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EVALUATION OF EARLY PERIOD EFFECTIVENESS OF BALNEOTHERAPY IN PATIENTS WITH KNEE OSTEOARTHRITIS

Yıl 2023, Cilt: 24 Sayı: 2, 141 - 147, 05.04.2023
https://doi.org/10.18229/kocatepetip.1027174

Öz

OBJECTIVE: Balneotherapy is a non-pharmacological method recommended and used in knee osteoarthritis. The aim of this study is to evaluate the early-term effectiveness of the physical therapy program applied together with balneotherapy in patients with knee osteoarthritis.
MATERIAL AND METHODS: Sixty patients diagnosed with primary knee osteoarthritis were included in the study. Randomization was carried out as a balneotherapy group (n=30) and a control group (n =30) by simple randomization method. In Both groups, all of the patients were treated with a fifteen sessions physical therapy program consisting of a hot pack, transcutaneous electrical stimulation, and ultrasound (1 MHz, 1,5 Watt/cm2). Patients in the balneotherapy group were also treated for fifteen sessions balneotherapy program lasting 20 min/day in addition to the physical therapy program. Patients were assessed by Visual Analogue Scale (VAS), WOMAC, and isokinetic muscle testing at the beginning and end of the therapies.
RESULTS: A statistically significant improvement was observed in the mean scores of VAS, all WOMAC scores, and isokinetic test measurements after treatment in both groups (p<0.001). Comparison of the groups by percent changes showed that; VAS (p=0.047), WOMAC pain (p=0.002), WOMAC stiffness (p=0.004), WOMAC function (p=0.001), WOMAC total (p=0.001) differed significantly in favor of balneotherapy group, no significant difference was found in isokinetic muscle strength measurements (p>0.05).
CONCLUSIONS: Balneotherapy combined with a physical therapy program in patients with knee osteoarthritis is effective in reducing pain and increasing physical function in the early period.

Kaynakça

  • 1. Şahin-Onat Ş, Taşoğlu Ö, Özişler Z, Güneri FD, Özgirgin N. Balneotherapy in the Treatment of Knee Osteoarthritis : A Controlled Study. Arch Rheumatol. 2015;30(4):292–7.
  • 2. Branco M, Rego NN, Silva PH, Archanjo IE, Ribeiro MC, Trevisani VF. Bath thermal waters in the treatment of knee osteoarthritis: a randomized controlled clinical trial. Eur J Phys Rehabil Med. 2016;52(4):422–30.
  • 3. Evcik D, Kavuncu V, Yeter A, Yigit I. The efficacy of balneotherapy and mud-pack therapy in patients with knee osteoarthritis. Jt Bone Spine. 2007;74(1):60–5.
  • 4. Gálvez I, Torres-piles S, Ortega E. Innate / inflammatory bioregulation and clinical effectiveness of whole-body hyperthermia ( balneotherapy ) in elderly patients with osteoarthritis. Int J Hyperth. 2018;35(1):340–7.
  • 5. Tenti S, Cheleschi S, Galeazzi M, Fioravanti A. Spa therapy: can be a valid option for treating knee osteoarthritis? Int J Biometeorol. 2014;59:1133–43.
  • 6. Ma T, Song X, Ma Y, et al. The effect of thermal mineral waters on pain relief, physical function and quality of life in patients with osteoarthritis A systematic review and meta-analysis. Med (United States). 2021;100(4).
  • 7. Cantista P, Maraver F. Balneotherapy for knee osteoarthritis in S. Jorge: a randomized controlled trial. Int J Biometeorol. 2020;64(6):1027–38.
  • 8. Güler Uysal F, Başaran S. Knee Osteoarthritis. Türk Fiz Tıp Rehab Derg. 2009;(1):1–17.
  • 9. Güngen G, Ardic F, Fındıkoğlu G, Rota S. The effect of mud pack therapy on serum YKL-40 and hsCRP levels in patients with knee osteoarthritis. Rheumatol Int. 2012;32(5):1235–44.
  • 10. Tüzün EH, Eker L, Aytar A, Daşkapan A, Bayramoğlu M. Acceptability, reliability, validity and responsiveness of the Turkish version of WOMAC osteoarthritis index. Osteoarthr Cartil. 2005;13(1):28–33.
  • 11. Fioravanti A, Karagülle M, Bender T, Karagülle MZ. Balneotherapy in osteoarthritis : Facts , fiction and gaps in knowledge. Eur J Integr Med. 2017;9:148–50.
  • 12. Öncel S. The effectıveness of balneotherapy ın preventıon and treatment of osteoarthrıtıs. Türk Geriatr Derg. 2011;14(1):111–7.
  • 13. Brosseau L, MacLeay L, Robinson V, et al. Efficacy of balneotherapy for osteoarthritis of the knee: a systematic review. Phys Ther Rev. 2002;7(4):209–22.
  • 14. Hizmetli S. Hydroclimatology-Balneotherapy Practices in Elderly Patients. Turk J Phys Med Rehab. 2009;55(2):100–3.
  • 15. Yurtkuran M, Yurtkuran M, Alp A, et al. Balneotherapy and tap water therapy in the treatment of knee osteoarthritis. Rheumatol Int. 2006;27(1):19–27.
  • 16. Kulisch A, Benko A, Bergmann A, et al. Evaluation of the effect of Lake Heviz thermal mineral water in patients with osteoarthritis of the knee: a randomized, controlled, single-blind, follow-up study. Eur J Phys Rehabil Med. 2014;50(4):373–81.
  • 17. Uysal B, Ozkuk K. Effectiveness of balneotherapy in knee osteoarthritis. Exp Biomed Res. 2018;1(2):46–54.
  • 18. Peultier-Celli L, Mainard D, Wein F, et al. Comparison of an Innovative Rehabilitation, Combining Reduced Conventional Rehabilitation with Balneotherapy, and a Conventional Rehabilitation after Anterior Cruciate Ligament Reconstruction in Athletes. Front Surg. 2017;4:1–10.

