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1.
Reumatismo ; 73(3)2021 Nov 22.
Artigo em Inglês | MEDLINE | ID: mdl-34814657

RESUMO

The primary objective of this study was to assess the efficacy of mud plus bath therapy in comparison to bath therapy alone in hand and knee osteoarthritis (HOA and KOA). We conducted a single-blinded randomized controlled trial (RCT). Patients were randomly assigned to either mud plus bath therapy (group 1) or balneotherapy (group 2). The primary outcome was a change in AUSCAN questionnaire for HOA and in WOMAC for KOA at month 12. Evaluations were performed at baseline (B), immediately after the interventions (week 2, W2) and after 3 (M3), 6 (M6), 9 (M9) and 12 (M12) months. 37 patients with KOA and 52 with HOA were randomized in the study. In HOA patients, AUSCAN pain improved more in group 1 compared to group 2 at M3, M6 and M12 (p<0.001, p=0.001 and p=0.038, respectively). AUSCAN stiffness improved more in group 1 at M3 (p=0.001). AUSCAN function improved more at M3, M6, M9 and M12 (p=0.001, p=0.001, p=0.014 and p=0.018, respectively). Regarding, KOA, WOMAC function decreased more prominently in group 1 compared to group 2 at M9 (p=0.007). The absolute values of WOMAC function at M6 and M9 were lower in group 1 compared to group 2 (p=0.029 and p=0.001, respectively). WOMAC pain absolute values were lower in group 1 at W2 (p=0.044) and at M9 (p=0.08). We conducted a RCT on the efficacy of mud plus balneotherapy over balneotherapy alone in HOA and KOA. We found that mud plus balneotherapy was more effective than balneotherapy alone on clinical outcomes of HOA. Differences in clinical outcomes of KOA were not significant, yet numerically higher.


Assuntos
Balneologia , Terapia por Lama , Osteoartrite do Joelho , Mãos , Humanos , Osteoartrite do Joelho/terapia , Resultado do Tratamento
2.
Artigo em Russo | MEDLINE | ID: mdl-34719912

RESUMO

Over the past decades, a small yet convincing evidence base has accumulated that demonstrates the effectiveness of dental care for patients in health-resort (HR) settings. In addition to a positive local effect, complex HR care increases nonspecific resistance and promotes desensitization. OBJECTIVE OF THE REVIEW: Addressing the HR rehabilitation in patients with various maxillofacial diseases for further consideration of the possibility of the increased use of HR care in dental practice. MATERIAL AND METHODS: Russian and English-language publications were analyzed without specifying the search timeframe. The search keywords were the following: «health-resort care¼, «balneotherapy¼, «peloid therapy¼, «physiotherapy¼, «magnet therapy¼, «laser therapy¼ in combination with «dental diseases¼, «maxillofacial diseases¼, «periodontal diseases¼, «temporomandibular joint diseases¼, «postoperative rehabilitation¼ «balneotherapy¼, «mud therapy¼, «peloid therapy¼, «spa therapy¼, «physiotherapy¼. A total of 21 articles were analyzed, including 10 related to periodontal disease, 5 to temporomandibular joint pathology, and 6 to rehabilitation in the postoperative period. Seventeen original studies (3855 patients) were selected, including 47.62% with evidence level C, due to lack of information on comparison group or randomization. RESULTS AND DISCUSSION: Available data from clinical studies suggest the effectiveness of natural and physiotherapeutic factors in the medical rehabilitation of patients with various dental diseases. Further randomized clinical trials and the development of clinical guidelines for various techniques in dental diseases are warranted.


