Yıl 2019, Cilt 3, Sayı 1, Sayfalar 18 - 21 2019-01-27

Egzersizle ısıtma ile ultrasonik ısıtmanın kaslarındaki etkisinin ultrason elastografi ile değerlendirimi: Deneysel bir klinik çalışma
Evaluation of the effect of ultrasonic heating and exercise heating on muscles by ultrasound elastography: An experimental clinical trial

Adnan Demirel [1] , Murat Baykara [2] , Tuba Tülay Koca [3] , Ejder Berk [4]

598 536

Amaç: Ultrason (US), biyolojik yararlı etkileri nedeniyle yıllarca tedavi amaçlı kullanılmıştır. Bu yazıda gastroknemius / soleus kaslarının egzersizle ısıtma ile terapötik ultrasonik ısıtmanın etkisini ultrason elastografi (UE) ile kantitatif ölçümleri karşılaştırdık.

Yöntemler: Çalışma tek kör deneysel klinik olarak tasarlanmıştır. Çalışmaya 19-23 yaşları arasında 40 sağlıklı erkek hasta randomize dahil edilmiştir. İlk grupta, 3 MHz frekansında gastroknemius / soleus kas gruplarını içeren her iki kalf kasları (simetrik olarak) üzerine 6 dakika, 2 w / cm2 doz sürekli akım terapötik US uyguladık.  İkinci gruba 15 dakikalık koşu egzersiz programı uyguladık. Bilateral, simetrik ölçümler ilk 5 dakikada geniş bant lineer prob, US elastografi ile uygulama öncesi ve sonrası yapıldı.

Bulgular: Gastroknemius / soleus kas gruplarında terapötik US sonrası ultrason elastografi strain değerinde (UESV) istatistiksel olarak anlamlı bir düşüş gözlendi (p <0,001 / p <0,001). Koşu grubundaki gastroknemius / soleus kas gruplarında UESV'de istatistiksel olarak anlamlı bir değişiklik yoktu (p = 0,792/ p = 0,187).

Ultrason elastografi gerim oranının (UESR) yüzdeleri incelendiğinde, her iki grupta da gastroknemius / soleus kas gruplarında yüzde değişiminde anlamlı bir fark vardı (p = 0,005 / p = 0,001). Buna göre, her iki kas grubunda da elastikiyet artmış ve grup 1'de ve grup 2'de sertlik azalmış, bazı durumlarda sertlik artmış iken bazılarında azalmış ve genel olarak artmıştı.

Sonuç: Terapötik US-ısıtma, genel olarak elastikiyeti arttıran ve baldır kaslarındaki sertliği egzersiz-ısıtmaya göre azaltan etkili ve güvenilir bir yöntemdir.

Aim: Ultrasound (US) has been used for therapeutic purposes for many years due to its biological beneficial effects. İn this report we compare the effect of therapeutic ultrasonic heating with exercise-heating on the gastrocnemius / soleus muscles by quantitative measurements of ultrasound elastography.

Methods: İt is designed as a single blind experimental clinical study. Fourty (40) healthy male patients aged between 19-23 years were included randomly in the study. To the first group, we applied a continuous wave therapeutic US on both calfs (symmetrically) consisting gastrocnemius / soleus muscle groups at a frequency of 3 Mhz, 2 w / cm2 dose, for 6 minutes. To the second group, we applied a 15-minute jogging exercise program. Bilateral, symmetric measurements were made in the first 5 minutes with a wide band linear probe, US elastography before and after application. 

Results: A statistically significant decrease in ultrasound elastography strain value (UESV) after therapeutic US in gastrocnemius / soleus muscle groups was observed (p < 0.001 / p < 0.001). There was no statistically significant change in UESV in the gastrocnemius / soleus muscle groups in  the jogging group (p = 0.792 / p =0.187). When the percentages of ultrasound elastography strain ratio (UESR) were examined, there was a significant difference in the change of percentages in the gastrocnemius / soleus muscle groups in both groups (p = 0.005/ p = 0.001). According to this, in both muscle groups, the elasticity increased and the stiffness decreased in group 1 and in group 2, the stiffness increased in some cases and decreased in some, and in overall it was observed to increase. 

Conclusion: Therapeutic US-heating is an effective, reliable method that generally increases elasticity and reduces stiffness in calf muscles than exercise-heating. 