DİZ OSTEOARTRİTİ OLAN HASTALARDA BALNEOTERAPİNİN ERKEN DÖNEM ETKİNLİĞİNİN DEĞERLENDİRİLMESİ

Yıl 2023, Cilt: 24 Sayı: 2, 141 - 147, 05.04.2023
https://doi.org/10.18229/kocatepetip.1027174

Öz

AMAÇ: Balneoterapi, diz osteoartritinde önerilen ve kullanılan farmakolojik olmayan bir yöntemdir. Bu çalışmanın amacı diz osteoartritli hastalarda balneoterapiyle birlikte uygulanan fizik tedavi programının erken dönem etkinliğini değerlendirmektir.
GEREÇ VE YÖNTEM: Primer diz osteoartriti tanısı almış 60 hasta çalışmaya dahil edildi ve basit rastgele yöntem ile balneoterapi grubu (n=30) ve kontrol grubu (n=30) olarak randomizasyon yapıldı. Her iki gruptaki hastalar hot pack, transkutanöz elektrik stimülasyonu ve ultrasondan (1 MHz, 1,5 Watt/cm2) oluşan 15 seans fizik tedavi programı ile tedavi edildi. Balneoterapi grubundaki hastalara fizik tedavi programına ek olarak 20 dakika/gün süren on beş seans balneoterapi programı uygulandı. Hastalar tedavilerin başlangıcında ve tedavinin sonunda Vizüel Analog Skalası (VAS), WOMAC ve izokinetik kas testi ile değerlendirildi.
BULGULAR: Her iki grupta tedavi sonrası VAS, tüm WOMAC skorları ve izokinetik test ölçümlerinde istatistiksel olarak anlamlı iyileşme kaydedildi (p<0,001). Gruplar arası değerlendirme parametrelerinin yüzde değişimleri karşılaştırıldığında; balneoterapi grubu lehine VAS (p=0,047), WOMAC ağrı (p=0,002), WOMAC sertlik (p=0,004), WOMAC fonksiyon (p=0,001), WOMAC total (p=0,001) skorlarında anlamlı azalma varken, izokinetik kas gücü ölçümlerinde anlamlı farklılık saptanmadı (p>0,05).
SONUÇ: Diz osteoartriti olan hastalarda fizik tedavi programı ile birlikte uygulanan balneoterapi, erken dönemde ağrıyı azaltmada ve fiziksel fonksiyonu artırmada etkilidir.