Assuntos
Balneologia , Terapia com Luz de Baixa Intensidade , Terapia por Lama , Assistência Odontológica , Estâncias para Tratamento de Saúde , Humanos
3.
Clin Ter ; 172(4): 372-387, 2021 Jul 05.
Artigo em Inglês | MEDLINE | ID: mdl-34247222

RESUMO

Objective: Osteoarthritis (OA) results from loss of cartilage in-tegrity in association with changes to the structure of the entire joint. Treatment of OA is based on different pharmaceutical and no phar-maceutical approaches and the latter include the use of spa-therapy. The biological effects of mud-bath therapy are mainly secondary to heat stimulation and to physic-chemical properties of mineral waters and mud-packs. Mud-bath therapy likely exerts its effects modulating several cytokines and other molecules involved in inflammation and cartilage degradation. Our aim was to perform an updated meta-analysis of the effectiveness of the mud-bath therapy on knee osteoarthritis and briefly to discuss the mechanisms of action of this treatment. Materials and Methods: A MEDLINE on PubMed for articles on knee OA and spa therapy published from 1995 through up to April 2019 was performed. Then, we checked the Cochrane Central Register of Controlled Trials to find additional references included up to April 2019. Articles were included if in accordance with the eligibility cri-teria. Sample size and effect sizes were processed with the MedCalc software package. Results: Twenty one studies met the inclusion criteria and were included in meta-analysis. We examined WOMAC Index and VAS pain. We found significant improvements in function scores and painful symptoms after mud-bath therapy in patients with knee joint osteoarthritis. Conclusions: Spa therapy is a non-drug treatment modalities, non invasive, complication-free, and cost-effective alternative modality for the conservative treatment of knee osteoarthritis. It cannot substitute for conventional therapy but can integrated or alternated to it. Treatment with mud-bath therapy may relieve pain, stiffness and improve functio-nal status in patients with knee OA.


Assuntos
Articulação do Joelho/fisiopatologia , Águas Minerais/uso terapêutico , Terapia por Lama/métodos , Osteoartrite do Joelho/terapia , Manejo da Dor/métodos , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Resultado do Tratamento
4.
Environ Geochem Health ; 43(12): 4919-4937, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34181138

RESUMO

Many of therapeutic treatments in spas are concentrated on mud therapy. Clays are included in the formulation of thermal mud as vehicles of the mineral medicinal water. To be suitable for therapeutic use, some mineralogical, rheological and thermal properties should be respected in order to be topically applied. Our objective is to explore the suitability of three Tunisian commercial green clays traditionally used as facial and body masks by women in the region of Douiret (CD), Tozeur (CT) and Korbous (CK) in terms of their physicochemical structure chemical composition, heavy metals risk assessment, thermal properties, plasticity, rheology and their potential application as peloid with distilled and sodium chloride-rich sulfated thermal waters from hot spring in the region of hammam Lif and Korbous and sea waters. The mineralogy of samples (clay fraction and associated minerals) was determined by X-ray powder diffraction and FT-IR analysis, and the chemical composition was obtained by ICP. The main clay fraction of the samples was smectite and illite with significant amount of kaolinite. Regarding their mineralogical properties, the samples with a high amount of smectite fraction are more suitable for use in Tunisian spas and for the application as peloids. The thermal analyses of clay powders shows a specific heat value comparable to those use used in spas. Also the muds showed a low cooling rate which is necessary for therapeutic use. Rheological properties of peloids prove their thixotropic characteristics.


Assuntos
Terapia por Lama , Argila , Humanos , Reologia , Água do Mar , Espectroscopia de Infravermelho com Transformada de Fourier
5.
Int J Biometeorol ; 65(11): 1799-1809, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33931829

