Beneficial effects of spa treatment on functional status and quality of life of patients with rheumatoid arthritis

Mustur, Dusan; Vesovic-Potic, Vladislava; Vujasinovic‐Stupar, Nada; Ille, Tatjana

doi:10.2298/sarh0808391m

Cited by 10 publications

(3 citation statements)

References 15 publications

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“…The Journal of Nutrition, Health & Aging© Volume 13, Number 9, 2009 Several studies reported that spa care was beneficial for the mental state of the patients (92,93) and for their quality of life (94)(95)(96). It is also admitted that it brings benefit during pain treatment especially in arthrosis, often reported in elderly population (94)(95)(96)(97)(98).…”

Section: Balneotherapy Prevention Of Cognitive Decline and Care The mentioning

confidence: 99%

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Balneotherapy, prevention of cognitive decline and care the Alzheimer patient and his family: Outcome of a multidisciplinary workgroup

Secher

Soto

Gillette

et al. 2009

The Journal of nutrition, health and aging

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According to the latest forecasts of the INSEE - Institut National de la Statistique et des Etudes Economiques (National Statistics and Economic Studies Institute), ageing of the French population will increase between 2005 and 2050: whereas 20.8% of the population living in continental France reached the age of 60 years or more in 2005, this proportion would be of 30.6% in 2035 and 31.9% in 2050. In 2050, 22.3 million persons will have reached the age of 60 years or more compared to 12.6 million in 2005, increasing by 80% in a 45-year period. In line with the actual age pyramid, ageing is unavoidable, as those who will reach 60 years of age in 2050 are already born (in 1989 or before). This expansion will be most important between 2006 and 2035, when the numerous "baby-boom" generations born between 1946 and 1975, will reach these ages. In future years, lifespan improvement will only emphasize this increase. Even if life expectancy stabilizes at the 2005 level, the number of seniors reaching 60 years or more would still increase to 50% between 2005 and 2050. This issue is identical in all countries of the European Union. Ageing is a major risk factor for dementia that will considerably worsen in the next years, if no curative therapies are found. Today, 25 million persons in the world suffer from Alzheimer's disease (AD). In France, it is estimated that 860,000 persons are affected and that 225,000 news cases are annually diagnosed. After 75 years of age, more than 20% of women and 13% of men are concerned. Forecasts for the coming years are frightening. Considering ageing of the population, the number of Alzheimer's disease cases should raise to 1.3 million in 2020 (20 patients for 1000 inhabitants) ant 2.1 million in 2040 (30 patients for 1000 inhabitants).

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Section: Balneotherapy Prevention Of Cognitive Decline and Care The mentioning

confidence: 99%

“…It is also admitted that it brings benefit during pain treatment especially in arthrosis, often reported in elderly population (94)(95)(96)(97)(98).…”

Section: Balneotherapy Prevention Of Cognitive Decline and Care The mentioning

confidence: 99%

Balneotherapy, prevention of cognitive decline and care the Alzheimer patient and his family: Outcome of a multidisciplinary workgroup

Secher

Soto

Gillette

et al. 2009

The Journal of nutrition, health and aging

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“…Romatoid artritte radonlu ve karbondioksitli banyoların etkinliğinin kıyaslandığı bir çalışmada her iki banyo türünde de ağrı düzeylerinde ve fonksiyonel durumda iyileşme olduğu belirtilmiştir (14). Mustur ve arkadaşlarının romatoid artritte balneoterapinin etkinliğini araştırdıkları çalışmada mHAQ ve SF-36 skorlarında düzelme olduğu belirtilmiştir (15). Stojanovic ve arkadaşlarının romatoid artritte de fizik tedavi yöntemleri ile kombine olarak balneoterapi kullanılmasının DAS28 skorlarında ve yaşam kalitesi parametrelerinde düzelme sağladığı belirtilmiştir (16).…”