Kaynakça

  • 1. Şahin-Onat Ş, Taşoğlu Ö, Özişler Z, Güneri FD, Özgirgin N. Balneotherapy in the Treatment of Knee Osteoarthritis : A Controlled Study. Arch Rheumatol. 2015;30(4):292–7.
  • 2. Branco M, Rego NN, Silva PH, Archanjo IE, Ribeiro MC, Trevisani VF. Bath thermal waters in the treatment of knee osteoarthritis: a randomized controlled clinical trial. Eur J Phys Rehabil Med. 2016;52(4):422–30.
  • 3. Evcik D, Kavuncu V, Yeter A, Yigit I. The efficacy of balneotherapy and mud-pack therapy in patients with knee osteoarthritis. Jt Bone Spine. 2007;74(1):60–5.
  • 4. Gálvez I, Torres-piles S, Ortega E. Innate / inflammatory bioregulation and clinical effectiveness of whole-body hyperthermia ( balneotherapy ) in elderly patients with osteoarthritis. Int J Hyperth. 2018;35(1):340–7.
  • 5. Tenti S, Cheleschi S, Galeazzi M, Fioravanti A. Spa therapy: can be a valid option for treating knee osteoarthritis? Int J Biometeorol. 2014;59:1133–43.
  • 6. Ma T, Song X, Ma Y, et al. The effect of thermal mineral waters on pain relief, physical function and quality of life in patients with osteoarthritis A systematic review and meta-analysis. Med (United States). 2021;100(4).
  • 7. Cantista P, Maraver F. Balneotherapy for knee osteoarthritis in S. Jorge: a randomized controlled trial. Int J Biometeorol. 2020;64(6):1027–38.
  • 8. Güler Uysal F, Başaran S. Knee Osteoarthritis. Türk Fiz Tıp Rehab Derg. 2009;(1):1–17.
  • 9. Güngen G, Ardic F, Fındıkoğlu G, Rota S. The effect of mud pack therapy on serum YKL-40 and hsCRP levels in patients with knee osteoarthritis. Rheumatol Int. 2012;32(5):1235–44.
  • 10. Tüzün EH, Eker L, Aytar A, Daşkapan A, Bayramoğlu M. Acceptability, reliability, validity and responsiveness of the Turkish version of WOMAC osteoarthritis index. Osteoarthr Cartil. 2005;13(1):28–33.
  • 11. Fioravanti A, Karagülle M, Bender T, Karagülle MZ. Balneotherapy in osteoarthritis : Facts , fiction and gaps in knowledge. Eur J Integr Med. 2017;9:148–50.
  • 12. Öncel S. The effectıveness of balneotherapy ın preventıon and treatment of osteoarthrıtıs. Türk Geriatr Derg. 2011;14(1):111–7.
  • 13. Brosseau L, MacLeay L, Robinson V, et al. Efficacy of balneotherapy for osteoarthritis of the knee: a systematic review. Phys Ther Rev. 2002;7(4):209–22.
  • 14. Hizmetli S. Hydroclimatology-Balneotherapy Practices in Elderly Patients. Turk J Phys Med Rehab. 2009;55(2):100–3.
  • 15. Yurtkuran M, Yurtkuran M, Alp A, et al. Balneotherapy and tap water therapy in the treatment of knee osteoarthritis. Rheumatol Int. 2006;27(1):19–27.
  • 16. Kulisch A, Benko A, Bergmann A, et al. Evaluation of the effect of Lake Heviz thermal mineral water in patients with osteoarthritis of the knee: a randomized, controlled, single-blind, follow-up study. Eur J Phys Rehabil Med. 2014;50(4):373–81.
  • 17. Uysal B, Ozkuk K. Effectiveness of balneotherapy in knee osteoarthritis. Exp Biomed Res. 2018;1(2):46–54.
  • 18. Peultier-Celli L, Mainard D, Wein F, et al. Comparison of an Innovative Rehabilitation, Combining Reduced Conventional Rehabilitation with Balneotherapy, and a Conventional Rehabilitation after Anterior Cruciate Ligament Reconstruction in Athletes. Front Surg. 2017;4:1–10.
Toplam 18 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Makaleler-Araştırma Yazıları
Yazarlar

