The efficacy of balneotherapy and mud-pack therapy in patients with knee osteoarthritis

Evcik, Deniz; Kavuncu, Vural; Yeter, Abdurrahman; Yiğit, İlknur

doi:10.1016/j.jbspin.2006.03.009

Cited by 103 publications

(62 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The studies assessed the medium to long-term effect and found that the clinical efficacy of PTT lasted for 3-6 months. The persistent symptomatic effects of PTT in OA demonstrated in clinical studies are in line with those of other trials of spa therapy for various RDs performed previously 27,[48][49][50][51][52][53] and with our previous contribution on PTT in patients affected by fibromyalgia. 54 Nguyen et al 27 reported that spa therapy of 3 weeks' duration had a carryover of beneficial symptomatic effects (6 months) in patients with lumbar spine, knee, and hip OA.…”

Section: Discussionsupporting

confidence: 89%

Phytothermotherapy in osteoarthritis: new evidence for an old therapy

Cheleschi¹,

Tenti²,

Gargiulo³

et al. 2013

BTAT

View full text Add to dashboard Cite

Introduction: Osteoarthritis (OA) is the most common disabling joint disease worldwide. Moreover, its incidence and prevalence are increasing because of aging, higher life expectancy, and lifestyle changes, leading to a growing population of patients with OA. Current treatment of OA includes nonpharmacologic and pharmacologic modalities. Phytothermotherapy (PTT) is a singular crenotherapic treatment consisting of immersing oneself in pools of fermenting alpine grass, to exploit its heat and rich, aromatic components. The efficacy of PTT in OA is bolstered by ancient tradition. However, there is a marked lack of clinical validation of its efficacy and tolerability in current literature. The aim of this review was to evaluate the currently available knowledge of possible clinical effects and mechanisms of action of PTT in OA. Methodology: We searched PubMed and Scopus (the period examined was 1980-2012) for clinical trials examining the effect of PTT in OA. MEDLINE was searched using the term "phytothermotherapy" and "hay baths" in combination with "osteoarthritis." We included only papers published in English or Italian and in peer-reviewed journals. Results: We identified three trials describing the results of PTT in OA. The available data demonstrate that PTT is efficacious in decreasing pain and disability and improving function in patients with OA. Moreover, the tolerability of PTT is excellent. The mechanisms of action of PTT are not yet completely known, although it is probably due to different combined mechanical, physical, and chemical effects. Discussion: PTT could represent a useful aid in the treatment of OA or a valid alternative for patients who do not tolerate pharmacologic treatments. However, further studies on a larger number of patients are needed to provide more precise therapeutic guidelines on the modalities of use of PTT. Additionally, there is a need for other botanical investigations and research on the mechanisms of action of PTT.

show abstract

Section: Discussionsupporting

confidence: 89%

Phytothermotherapy in osteoarthritis: new evidence for an old therapy

Cheleschi¹,

Tenti²,

Gargiulo³

et al. 2013

BTAT

View full text Add to dashboard Cite

show abstract

“…Many studies have suggested balneotherapy can improve the exercise capacity of patients [20][21][22] . The beneficial adaptive responses of the physical capacity of the pilots may have resulted from the thermal effects of balneotherapy.…”

Section: Discussionmentioning

confidence: 99%

21-day Balneotherapy Improves Cardiopulmonary Function and Physical Capacity of Pilots

Shi²,

Wang³

et al. 2013

J Phys Ther Sci

View full text Add to dashboard Cite

Abstract.[Purpose] The purpose of this study was to investigate the effects of balneotherapy on the cardiopulmonary function and physical capacity of pilots.[Subjects] Thirty-six healthy male pilots were recruited. [Methods] All subjects received entire-body immersion bath therapy in thermomineral water for 30 min a day for 21 days. Electrocardiograms, carotid pulse traces, and phonocardiograms were recorded using a cardiac function measuring device. Pulmonary function tests were performed using a Pony FX spirometer. The physical capacity of pilots was examined 1 day before and after balneotherapy.[Results] After 21 days of treatment, isovolumetric contraction time and the ratio of isovolumetric contraction time/left ventricular ejection time were reduced. Forced vital capacity, peak expiratory flow, the ratio of forced expiratory volume in 1 second/ forced expiratory volume and forced expiratory flow at 25-75% were elevated. The exercise numbers of pull-ups and sit-ups in 1 min were boosted. [Conclusion] The findings imply that balneotherapy for 21 days has a significant effect on the cardiopulmonary function and physical capacity of pilots.

show abstract

“…The joint stiffness variable obtained the best results, being one symptom that responds well to mud-pack therapy treatment 41 . Studies with a methodological design similar to our own [25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40] also obtained improvements in the WOMAC questionnaire, such as others which use it to compare mud-pack therapy with other thermo therapeutic procedures 32 .…”

Section: Discussionmentioning

confidence: 96%

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

Espejo

Cardero²,

Garrido

et al. 2012

An. Hidrol. Méd.

View full text Add to dashboard Cite

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...

show abstract

The efficacy of balneotherapy and mud-pack therapy in patients with knee osteoarthritis

Cited by 103 publications

References 15 publications

Phytothermotherapy in osteoarthritis: new evidence for an old therapy

Phytothermotherapy in osteoarthritis: new evidence for an old therapy

21-day Balneotherapy Improves Cardiopulmonary Function and Physical Capacity of Pilots

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

Contact Info

Product

Resources

About