An evaluation of the effect of differing lengths of spa therapy upon patients with osteoarthritis (OA)

Vaht, Mai; Birkenfeldt, R; Übner, Monika

doi:10.1016/j.ctcp.2007.09.005

Cited by 22 publications

(9 citation statements)

References 14 publications

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“…Nitera-Kowalik et al demonstrated that 21-day rehabilitation performed in the spa reduces the feeling of pain and improves functional capacity in everyday life [ 27 ]. In contrast, the results of Vaht et al in 296 patients confirmed the efficacy of 6 and 12 days of spa treatment [ 36 ]. The patients who were included in our study used a three-week spa treatment.…”

Section: Discussionmentioning

confidence: 99%

One-Year Follow-Up of Spa Treatment in Older Patients with Osteoarthritis: A Prospective, Single Group Study

Zwolińska

Weres

Wyszyńska

2018

BioMed Research International

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Introduction Few studies evaluated the effects of spa therapy on pain perception and quality of life in older people with osteoarthritis. Therefore, the aim of the study was to evaluate the short- and long-term effects of spa therapy on quality of life and pain in patients aged 60 years and older with osteoarthritis. Materials and Methods 70 patients with generalized osteoarthritis were enrolled in the study. Spa treatment lasted 3 weeks (15 days of treatment) and was applied during a session lasting 120 to 150 minutes a day. All the patients benefited from kinesiotherapy, physical agent modalities, massage, peloid therapy, hydrotherapy with mineral waters, and crenotherapy. Visual Analogue Scale (VAS) for pain, the Laitinen scale, and WHOQOL-BREF questionnaire were used to assess the condition of the patients. The examinations were performed three times: at the beginning of the spa treatment, after three months, and one year after the first examinations. Results Statistically significant improvements were observed in pain (VAS) between consecutive assessments (p <.001). Laitinen scale also reported beneficial, statistically significant changes in the level of pain (p <.001). The WHOQOL-BREF questionnaire reported a statistically significant improvement in the domain of social relations in 2-3 and 1-3 periods (p = .025 and p = .011, resp.). A significant improvement was recorded in the domain of environment between 2-3 and 1-3 periods (p <.001). Conclusion Spa treatment reduced the level of pain in majority of the patients in short- and long-term follow-up and contributed to improving the quality of life in the domain of social relations and environment. To confirm the results of this study, there is a need for a randomized controlled trial comparing spa treatment with usual care in the older population with osteoarthritis. Trial Registration Number This trial was retrospectively registered on 3 January 2018 with NCT03388801.

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Section: Discussionmentioning

confidence: 99%

One-Year Follow-Up of Spa Treatment in Older Patients with Osteoarthritis: A Prospective, Single Group Study

Zwolińska

Weres

Wyszyńska

2018

BioMed Research International

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“…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: 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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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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“…18 To this end, although rarely designated as specific Kneipp applications, there are indeed many scientific studies reporting the effectiveness of hydrotherapeutic methods. They are, for example, documented to be effective in a range of medical conditions, spanning from anxiety disorders, 30 chronic pain, 31 back pain, 32,33 Guillain-Barré syndrome, 34 osteoarthritis, 35,36 fibromyalgia, 37 and ankylosing spondylitis 38 to cardiovascular conditions. 39,40 Hydrotherapy has also been successfully used in the improvement of geriatric cognitive brain function, 41 for athletic recovery, 42 and after hip and knee replacement.…”

Section: Kneipp Kurmentioning

confidence: 98%

The Legacy of Sebastian Kneipp: Linking Wellness, Naturopathic, and Allopathic Medicine

Locher

Pforr

2014

The Journal of Alternative and Complementary Medicine

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Sebastian Kneipp (1821-1897) is seen as a vital link between the European nature cure movement of the 19th century and American naturopathy. He promoted a holistic treatment concept founded on five pillars: hydro- and phytotherapy, exercise, balanced nutrition, and regulative therapy. Kneipp attempted to bridge the gap with allopathic medicine, and many modern treatments that are based on his methods indeed blend wellness elements with naturopathic medicine and biomedicine. Because Kneipp's approach to health and healing today are mainly covered in German literature, this paper aims to provide a broader international audience with insights into his life and his treatment methods and to highlight the profound influence Kneipp has had to this day on natural and preventive medicine. The paper emphasizes in particular the continued popularity of Kneipp's holistic approach to health and well-being, which is evident in the many national and international Kneipp Associations, the globally operating Kneipp Werke, postgraduate qualifications in his treatment methods, and the existence of more than 60 accredited Kneipp spas and health resorts in Germany alone.

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An evaluation of the effect of differing lengths of spa therapy upon patients with osteoarthritis (OA)

Cited by 22 publications

References 14 publications

One-Year Follow-Up of Spa Treatment in Older Patients with Osteoarthritis: A Prospective, Single Group Study

One-Year Follow-Up of Spa Treatment in Older Patients with Osteoarthritis: A Prospective, Single Group Study

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

The Legacy of Sebastian Kneipp: Linking Wellness, Naturopathic, and Allopathic Medicine

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