RESUMO

The aim of this study was to compare peloid therapy in addition to home exercise with home exercise alone in terms of pain, function, quality of life, and depression in patients with chronic low back pain (cLBP). A total of 106 cLBP patients were divided into two equal groups as treatment and control. The peloid therapy group had peloid therapy (with a total of 15 sessions on 5 days per week for 3 weeks duration with 45 °C temperature lasting 30 min/day) + home exercise program. The control group was only given a home exercise program. Patients completed the visual analog scale-pain (VAS-pain), patient and physician global assessments (VAS-PGA and VAS-PhGA), revised Oswestry disability index (rODI) for functional status, the short form-36 (SF-36) for quality of life, and Beck Depression Inventory (BDI) for depression three times as before treatment, after treatment (3rd week), and 1 month after the end of treatment. Assessments in the 3rd week at the end of treatment revealed statistically significant improvements for rODI (p = 0.013), VAS-pain (p = 0.039), and VAS-PhGA (p = 0.002) parameters in the peloid therapy group compared to the control group. Assessments in the 1st month after the end of treatment revealed statistically significant improvements in rODI (p < 0.001), VAS-pain (p < 0.001), VAS-PGA (p = 0.002), VAS-PhGA (p < 0.001), and SF-36VE (p = 0.022) parameters in the peloid therapy group compared to the control group. Peloid therapy + home exercise was statistically significantly superior to home exercise alone in improving pain and function in patients with cLBP. Peloid therapy may be recommended as a non-pharmacological treatment for cLBP patients. There is a need for randomized studies with longer follow-up including biochemical parameters to verify the beneficial effects observed in this study and elaborate the mechanisms of action.


Assuntos
Dor Crônica , Dor Lombar , Terapia por Lama , Dor Crônica/terapia , Terapia por Exercício , Humanos , Dor Lombar/terapia , Qualidade de Vida , Método Simples-Cego , Resultado do Tratamento
6.
Artigo em Inglês | MEDLINE | ID: mdl-33670514

RESUMO

The use of peloids as heat-providing therapeutic systems dates back to antiquity. Such systems consist of a liquid phase and an organic or inorganic solid phase. The latter facilitates the handling, preparation and stability of the solid-liquid system, modifying its organoleptic and phy-sicochemical properties, and improves its efficacy and tolerance. Peloids enable the application of heat to very specific zones and the release of heat at a given rate. The aims of this work are to study 16 reference peloids used in medical spa centers as thermo-therapeutic agents as well as to propose nine raw materials as a solid phase for the preparation of peloids. The physical properties studied are the centesimal composition, the instrumental texture and the thermal parameters. In conclusion, the peloids of the medical spas studied are used as thermotherapeutic agents in the treatment of musculoskeletal disorders, especially in knee osteoarthritis and to a lesser extent in back pain and psoriatic arthropathy. The clinical experience in these centers shows that the main effects of the application of their peloids are the reduction of pain, an increase in the joint's functional capacity and an improvement in the quality of life. As thermotherapeutic agents, all the peloids of the me-dical spas studied and the pastes (raw materials with distilled water) examined showed a heat flow rate of up to four times lower than that shown by the same amount of water. The raw materials studied can be used as solid phases for the preparation of peloids with mineral waters.


Assuntos
Águas Minerais , Terapia por Lama , Temperatura Alta , Qualidade de Vida
7.
Int J Biometeorol ; 65(7): 1255-1271, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-33740137

RESUMO

Osteoarthritis is a degenerative disease considered a leading cause of functional disability. Its treatment is based on a combination of pharmacological and non-pharmacological interventions, but the role of these latter is still debated. This overview of systematic reviews aimed at evaluating the short-term efficacy of different thermal modalities in patients with osteoarthritis. We searched PubMed, Scopus, CINHAL, Web of Science, ProQuest and the Cochrane Database of Systematic Reviews from inception until October 2020, with no language restrictions. We selected the following outcomes a priori: pain, stiffness and quality of life. Seventeen systematic reviews containing 27 unique relevant studies were included. The quality of the reviews ranged from low to critically low. Substantial variations in terms of interventions studied, comparison groups, population, outcomes and follow-up between the included SRs were found. From a re-analysis of primary data, emerged that balneotherapy was effective in reducing pain and improving stiffness and quality of life, mud therapy significantly reduced pain and stiffness, and spa therapy showed pain relief. However, the evidence supporting the efficacy of different thermal modalities could be seriously flawed due to methodological quality and sample size, to the presence of important treatment variations, and to the high level of heterogeneity and the absence of a double-blind design. There is some encouraging evidence that deserves clinicians' consideration, suggesting that thermal modalities are effective on a short-term basis for treating patients with AO.


