Short-term efficacy of paraffin therapy and home-based exercise programs in the treatment of symptomatic hand osteoarthritis

Aksoy, Meliha Kasapoğlu; Altan, Lale

doi:10.5606/tftrd.2018.1535

Cited by 13 publications

(6 citation statements)

References 29 publications

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“…The study duration ended after 6 weeks. Home exercise along with paraffin application was found to be statistically significantly superior for pain reduction and improvements in hand grip strength, finger pinch strength, functional status, and quality of life in the short term (Kasapoğlu Aksoy and Altan 2018 ). A current randomized controlled study compared the efficacy of paraffin and fluidotherapy treatments for HOA patients.…”

Section: Discussionmentioning

confidence: 99%

“…Hyperemia resulting from relaxation of arteriolar smooth muscle fibers and vasodilatation of peripheral veins with paraffin application causes increases in tissue fluid transduction, increased lymph flow, and absorption of exudates. These mechanisms were correlated with reduced pain, increased hand grip strength, and improved functionality and quality of life in the short term for HOA patients (Dilek et al 2013 ; Kasapoğlu Aksoy and Altan 2018 ). Additionally, a current study stated that paraffin treatment is used in routine treatment of HOA patients (Karlıbel et al 2021 ).…”

Section: Introductionmentioning

confidence: 95%

“…For HOA, paraffin treatment was shown to provide reduced pain, increased hand strength, and improvements in quality of life and function in the short term (Dilek et al 2013 ; Kasapoğlu Aksoy and Altan 2018 ; Öncel et al 2021 ). Peloid treatment was shown to have similar positive effects in the short term for HOA patients (Kasapoğlu Aksoy et al 2017 ; Tenti et al 2020 ; Fioravanti et al 2014 ).…”

Section: Introductionmentioning

confidence: 99%

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Comparison of the effectiveness of peloid and paraffin treatment for symptomatic hand osteoarthritis in women: a single-blind randomized controlled study

Aksanyar¹,

Karaarslan

Yılmaz

et al. 2022

Int J Biometeorol

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Although peloid and paraffin treatments may have a positive effect in the short term on pain, functional status, hand grip strength, and quality of life in patients with hand osteoarthritis (HOA), there are no comprehensive and comparative studies of these therapies for HOA. The aim of our study was to evaluate the short-term effects of peloid and paraffin treatments in symptomatic HOA patients. Eighty female patients diagnosed with HOA were randomly divided into two equal groups: peloid group (peloid therapy and home exercise) and paraffin group (paraffin therapy and home exercise). Peloid and paraffin applications were performed over 3 weeks for a total of 15 sessions. Patients were evaluated with visual analog scale (VAS)-rest, -activity, and -handgrip for pain, Jamar hand dynamometer for grip strength, Australian/Canadian (AUSCAN) Osteoarthritis Hand Index for function, health assessment questionnaire (HAQ) for physical activity, Beck depression inventory (BDI) for depression, and short form-36 (SF-36) for quality of life. Evaluations were performed before treatment, in the 3rd week, and 1 month after treatment. For all parameters except SF-36, statistically significant improvements were observed in short-term evaluations compared to the baseline in both groups ( p = .000). Reductions in HAQ scores in the 3rd week and 1st month ( p = .001 and p = .003), and the decrease in BDI scores in the 3rd week ( p = .005) was statistically significantly higher in the peloid group. Improvements in some subparameters of the SF-36 were statistically significant in favor of the peloid group. In female patients with HOA, both groups experienced similar positive effects on pain, functional status, and hand grip strength for up to one month, but the peloid group was found to be superior in the short term in terms of physical activity and some quality of life parameters. Peloid therapy can be preferred as a natural and reliable method for symptomatic HOA.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

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Comparison of the effectiveness of peloid and paraffin treatment for symptomatic hand osteoarthritis in women: a single-blind randomized controlled study

