The effects of physical therapeutic agents on serum levels of stress hormones in patients with osteoarthritis

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dc.authorid0000-0001-6906-991Xen_US
dc.authorid0000-0003-0290-9341en_US
dc.authorid0000-0002-4670-2708
dc.contributor.authorTönük, Şükrü Burak
dc.contributor.authorSerin, Erdinç
dc.contributor.authorAyhan, Fikriye Figen
dc.contributor.authorYorgancıoğlu, Zeynep Rezan
dc.date.accessioned2021-06-23T19:43:18Z
dc.date.available2021-06-23T19:43:18Z
dc.date.issued2016
dc.departmentBAİBÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractTo investigate the effects of physical agents on the levels of stress hormones in patients with osteoarthritis (OA).Transcutaneous electrical nerve stimulation, hot packs, and therapeutic ultrasound were applied to the lumbar region and knees of patients with OA. Blood samples were taken for the measurement of the serum levels of glucose, insulin (INS), growth hormone (GH), prolactin (PRL), cortisol (COR), and plasma adrenocorticotropic hormone (ACTH) immediately before and after the 1st session, to investigate the acute effects of those physical agents on the endocrine system. The hormone levels were also measured every 5 sessions in a total of 10 sessions. The treatment response was also evaluated by using the visual analogue scale (VAS), Roland Morris Disability Questionnaire (RMDQ), and Western Ontario and McMaster Universities Arthritis Index (WOMAC) throughout the therapy period.After the 1st session, there was a decrease in INS levels and a mild decrease in PRL levels (P=0.001 and P<0.05, respectively). Throughout the 10-session therapy period, the INS levels increased, whereas the ACTH and COR levels decreased (P<0.05 for all). The VAS-spine, RMDQ, VAS-knee, and WOMAC scores decreased (P=0.001 for VAS-spine and P<0.001 for all others). A positive correlation was detected between the changes in serum COR and WOMAC-pain score (P<0.05).Although the combination therapy caused changes in INS level accompanied with steady glucose levels, the application of physical agents did not adversely affect the hormone levels. The decrease in ACTH and COR levels may be attributed to the analgesic effect of agents and may be an indicator of patient comfort through a central action.en_US
dc.identifier.doi10.1097/MD.0000000000004660
dc.identifier.issn0025-7974
dc.identifier.issn1536-5964
dc.identifier.issue35en_US
dc.identifier.pmid27583888en_US
dc.identifier.scopus2-s2.0-84987700893en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.urihttps://doi.org/10.1097/MD.0000000000004660
dc.identifier.urihttps://hdl.handle.net/20.500.12491/8743
dc.identifier.volume95en_US
dc.identifier.wosWOS:000384041400048en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorTönük, Şükrü Burak
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofMedicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectOsteoarthritisen_US
dc.subjectPainen_US
dc.subjectStress Hormonesen_US
dc.subjectTherapeutic Ultrasounden_US
dc.subjectThermotherapyen_US
dc.subjectTranscutaneous Electrical Nerve Stimulationen_US
dc.titleThe effects of physical therapeutic agents on serum levels of stress hormones in patients with osteoarthritisen_US
dc.typeArticleen_US

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