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Birincil Dil en
Konular Genel ve Dahili Tıp
Dergi Bölümü Araştırma makalesi
Yazarlar

Orcid: 0000-0002-2974-8560
Yazar: Adnan Demirel
Kurum: KAHRAMANMARAS SUTCU IMAM UNIVERSITY, FACULTY OF MEDICINE, DEPARTMENT OF INTERNAL MEDICINE, DEPARTMENT OF PHYSICAL MEDICINE AND REHABILITATION
Ülke: Turkey


Orcid: 0000-0003-2588-9013
Yazar: Murat Baykara
Kurum: Kahramanmaraş Sütçü İmam University, Faculty of Medicine, Department of Radiology
Ülke: Turkey


Orcid: 0000-0002-4596-858X
Yazar: Tuba Tülay Koca (Sorumlu Yazar)
Kurum: Kahramanmaraş Sütçü İmam University, Faculty of Medicine, Department of Physical Medicine and Rehabilitation
Ülke: Turkey


Yazar: Ejder Berk
Kurum: KAHRAMANMARAS SUTCU IMAM UNIVERSITY, FACULTY OF MEDICINE, DEPARTMENT OF INTERNAL MEDICINE, DEPARTMENT OF PHYSICAL MEDICINE AND REHABILITATION
Ülke: Turkey


Bibtex @araştırma makalesi { josam444177, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {Fatih Başak}, year = {2019}, volume = {3}, pages = {18 - 21}, doi = {10.28982/josam.444177}, title = {Evaluation of the effect of ultrasonic heating and exercise heating on muscles by ultrasound elastography: An experimental clinical trial}, key = {cite}, author = {Demirel, Adnan and Baykara, Murat and Koca, Tuba Tülay and Berk, Ejder} }
APA Demirel, A , Baykara, M , Koca, T , Berk, E . (2019). Evaluation of the effect of ultrasonic heating and exercise heating on muscles by ultrasound elastography: An experimental clinical trial. Journal of Surgery and Medicine, 3 (1), 18-21. DOI: 10.28982/josam.444177
MLA Demirel, A , Baykara, M , Koca, T , Berk, E . "Evaluation of the effect of ultrasonic heating and exercise heating on muscles by ultrasound elastography: An experimental clinical trial". Journal of Surgery and Medicine 3 (2019): 18-21 <http://dergipark.gov.tr/josam/issue/42845/444177>
Chicago Demirel, A , Baykara, M , Koca, T , Berk, E . "Evaluation of the effect of ultrasonic heating and exercise heating on muscles by ultrasound elastography: An experimental clinical trial". Journal of Surgery and Medicine 3 (2019): 18-21
RIS TY - JOUR T1 - Evaluation of the effect of ultrasonic heating and exercise heating on muscles by ultrasound elastography: An experimental clinical trial AU - Adnan Demirel , Murat Baykara , Tuba Tülay Koca , Ejder Berk Y1 - 2019 PY - 2019 N1 - doi: 10.28982/josam.444177 DO - 10.28982/josam.444177 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 18 EP - 21 VL - 3 IS - 1 SN - -2602-2079 M3 - doi: 10.28982/josam.444177 UR - http://dx.doi.org/10.28982/josam.444177 Y2 - 2018 ER -
EndNote %0 Journal of Surgery and Medicine Evaluation of the effect of ultrasonic heating and exercise heating on muscles by ultrasound elastography: An experimental clinical trial %A Adnan Demirel , Murat Baykara , Tuba Tülay Koca , Ejder Berk %T Evaluation of the effect of ultrasonic heating and exercise heating on muscles by ultrasound elastography: An experimental clinical trial %D 2019 %J Journal of Surgery and Medicine %P -2602-2079 %V 3 %N 1 %R doi: 10.28982/josam.444177 %U 10.28982/josam.444177
ISNAD Demirel, Adnan , Baykara, Murat , Koca, Tuba Tülay , Berk, Ejder . "Egzersizle ısıtma ile ultrasonik ısıtmanın kaslarındaki etkisinin ultrason elastografi ile değerlendirimi: Deneysel bir klinik çalışma". Journal of Surgery and Medicine 3 / 1 (Ocak 2019): 18-21. http://dx.doi.org/10.28982/josam.444177