Aksanyar¹,

Karaarslan

Yılmaz

et al. 2022

Int J Biometeorol

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“…Paraffin wax was combined with other types of intervention (hand exercise, home exercise program and education) with significant improvement in functional status and reducing pain [72,73].…”

Section: Paraffin Wax and Balneotherapymentioning

confidence: 99%

Hand Erosive Osteoarthritis and Distal Interphalangeal Involvement in Psoriatic Arthritis: The Place of Conservative Therapy

Poletto

Tinazzi

Marchetta

et al. 2021

JCM

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Hand erosive osteoarthritis (HEOA) and Psoriatic Arthritis (PsA) with DIP involvement are common diseases affecting the hand. Both of them evolve with a progressive limitation in grip due to limited range of motion of the affected joints and stenosing tenosynovitis. Pharmacological options currently available (corticosteroids and clodronate or Idrossicloroquine) for the treatment of EHOA are mostly symptomatic and currently there are no effective drugs able to modify the course of the disease. In addition, data on drug effectiveness of PsA with DIP involvement are lacking. Conservative therapy should be considered in order to reduce pain and improve hand functionality. There are many studies debating a wide range of non-pharmacological intervention in the management of HEOA: joint protection program, range of motion and strengthening exercise, hand exercise with electromagnetic therapy, application of heat with paraffin wax or balneotherapy, occupational therapy and education. Concerning conservative treatment strategies to treat PsA, on the contrary, current evidence is still weak. Further research is needed to find the correct place of physical therapy to prevent stiffness and ankylosis due to the vicious circle of inflammation-pain-immobility-rigidity.

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“…Previous studies have shown that paraffin therapy reduces pain and increases joint range of motion in patients with joint spasticity or stiffness. After receiving combined paraffin and ultrasound treatments, improvements in the symptoms of patients with spasticity have been observed (31,32).…”

mentioning

confidence: 99%

Physiotherapy Efficiency in Post-stroke Upper Extremity Spasticity: TENSvs. Ultrasoundvs. Paraffin

Roman

Miclăuş

Necula

et al. 2023

In Vivo

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Background/Aim: Post-stroke spasticity is a significant debilitating condition with negative consequences on individual functional independence and quality of life. This study aimed to identify the differences between transcutaneous electrical stimulation (TENS), ultrasound therapy and paraffin procedures on post-stroke upper extremity spasticity and dexterity. Patients and Methods: Twenty-six patients were enrolled in the study, divided into three therapy groups: TENS (n=9), paraffin (n=10) and ultrasound therapy (n=7). For 10 days, the patients received specific group therapy and conventional physical therapy exercises for upper extremities. Modified Ashworth Scale, Functional Independence Measure, Functional Coefficient, Stroke Specific Quality of Life Scale, Activities of Daily Living score and ABILHAND questionnaire were used to assess the participants before and after therapy. Results: The results of the group comparisons by analysis of variance showed no significant difference between outcomes by the applied treatments. In contrast, one-way analysis of variance suggested significant improvements in patients in all three groups after therapy. Step-wise regression results on functional independence measure and quality-of-life scales suggested that functional range of motion values for elbow and wrist influence individual independence and quality of life. Conclusion: TENS, ultrasound, and paraffin therapy bring equal benefits in the management of post-stroke spasticity.

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Short-term efficacy of paraffin therapy and home-based exercise programs in the treatment of symptomatic hand osteoarthritis

Cited by 13 publications

References 29 publications

Comparison of the effectiveness of peloid and paraffin treatment for symptomatic hand osteoarthritis in women: a single-blind randomized controlled study

Comparison of the effectiveness of peloid and paraffin treatment for symptomatic hand osteoarthritis in women: a single-blind randomized controlled study

Hand Erosive Osteoarthritis and Distal Interphalangeal Involvement in Psoriatic Arthritis: The Place of Conservative Therapy

Physiotherapy Efficiency in Post-stroke Upper Extremity Spasticity: TENSvs. Ultrasoundvs. Paraffin

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