Balneotherapy (or spa therapy) for rheumatoid arthritis

Verhagen, Arianne P.; Bierma-Zeinstra, Sita M A; Boers, Maarten; Cardoso, Jefferson Rosa; Lambeck, Johan; Bie, Rob de; Vet, Henrica C.W. de

doi:10.1002/14651858.cd000518.pub2

Cited by 69 publications

(47 citation statements)

References 66 publications

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“…The efficacy of thermal therapies has been exploited since ancient times and studies have been recently undertaken to demonstrate its therapeutic effects. From a clinical point of view, thermal therapy is considered useful in the treatment of diseases of the musculoskeletal system, such as osteoarthritis, rheumatoid arthritis, and rheumatological extra-articular diseases [11][12][13]. In addition, the effects of mud therapy are clinically recognized also in the dermatological field, for the treatment of skin diseases (acne, seborrhea, psoriasis), lipodystrophies, and cellulite [14].…”

Section: Peloidmentioning

confidence: 99%

Comparative Study of SPA Mud from “Bacino Idrominerario Omogeneo dei Colli Euganei (B.I.O.C.E.)–Italy” and Industrially Optimized Mud for Skin Applications

Bergamaschi

Marzola

Radice

et al. 2020

Life

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The term “Salus per aquam (SPA) therapies” refers to therapeutic pathways that includes mud therapy. The therapeutic efficacy of a peloid depends on its chemical and mineralogical composition, as well as its technological properties. Considering the increasing use of clay-based products, it becomes essential to characterize peloids from a qualitative and quantitative point of view. Therefore, this research project aimed to develop a protocol that allows characterization of the chemical-physical composition of sludges collected from different areas of the Homogeneous Euganean Hills Hydromineral Basin (B.I.O.C.E.). The study established a comparative study both between different matrices and between the same matrices at different maturation times, including also a comparison with an industrialized product, that can be used at home, which maintains the characteristics of a natural mud. This research was developed studying the pH, grain size distribution, and chemical and mineralogical composition. Peloids are characterized by a neutral/basic pH and are divided into two categories from a granulometric point of view: The chemical composition allowed observation of numerous correlations between oxides present in the samples and to quantify the presence of heavy metals. Mineralogical analysis made it possible to identify and compare the composition of each sample, also according to the maturation time. Thanks to the methods adopted, important correlations were achieved.

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Section: Peloidmentioning

confidence: 99%

Comparative Study of SPA Mud from “Bacino Idrominerario Omogeneo dei Colli Euganei (B.I.O.C.E.)–Italy” and Industrially Optimized Mud for Skin Applications

Bergamaschi

Marzola

Radice

et al. 2020

Life

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“…So whereas balneotherapy has a large use in non-inflammatory osteo-articular conditions its real benefits are not clearly known in RA [16]. To better understand and measure its effects a trial was conducted in order to compare Balneotherapy plus usual pharmacological treatment versus only pharmacological treatment.…”

Section: Interventionsmentioning

confidence: 99%

Ultrasonography as an Evaluation Tool in a Randomized Controlled Trial Assessing Balneotherapy Effects in Rheumatoid Arthritis

Santos¹,

Jose²,

Ribeiro³

et al. 2018

J Musculoskelet Disord Treat

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Objective: To evaluate the usefulness of ultrasonography as an evaluation tool in a Randomized Controlled Trial assessing Balneotherapy effects in Rheumatoid Arthritis. Methods: A prospective controlled clinical trial, not blinded, randomly assigned of patients with rheumatoid arthritis accordingly to the American College of Rheumatology criteria. The Balneotherapy group received Balneotherapy's throughout 21 days in S. Jorge Spa. The main outcome was hand/wrist ultrasonography measured at the same moments in the two groups, and McNemar's tests were used to compare changes in ecographics signals, with a 5% statistical significance level. Secondary outcomes were taken at same time for HAQ-DI and DAS28. A moderated regression analysis, complemented with the Johnson-Neyman (J-N) technique was used to perform the statistical analysis. Results: In thermal group there was a statistically significant result (p < 0.05) regarding the evolution of synovitis only at left hand/wrist according to ultrasonography signals, between baseline and day 21, end of thermal treatment, and after 3 months. Curiously, the same statistical findings were found in the control group, but at right side. No difference was found in DAS28 at the end of Balneotherapy but almost reach significance at month 3. HAQ-DI at end of treatment and 3 rd month follow-up was significantly improved in the Balneotherapy. Conclusions: Pain and diminished function are hallmarks of RA patients, so any complementary contribution with no or mild side effects, as Balneotherapy, is welcome to enhance quality of life. In this study ultrasonography could detect improvement in synovitis in both RA patients groups, Balneotherapy translating both the possible effect of treatment and the natural history of RA. Both joints were the more affected at enrolment and the Balneotherapy had a slightly higher DAS28. Quality of life had a sustainable improvement with Balneotherapy. Ultrasonography is an objective, inexpensive modality to measure the response of RA small joint synovitis to Balneotherapy, provided that it is realized by a medical doctor with specific formation.

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“…Là encore aucun essai thérapeutique postérieur à 2009 n'a été analysé. Plus récemment le même auteur a fait une mise à jour de sa revue systématique sur la PR [30]. Elle observe que le niveau de preuve est insuffisant pour démontrer que la cure thermale est plus efficace que l'absence de traitement, qu'un autre type de bain, que l'exercice ou que la relaxation.…”

Section: Place Du Thermalisme En Rhumatologieunclassified

Place actuelle du thermalisme en rhumatologie

Forestier

Erol-Forestier²,

Françon

2016

Revue du Rhumatisme

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Balneotherapy (or spa therapy) for rheumatoid arthritis

Abstract: Analysis 3.4. Comparison 3 Balneotherapy versus other treatments, Outcome 4 Versus drug treatment..

Cited by 69 publications

References 66 publications

Comparative Study of SPA Mud from “Bacino Idrominerario Omogeneo dei Colli Euganei (B.I.O.C.E.)–Italy” and Industrially Optimized Mud for Skin Applications

Comparative Study of SPA Mud from “Bacino Idrominerario Omogeneo dei Colli Euganei (B.I.O.C.E.)–Italy” and Industrially Optimized Mud for Skin Applications

Ultrasonography as an Evaluation Tool in a Randomized Controlled Trial Assessing Balneotherapy Effects in Rheumatoid Arthritis

Place actuelle du thermalisme en rhumatologie

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