Section: Discussionunclassified

Romatoid Artrit Tedavisinde Akuaterapinin Etkinliği

Çakır¹,

Evcik²,

Subaşı³

et al. 2014

tod

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Objective: Rheumatoid Arthritis (RA) is a chronic destructive inflammatory disorder. This study is aimed to investigate the effects of balneotherapy and aquatherapy in the treatment of RA patients. Materials and Methods: A total of 59 patients who fulfilled the American College of Rheumatology diagnostic criteria for RA were included this study. Patients were randomly assigned into three groups. Group 1 (n=20) received balneotherapy, group 2 (n=20) received an aquatic exercise program and group 3 (n=19) was accepted as control group. These programs were applied five times a week, over three weeks (15 sessions). Patients were evaluated for clinical and laboratory parameters. Clinical parameters included pain,duration of morning stiffness, number of swollen and tender joints, disease activity score (DAS28), Modified health assessment questionnaire (mHAQ), physician's and patient's global assessment and hand grip strength. Laboratory evaluation included erythrocyte sedimentation rate(ESR) and C-reactive protein (CRP). The assessment parameters were measured before, at the end of and after 3 months of the therapy. Results: The mean age of the patients was 54±10.7 (25-75) years and the mean disease duration was 122.3±98.1 (1-424) months. In aquatic exercise group we observed an improvement in DAS28 scores (p<0.001), in the number of tender joints (p<0.005), in VAS scores (p<0.005), mHAQ (p<0.05), physician's and patient's global assessments (p<0.05). Also there was a statistically significant decrease in ESR results in aquatherapy group compared to other groups (p<0.05). However no statistically significant difference was obtained between three groups (p>0.05).Amaç: Romatoid Artrit (RA) kronik destrüktif inflamatuvar bir hastalıktır. Bu çalışma RA tanısıyla takip ettiğimiz hastalarda akuaterapi ve balneoterapinin etkilerini araştırmak amacıyla planlanmıştır. Gereç ve Yöntem: Çalışmaya Amerikan Romatizma Derneği (ACR) tanı kriterlerini dolduran ve RA tanısı konulan toplam 59 hasta dahil edildi. Hastalar randomize olarak üç gruba ayrıldılar. Grup 1 (n= 20) balneoterapi, grup 2 (n=20) akuaterapi, grup 3 (n=19) kontrol grubu olarak kabul edildi. Balneoterapi ve akuaterapi uygulamaları haftada beş gün, üç hafta süresince toplam 15 seans verildi. Hastalar klinik ve laboratuvar parametrelerce değerlendirildiler. Klinik değerlendirme; ağrı, sabah sertliği süresi, şiş ve hassas eklem sayısı, hastalık aktivite skorlaması (DAS28), Modifiye Sağlık Sorgulama Anketi (mHAQ), hastanın ve doktorun global değerlendirmesi ölçümünü içermektedir. Laboratuvar parametreler ise eritrosit sedimentasyon hızı (ESR), C-reaktif protein (CRP) olup tüm değerlendirme parametreleri tedavi öncesinde, tedavi sonrası (3. hafta) ve 3. ayda yapıldı. Bulgular: Hastaların yaş ortalamaları 54±10,7 (25-75) ve ortalama hastalık süreleri 122,3±98,1 (1-424) aydır. Akuaterapi grubunda ise DAS 28 skorlarında (p<0,001), hassas nokta sayısında (p<0.005), GAS skorlarında (p<0,005), mHAQ (p<0,05), hastanın ve doktorun global değerlendirim sonuçlarında istatistiksel an...

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Spa therapy adjunct to pharmacotherapy is beneficial in rheumatoid arthritis: a crossover randomized controlled trial

2017

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This study aims to investigate whether 2-week spa therapy, as an adjunct to usual pharmacological therapy, has any beneficial effect in patients with rheumatoid arthritis (RA). In this single-blind crossover study, 50 patients were randomly assigned in a 1:1 manner to receive usual pharmacological therapy plus 2-week spa therapy or usual pharmacological therapy alone (period 1.6 months); after a 9-month washout, patients were crossed over to the opposite assignment (period 2.6 months). Spa therapy program included a daily saline balneotherapy session at 36-37 °C for 20 min except Sundays. The clinical outcomes were evaluated at baseline, after spa therapy (2 weeks) and 3 and 6 months after the spa therapy in both period and were pain (Visual Analogue Scale (VAS)), patient and physician global assessments (VAS), Health Assessment Questionnaire (HAQ), and Disease Activity Score (DAS28). Spa therapy was superior to control therapy in improving all the assessed clinical outcomes at the end of the spa therapy. This superiority persisted significantly in physician global assessment (p = 0.010) and with a trend in favor of spa group in patient global assessment (p = 0.058), function (p = 0.092), and disease activity (p = 0.098) at 3 months. Statistically significant improvements were found in spa therapy compared to control in disease activity (p = 0.006) and patient (p = 0.020) and physician global (p = 0.011) assessments, and a trend toward improvements in pain (p = 0.069) and swollen joints (p = 0.070) at 6 months. A 2-week spa therapy adjunct to usual pharmacological therapy provided beneficial clinical effects compared to usual pharmacological therapy alone, in RA patients treated with traditional disease-modifying antirheumatic drugs. These beneficial effects may last for 6 months.

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Beneficial effects of spa treatment on functional status and quality of life of patients with rheumatoid arthritis

Abstract: Balneotherapy, together with climatic factors in Igalo, leads to a significant improvement of functional status and quality of life in patients suffering from RA.

Cited by 10 publications

References 15 publications

Balneotherapy, prevention of cognitive decline and care the Alzheimer patient and his family: Outcome of a multidisciplinary workgroup

Balneotherapy, prevention of cognitive decline and care the Alzheimer patient and his family: Outcome of a multidisciplinary workgroup

Romatoid Artrit Tedavisinde Akuaterapinin Etkinliği

Spa therapy adjunct to pharmacotherapy is beneficial in rheumatoid arthritis: a crossover randomized controlled trial

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