Evaluation of the effect of Lake Hévíz thermal mineral water in patients with osteoarthritis of the knee: a randomized, controlled, single-blind, follow-up study

Abstract

Background: Osteoarthritis is the most frequent joint disease and is a leading cause of pain and locomotor disability in elderly people. The treatment of osteoarthritis includes nonpharmacological, pharmacological, and surgical therapies. Silver level evidence has been found concerning balneotherapy in osteoarthritis. Aim of the study: The aim of this study was to evaluate how Lake Hévíz thermal mineral water therapy influences pain, kneefunction, and quality of life in patients with knee osteoarthritis, compared to the control group. Study Design: randomized, controlled, singleblind, followup study. Setting: Spa Hévíz and St. Andrew Hospital for Rheumatic Diseases Population: This study included 77 outpatients between 45 and 75 years of age with mild to moderate osteoarthritis of the kneemeeting the American College of Rheumatology classification criteria. Methods: Patients were randomized into two groups. In group I (n=38), subjects bathed in Lake Hévíz and in group II (n=39), patients were treated in a pool full of tap water. Water temperature was 34°C for both groups. Participants underwent 30minute therapy sessions, five times a week for three weeks. Outcome measures were pain visual analogue scale scores, active flexion degree, knee circumference, stairclimb time, Western Ontario and McMaster Universitiesosteoarthritis index (WOMAC), and EuroQoL Group 5Dimension SelfReport Questionnaire score (EQ5D). Study parameters were recorded at baseline, immediately after treatment, and after 15 weeks. Results: Comparison of the two groups revealed a statistically significant difference in pain visual analogue scale scores (p<0.01), active flexion degree (p<0.01), physical function components of WOMAC (p<0.05), and EQ5D scores (p<0.05) even after 15 weeks. Conclusions: Balneotherapy improved pain, function as well as the quality of life in patients with knee osteoarthritis. Clinical Rehabilitation Impact: Balneotherapy is a potentially useful treatment modality for patients with knee osteoarthritis.

PMID:

 

24594851

 

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