The effectiveness of contrast bath to reduce joint pain in the elderly

Abstract

Background: The aging process results in changes in the musculoskeletal system causing a decrease in function of joints, loss of elasticity and limited mobility. This condition also causes joint pain, especially in the joints supporting the body weight, namely the knee. The previous studies discussed the method of reducing pain using a contras bath which was implemented by soaking parts of the body that experience pain alternately with hot and cold water, this was difficult to apply if the pain occurs in the upper body. Modifications in contrast baths using compresses to the knee joint have never been implemented before.Objective: This study aimed to figure out the effect of the contras bath method using compresses to reduce knee joint pain in the elderly.Method: The design of this study was pre-experimental with one group of pretest-posttest. The sample used was 16 elderly who were selected by random sampling at Posyandu (a center for pre- and postnatal health care and information for elderly) in village of Sawit Gantiwarno, Klaten. Contrast bath is applied by giving compresses of warm and cold water alternately with a ratio of three minutes: one minute per-day during 20 minutes, for a week. Pain measurement is performed using the Visual Analog Scale (VAS) instrument.Result: The mean of knee pain before giving a contrast bath was 5.44, whereas after a contrast bath was 3.50. Bivariate analysis used Wilcoxon, it showed p value <0.05 which means there was a significant difference in knee joint pain before and after contrast baths were applied.Conclusion: Administration of contrast bath can reduce knee joint pain in the elderly.

A Novel Physical Therapy Approach for Grade 2 Degenerative Arthritis A Case Report

“…Aging causes hyaline cartilage erosion, ligament degeneration, and peri-articular inflammation in the musculoskeletal system. This condition causes reduced joint function, elasticity loss, and mobility, leading to joint pain, usually in weightsupporting joints, such as the knee in the elderly (13). Intra-articular adhesions, as well as peri-articular and intramuscular adhesions, contribute to stiffness (14).…”

Effects of traditional Chinese herb hot compress combined with therapeutic exercise on pain, proprioception, and functional performance among older adults with knee osteoarthritis: A randomized controlled trial

“…In this study, some of the components of the herbs have been proven to recover proprioception, such as cassia twig, mulberry parasitic, and antler gum prevent the loss of proteoglycans and accelerate the proliferation of chondrocytes to protect joint cartilage cells and improve their metabolism ( Xu and Liu, 2004 ; Fan et al, 2012 ), reduce the damage to mechanoreceptors, promote neuromuscular control, and improve proprioception ( Chen et al, 2016 ). Nagashima et al ( Nagashima et al, 2006 ) and Rusminingsih et al ( Rusminingsih et al, 2020 ) pointed out that hot compresses applied to the knee joint to dilate blood vessels, increases the excitability of motor neurons and recruits many motor neurons to participate in activities ( Levine, 2007 ), facilitates sensory input. 2.…”

Terapi Contrast Bath terhadap Nyeri Atritis Rheumatoid Ekstremitas Bawah pada Lansia

“…Lansia yang mengalami nyeri sendi di wilayah tersebut juga memiliki usia rentan antara 60-75 tahun. Prevalensi penyakit sendi di Indonesia pada usia 55-64 tahun., (Rusminingsih et al 2019) Berdasarkan data dari Dinas Kesehatan Polewali Mandar 2021, dari 20 puskesmas di kabupaten Polewali Mandar, penderita arthritis rheumatoid berjumlah 107 orang dan Puskesmas Tutallu menempati posisi teratas yaitu sebanyak 26 orang. Kemudian dari hasil studi pendahuluan yang dilakukan pada tanggal 17 maret 2022, dilakukan wawancara pada 5 penderita arthritis reumathoid, 3 di antaranya mengatakan tidak mengonsumsi obat yang didapatkan dari pelayanan kesehatan, beliau hanya menghentikan aktifitas sampai nyeri mereda kemudian melanjutkan aktifitas, dan 2 mengonsumsi obat yang di berikan oleh tenaga kesehatan di puskesmas.…”

“…Terapi farmakologi yang sering digunakan untuk mengatasi nyeri sendi umumnya dari golongan Obat Anti Inflamasi Non Steroid (NSAID), obat ini berisiko menimbulkan masalah akibat interaksi dengan golongan obat H-2 blocker (ranitidine) yaitu 11,7%. (Rusminingsih et al 2019) Masalah yang sering terjadi pada lansia salah satunya nyeri karena radang pada persendian yaitu Rheumatoid Arthritis. Pada lansia RA biasanya sering terjadi di sendi tangan, siku, kaki, pergelangan kaki, dan lutut.…”

“…Penelitian ini bertujuan untuk mengetahui efektivitas mandi kontras untuk mengurangi nyeri sendi lutut pada lansia. (Rusminingsih et al 2019) Suhu dan tekanan yang terjadi saat kontras bath diberikan dapat memblokir nociseptor karena perubahan suhu yang terjadi secara berulang dianggap tubuh sebagai thermal receptors dan mechanoreceptors. Kedua hal tersebut memiliki dampak positif pada tubuh, khususnya mekanisme spinal segmental yang akhirnya bisa mengurangi nyeri yang dirasakan pada area yang sakit.…”