Şükrü Sınıcı 0000-0002-3848-558X

Selma Eroğlu 0000-0002-3600-5482

Ümit Dündar 0000-0002-2784-0574

Yayımlanma Tarihi 5 Nisan 2023
Kabul Tarihi 28 Mayıs 2022
Yayımlandığı Sayı Yıl 2023 Cilt: 24 Sayı: 2

Kaynak Göster

APA Sınıcı, Ş., Eroğlu, S., & Dündar, Ü. (2023). EVALUATION OF EARLY PERIOD EFFECTIVENESS OF BALNEOTHERAPY IN PATIENTS WITH KNEE OSTEOARTHRITIS. Kocatepe Tıp Dergisi, 24(2), 141-147. https://doi.org/10.18229/kocatepetip.1027174
AMA Sınıcı Ş, Eroğlu S, Dündar Ü. EVALUATION OF EARLY PERIOD EFFECTIVENESS OF BALNEOTHERAPY IN PATIENTS WITH KNEE OSTEOARTHRITIS. KTD. Nisan 2023;24(2):141-147. doi:10.18229/kocatepetip.1027174
Chicago Sınıcı, Şükrü, Selma Eroğlu, ve Ümit Dündar. “EVALUATION OF EARLY PERIOD EFFECTIVENESS OF BALNEOTHERAPY IN PATIENTS WITH KNEE OSTEOARTHRITIS”. Kocatepe Tıp Dergisi 24, sy. 2 (Nisan 2023): 141-47. https://doi.org/10.18229/kocatepetip.1027174.
EndNote Sınıcı Ş, Eroğlu S, Dündar Ü (01 Nisan 2023) EVALUATION OF EARLY PERIOD EFFECTIVENESS OF BALNEOTHERAPY IN PATIENTS WITH KNEE OSTEOARTHRITIS. Kocatepe Tıp Dergisi 24 2 141–147.
IEEE Ş. Sınıcı, S. Eroğlu, ve Ü. Dündar, “EVALUATION OF EARLY PERIOD EFFECTIVENESS OF BALNEOTHERAPY IN PATIENTS WITH KNEE OSTEOARTHRITIS”, KTD, c. 24, sy. 2, ss. 141–147, 2023, doi: 10.18229/kocatepetip.1027174.
ISNAD Sınıcı, Şükrü vd. “EVALUATION OF EARLY PERIOD EFFECTIVENESS OF BALNEOTHERAPY IN PATIENTS WITH KNEE OSTEOARTHRITIS”. Kocatepe Tıp Dergisi 24/2 (Nisan 2023), 141-147. https://doi.org/10.18229/kocatepetip.1027174.
JAMA Sınıcı Ş, Eroğlu S, Dündar Ü. EVALUATION OF EARLY PERIOD EFFECTIVENESS OF BALNEOTHERAPY IN PATIENTS WITH KNEE OSTEOARTHRITIS. KTD. 2023;24:141–147.
MLA Sınıcı, Şükrü vd. “EVALUATION OF EARLY PERIOD EFFECTIVENESS OF BALNEOTHERAPY IN PATIENTS WITH KNEE OSTEOARTHRITIS”. Kocatepe Tıp Dergisi, c. 24, sy. 2, 2023, ss. 141-7, doi:10.18229/kocatepetip.1027174.
Vancouver Sınıcı Ş, Eroğlu S, Dündar Ü. EVALUATION OF EARLY PERIOD EFFECTIVENESS OF BALNEOTHERAPY IN PATIENTS WITH KNEE OSTEOARTHRITIS. KTD. 2023;24(2):141-7.

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