Short- and Long-Term Effects of Spa Therapy in Knee Osteoarthritis

Fioravanti, Antonella; Iacoponi, Francesca; Bellisai, Barbara; Cantarini, Luca; Gargiulo, Mauro

doi:10.1097/phm.0b013e3181c1eb81

Cited by 77 publications

(57 citation statements)

References 27 publications

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“…We did not find any study that analyses the influence of mud-packs on muscular strength, therefore this present study could be considered as the first. The degree of severity of the pathology measured through the WOMAC has been previously analysed by other recent studies [17][18][19][20][21][22][23][24][25] in which, after applying the same frequency and number of sessions that in the present study, improvements very similar to our own were obtained. The results achieved showed significant differences between the baseline and final assessments as well as in comparison with the control group.…”

Section: Discussionsupporting

confidence: 81%

“…Further studies affirm its influence on antioxidant reactions inhibiting free radicals [18][19] . Diverse studies have analysed the effectiveness of mud-packs on knee osteoarthritis (OA) showing improvements on perceived pain, functional capacity or quality of life [20][21][22][23][24][25][26] . An increase in an active ageing population 27 has led to a high prevalence in disability through osteoarticular conditions 28 .…”

Section: Introductionmentioning

confidence: 99%

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Efectos de la Peloterapia en pacientes con osteoartritis de rodilla. Un ensayo clínico aleatorio controlado

Espejo

Cardero²,

Garrido

et al. 2012

An. Hidrol. Méd.

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Objective: To analyse the effects of mud-pack therapy on perceived pain, functional capacity, severity of the condition and consumption of drugs in people diagnosed with knee osteoarthritis against a control group that continues its daily pharmacological treatment. Methods: Simple-blinded randomized controlled clinical trial. The sample (n=121) was divided randomly in an intervention group with 61 subjects (69.13±5.60 years) and a control group with 60 subjects (73.08 ± 8.90 years). The intervention group received 11 consecutive sessions of mud-pack therapy on the affected knees during 47 minutes according to the therapeutic treatment described. The control group did not receive any therapy and continued with its daily medication. The sample was assessed before and after with manual goniometry (Lafayette®,USA), digital spring scale (MICROFET 3®), perceived pain was measured through a Visual Analogue Scale (VAS), functional capacity through the WOMAC questionnaire and finally, the consumption of drugs was registered, establishing a signification level of p≤ 0.05. The data was analysed using the SPSS 19.0. Results: There are statistically significant differences (p≤0.05) between the pre and post test in all the parameters. Pain which was assessed by the two scales (VAS, WOMAC) along with joint stiffness and functional capacity obtained a superior effect size than the rest. Conclusion: Mud-pack therapy can be considered as an alternative therapy in the improvement of pain and functionality in patients with knee osteoarthritis, reducing the consumption of drugs. Efectos de la Peloterapia en pacientes con osteoartritis de rodilla.Un ensayo clínico aleatorio controlado Resumen Objective: Analizar los efectos de la peloterapia en la percepción del dolor, la capacidad funcional, la gravedad de la enfermedad y el consumo de medicamentos en personas con diagnóstico de osteoartritis de la rodilla contra un grupo de control que continúa con su tratamiento farmacológico diario. Métodos: Simple ciego, ensayo clínico aleatorizado controlado. La muestra (n = 121) se dividió al azar en un grupo de intervención con 61 sujetos (69,13 ± 5,60 años) y un grupo control de 60 sujetos (73,08 ± 8,90 años). El grupo de intervención recibió 11 sesiones consecutivas de peloterapia en las rodillas afectadas durante 47 minutos de acuerdo con el tratamiento terapéutico descrito. El grupo control no recibió ningún tratamiento y continuó con su medicación diaria. La muestra se evaluó antes y después de goniometría manual (Lafayette ®, EE.UU.), balanza digital primavera (MICROFET 3 ®), la percepción del dolor se midió mediante la Escala Visual Analógica (EVA), la capacidad funcional a través del cuestionario WOMAC y, por último, se ha registrado el consumo de medicamento. Se ha establecido un nivel de significación de p ≤ 0,05. Los datos fueron analizados mediante el SPSS 19,0 software. Resultados: Existen diferencias estadísticamente significativas (p ≤ 0,05) entre el pre y post test en todos los parámetros. El dolor que fue evaluado por...

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Section: Discussionsupporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Efectos de la Peloterapia en pacientes con osteoartritis de rodilla. Un ensayo clínico aleatorio controlado

Espejo

Cardero²,

Garrido

et al. 2012

An. Hidrol. Méd.

