Abstract
The objective of this study was to evaluate the effect of spa therapy on clinical parameters of patients with gonarthrosis. Patients with gonarthrosis (n=33) underwent a 2-week spa therapy using three treatment regimes and a 20-week follow-up as follows: group I (n=11) had mineral water baths and hot native mineral mud packs, group II (n=12) had mineral water baths and rinsed mineral-free mud packs and group III (n=10) had tap water baths and mineral-free mud packs. The patients and the assessing rheumatologist were blinded to the difference in the treatment protocols. A significant improvement in the index of severity of the knee (ISK), as well as night pain scores, was achieved in group I. Improvement in physical findings and a reduction in pain ratings on a visual analogue scale (VAS) did not reach statistical significance. Analgesic consumption was significantly decreased in both groups I and III for up to 12 weeks. Global improvement assessed by patients and physician was observed in all three groups up to 16 weeks but persisted to the end of the follow-up period in group I only. Patients with gonarthrosis seemed to benefit from spa therapy under all three regimes. However, for two parameters (night pain and ISK) the combination of mineral water baths and mud packs (group I) appeared to be superior.
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Elkayam O, Wigler I, Tishler M, Rozenblum J, Caspi D, Segal R, Fishel B, Yaron M (1991) Effect of spa therapy in Tiberias on patients with rheumatoid arthritis and osteoarthritis. J Rheumatol 18:1799–1802
Lequesne MG, Mery G, Samson M, Gerard P (1987) Indexes of severity of osteoarthritis of the hip and knee. Scand J Rheumatol [Suppl 65]:85–89
American Rheumatism Association Glossary Committee Joint examination (1982) Dictionary of the rheumatic diseases, vol 1. Signs and symptoms, p 78
Paulus HE (1987) Government affairs, FDA arthritis advisory committee meeting: risks of agranulocytosis/aplastic anemia, flank pain, and adverse gastrointestinal effects with the use of non-steroidal anti-inflammatory drugs. Arthritis Rheum 30:593
Szues L, Ratko L, Szoor I, Genti G, Balint G (1989) Double blind trial on the effectivness of the Puspokladany thermal water on arthrosis of the knees joints. J R Soc Health 109:7–9
Cosh JA (1982) The rheumatologist and the spa, a personal view. R S Health J 102:189–192
Sukenik S, Buskila D, Neumann L, Kleiner-Baumgarten A, Zimlichman S, Horowitz J (1990) Sulphur bath and mud packs treatment for rheumatoid arthritis at the Dead Sea. Ann Rheum Dis 49:99–102
O'Hare JP, Heywood A, Summerhayes C et al (1985) Observations on the effects of immersionin bath spa water. BMJ 291:1747–1751
O'Hare JP, Heywood A, Dodds P, Corrall RJM, Dieppe P (1984) Water immersion in rheumatoid arthritis (abstract). Br J Rheumatol 23:117
Shani J, Barak S, Levi D et al (1985) Skin penetration of minerals in psoriatics and guinea pigs bathing in hypertonic salt solution. Pharmacol Res Commun 17:501–523
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Wigler, I., Elkayam, O., Paran, D. et al. Spa therapy for gonarthrosis: a prospective study. Rheumatol Int 15, 65–68 (1995). https://doi.org/10.1007/BF00262710
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DOI: https://doi.org/10.1007/BF00262710