Assuntos
Balneologia , Terapia por Lama , Osteoartrite , Humanos , Osteoartrite/terapia , Qualidade de Vida , Ensaios Clínicos Controlados Aleatórios como Assunto , Revisões Sistemáticas como Assunto
8.
Sci Rep ; 10(1): 21527, 2020 12 09.
Artigo em Inglês | MEDLINE | ID: mdl-33299027

RESUMO

Development trends need the necessity for wider use of the local resources and available natural materials are one of the priorities around the world. Freshwater sapropel is a common material in the water basement of the lakes, but still not sufficiently explored. The main goal of the project to start detailed and systematic research on the medical properties of sapropel to be obtained in Latvia, promote its scientifically based use in balneology, develop new medical procedures and services, and promote development of new exportable products. The results include the survey, sampling depths, and processing, evaluation of external signs, physical, chemical, and biochemical parameters, and evaluation of microbiological indicators. Active components from the sapropel samples extracted using the alkaline method. Sapropel extracts were characterized by organic carbon content, humic and fulvic acid concentrations, total phenolic content, trace metal and pesticide concentrations, total antioxidant status, and microbiological flora. Summarizing the article's main findings it was concluded that Latvian freshwater sapropel can be used as raw material for obtaining sapropel extract and use it in the preparation of pharmaceuticals and promote the development of new exportable products and services.


Assuntos
Benzopiranos/farmacologia , Solo/química , Poluição Ambiental , Substâncias Húmicas/análise , Lagos , Letônia , Terapia por Lama/métodos , Preparações Farmacêuticas , Oligoelementos
9.
Georgian Med News ; (302): 113-122, 2020 May.
Artigo em Russo | MEDLINE | ID: mdl-32672702

RESUMO

This study purpose was to research the possibility of microscopic analysis using for therapeutic mud (peloids) identification. The samples were studied: products containing native mud for use as cosmetics; sulfide-silt mud of the BolshoyTambukanlake (Stavropol region) and the Saki lake (Crimea). The microscopic analysis of raw materials was carried out in accordance with OFS 1.5.3.0003.15. For identification of the algae the database of the website https://www.algaebase.org/content/ was used. The difference between microscopic features of different genesis muds deposits: sulfide-silt, sapropel and peat was determined. Sulfide-silt muds were characterized by the presence of a large number of mineral particles, including various shapes salt crystals, blue-black hydrotroilite particles, dark brown humus particles, and rare algae inclusions. Sapropel mud was characterized by the presence of a significant number of semi-decomposed plant residues fragments and fragments of plant tissues, algae, pollen of higher coastal plants, and a small number of mineral particles. Peat mud contained numerous fragments of half-decomposed plant residues (conductive and mechanical tissues), fragments of mosses, the absence of algae and mineral particles is noted. Thus, the microscopic method of analysis can be used to assess the authenticity and quality of therapeutic mud of various origins along with the macroscopic method. Further research is promising to clarify the microscopic characteristics of raw materials for the development of regulatory documentation for therapeutic mud intended for use in cosmetics.


Assuntos
Terapia por Lama , Microscopia , Minerais , Solo , Sulfetos
10.
Environ Geochem Health ; 42(11): 3507-3527, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32607701

RESUMO

This article aims to draw an overview on the actual knowledge on bacteriostatic and bactericidal natural clays. Particular emphasis is given to the role of clay itself, the action of reduced metals located either in the structure of clay minerals or external to them as constituents of associate minerals, and the definition of the mechanisms of action based on the achievements found in all available studies being carried out so far. The term bactericidal is herein used when a clay or a clay mineral kill the bacteria, whereas the term bacteriostatic is used when those minerals stop bacteria growth and replication. The second part of this article deals with experimental studies on bactericidal natural clay, experience and perspective for the preparation of bactericidal natural clays, interesting on the authors perspective and experience for the preparation of pathogens safe both therapeutic and cosmetic natural mud/natural peloid, and better yet of both therapeutic 87oooand cosmetic peloid itself and designed and engineered peloid. The authors also show how to convert non-antimicrobial clay into antimicrobial one, opening the way in the field of pelotherapy to the preparation of sanitary safe peloids addressed, for instance, to the treatment of rheumatic disabilities, as well as to the preparation of antimicrobial peloids and, in particular, of dermatological ointments, all able to fight infectious skin disorders.


