraduate studies were accessed. 23 thesis studies that met the inclusion criteria were examined. Results: The most researched conservative treatment methods for pes planus were orthosis, exercise and taping. Apart from these methods, it was observed that manipulation and myofascial release applications were investigated in one thesis each. It was observed that pain, clinical tests for foot posture, pedobarography, quality of life/treatment effectiveness scales, lower extremity performance tests and balance evaluations were frequently used as outcome measures in evaluating the effectiveness of conservative treatment methods for pes planus. Conclusion: We concluded that the postgraduate thesis topics conducted in our country are parallel to the topics frequently researched in the literature, and that it is important to be able to read the study results together with the compilation and meta-analysis studies conducted in recent years. Using conservative treatment methods and outcome measurements with high evidence-based results in the literature; common discussion will also bring results and practices.

Keywords: Flatfoot; exercise; database; conservative treatment
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