Comparing the efficacy of mature mud pack and hot pack treatments for knee osteoarthritis.
J Back Musculoskelet Rehabil
; 25(3): 193-9, 2012.
Article
em En
| MEDLINE
| ID: mdl-22935858
ABSTRACT
OBJECTIVE:
The objective of this study is to compare the efficacy of mature mud pack and hot pack therapies on patients with knee osteoarthritis.DESIGN:
This study was designed as a prospective, randomized-controlled, and single-blinded clinical trial. Twenty-seven patients with clinical and radiologic evidence of knee osteoarthritis were randomly assigned into two groups and were treated with mature mud packs (n 15) or hot packs (n=12). Patients were evaluated for pain [based on the visual analog scale (VAS)], function (WOMAC, 6 min walking distance), quality of life [Short Form-36 (SF-36)], and serum levels of tumor necrosis factor-alpha (TNF-α), interleukin-6 (IL-6), and insulin-like growth factor-1 (IGF-1) at baseline, post-treatment, and 3 and 6~months after treatment.RESULTS:
The mud pack group shows a significant improvement in VAS, pain, stifness, and physical function domains of WOMAC. The difference between groups of pain and physical activity domains is significant at post-treatment in favor of mud pack. For a 6 min walking distance, mud pack shows significant improvement, and the difference is significant between groups in favor of mud pack at post-treatment and 3 and 6 months after treatment. Mud pack shows significant improvement in the pain subscale of SF-36 at the third month continuing until the sixth month after the treatment. Significant improvements are found for the social function, vitality/energy, physical role disability, and general health subscales of SF-36 in favor of the mud pack compared with the hot pack group at post-treatment. A significant increase is detected for IGF-1 in the mud pack group 3 months after treatment compared with the baseline, and the difference is significant between groups 3 months after the treatment.CONCLUSION:
Mud pack is a favorable option compared with hotpack for pain relief and for the improvement of functional conditions in treating patients with knee osteoarthritis.
Texto completo:
1
Base de dados:
MEDLINE
Métodos Terapêuticos e Terapias MTCI:
Terapias_biologicas
/
Peloideterapia
Assunto principal:
Osteoartrite do Joelho
/
Manejo da Dor
/
Hipertermia Induzida
/
Peloterapia
Tipo de estudo:
Clinical_trials
/
Observational_studies
Idioma:
En
Revista:
J Back Musculoskelet Rehabil
Ano de publicação:
2012
Tipo de documento:
Article
País de afiliação:
Turquia