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“…It is very difficult to maintain the blindness factor, since the physicochemical properties (color, odor, feel by touch) of mineral water significantly differ from tap (control) water and can easily be discerned by patients. 22 Fioravanti et al 23 assessed both the shortand long-term effectiveness of spa therapy in patients with primary knee OA. In this study, patients were randomized as a spa therapy group and control group, and continued regular routine ambulatory care (exercise, nonsteroidal antiinflammatory drugs, and/or analgesics).…”

mentioning

confidence: 99%

Evaluation of the Efficacy of Spa Therapy on Pain and Quality of Life in Patients With Chronic Mechanical Neck Pain

et al. 2015

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Objectives: This study aims to evaluate the efficacy of spa therapy on pain and the quality of life in patients with chronic mechanical neck pain. Patients and methods:Seventy patients who applied to our outpatient clinic with chronic mechanical neck pain lasting for 12 weeks were included in the study. Patients were randomized either to spa therapy group (7 males, 28 females; mean age 43.08±9.76 years; range 26 to 66 years) or to exercise therapy group (5 males, 30 females; 46.45±9.65 years; range 27 to 65 years). Spa therapy group received a total of 15 sessions of thermal water, mud therapy, and classic massage to cervical region. Both exercise and spa therapy groups performed home exercise program once a day for 15 days. All the patients were evaluated before treatment, at the first week and at the third month after treatment, a total of three times. In each control; visual analog scale, global assessment of the patient (Patient's Global Assessment and Physician's Global Assessment), Neck Pain Disability Scale, and Nottingham Health Profile were assessed. Results: When the measurements at first week were compared to baseline, significant improvements were observed in all the parameters in both groups. However, the decreases in visual analog scale and Neck Pain Disability Scale at the first week after treatment were more significant in spa therapy group compared to exercise therapy group. We observed no statistically significant difference in all the parameters between two groups when the measurements at the third month were compared to baseline. Conclusion:The combination of spa therapy with exercise therapy is superior to exercise therapy alone in decreasing pain and improving functional capacity in the early period after treatment.

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“…As a part of a recently-published randomized single-blind controlled clinical trial [17] on the efficacy of spa therapy in knee OA, we included thirty patients of both sexes with knee OA fulfilling the ACR criteria [18 ] ] ]. .…”

Section: Patientsmentioning

confidence: 99%

“…Exclusion criteria for the study were previously presented [17]. In addition, for the purposes of this study, we excluded patients with history of diabetes mellitus, instable weight history, those treated with medications known to affect body weight and heavy smokers.…”

Section: Patientsmentioning

confidence: 99%

Effects of Spa therapy on serum leptin and adiponectin levels in patients with knee osteoarthritis

et al. 2010

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The aim of the present study was to assess whether spa therapy modified plasma levels of leptin and adiponectin in thirty patients with knee OA treated with a cycle of a combination of daily locally-applied mud packs and bicarbonate-sulphate mineral bath water. Leptin and adiponectin plasma levels were assessed at baseline and after two weeks, upon completion of the spa treatment period. The concentrations of leptin and adiponectin were measured by ELISA.At basal time, plasma leptin levels were significantly correlated with body mass index (BMI) and gender, but no significant correlation was found with patient age, duration of disease, radiographic severity of knee OA, VAS score or Lequesne index.There was no correlation between plasma adiponectin level and BMI, gender and age, duration of the disease, radiographic severity of knee OA, and VAS score. A significant correlation of plasma adiponectin levels was found only with the Lequesne index.At the end of the mud-bath therapy cycle, serum leptin levels showed a slight but not significant increase, while a significant decrease (p<0.05) of serum adiponectin levels was found. However, leptin and adiponectin concentrations after treatment were not correlated with other clinical parameters.In conclusion, our data show that spa therapy can modify plasma levels of the adipocytokines leptin and adiponectin, important mediators of cartilage metabolism. Whether this effect may play a potential role in OA needs further investigations.

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Short- and Long-Term Effects of Spa Therapy in Knee Osteoarthritis

Cited by 77 publications

References 27 publications

Efectos de la Peloterapia en pacientes con osteoartritis de rodilla. Un ensayo clínico aleatorio controlado

Efectos de la Peloterapia en pacientes con osteoartritis de rodilla. Un ensayo clínico aleatorio controlado

Evaluation of the Efficacy of Spa Therapy on Pain and Quality of Life in Patients With Chronic Mechanical Neck Pain

Effects of Spa therapy on serum leptin and adiponectin levels in patients with knee osteoarthritis

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