Assuntos
Antibacterianos/química , Antibacterianos/farmacologia , Argila , Argila/química , Sistemas de Liberação de Medicamentos , Humanos , Metais/química , Minerais/química , Terapia por Lama
11.
Artigo em Inglês | MEDLINE | ID: mdl-32668799

RESUMO

Evaluation of hygienic aspects of thermal mud microbiology is still neglected. This study evaluates the microbiological hygiene quality of thermal muds, providing a comprehensive assessment of the whole mud cultivation chain. Maturing mud, peloid and used mud samples were collected twice in a year from 30 SPAs of the Euganean Thermal District, NE Italy. Samples were processed with an ad hoc laboratory method. The following indicator parameters were assessed: Total Count at 22, 37 and 55 °C; total coliforms; Escherichia coli; enterococci; Staphylococcus aureus; Pseudomonas aeruginosa; sulfite-reducing clostridia; dermatophytes. Statistical significance of differences between the two sampling campaigns and correlation between temperature and indicator parameters were evaluated. One-hundred eighty samples were analyzed. Widespread presence of environmental species was found, as well as hints of possible microorganism transfer from the patient's skin to the mud. Proper setting of thermal water temperature resulted critical, in terms of hygienic quality. Although optimal maturation should be granted (thermal water at 30-42 °C), a pasteurization step at 60-65 °C is strongly recommended to sanitize peloids before pelotherapy. Facilities re-using thermal muds should also implement a regeneration step at ≥65 °C. Core evaluation of thermal mud hygienic quality could encompass the following guidelines: absence (i.e., 0 colony forming units (CFU)/g) of E. coli, P. aeruginosa, S. aureus and dermatophytes.


Assuntos
Bactérias , Higiene , Terapia por Lama , Bactérias/isolamento & purificação , Escherichia coli , Humanos , Itália , Projetos Piloto , Staphylococcus aureus
12.
Artigo em Russo | MEDLINE | ID: mdl-32592576

RESUMO

The article is devoted to the history of the creation and establishment of the Far Eastern resort «Talaya¼, located in the Far North of Russia, in the Magadan Region among the hills of the Kolyma Range, in the valley of the Talaya River. A historical essay is presented from 1868 to the present days, including periods of the resort's development at various stages of Russia's formation (pre-revolutionary, post-revolutionary periods, the era of developed socialism, present times). The contribution of resort doctors, geologists, employees of research institutes to the study of the mechanism of action and clinical effectiveness of the use of Tal mineral water is described. The balneological characteristic of nitrogen-siliceous thermal water, the main therapeutic factor of the Talaya resort, is given. Currently, the Talaya sanatorium is providing the treatment of patients with diseases of the skin, musculoskeletal system, gynecological, neurological diseases, diseases of the digestive system, metabolism, upper respiratory tract, cardiovascular system, occupational diseases using balneotherapy, mud therapy and others methods of non-drug therapy. Hundreds of thousands of northerners were healed by the Kolyma health resort, which gained fame as the «Northern Pearl¼. Today, during the reorganization of health care, the Talaya sanatorium is going through a difficult but interesting period in improving the possibilities of healing the inhabitants of the northern regions of Russia.


Assuntos
Balneologia , Águas Minerais , Terapia por Lama , Estâncias para Tratamento de Saúde , Humanos , Federação Russa
13.
Int J Biometeorol ; 64(9): 1561-1569, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32436135

RESUMO

Balneotherapy (BT) is a complementary therapy widely used in several rheumatic conditions, however, the evidence in hand osteoarthritis (HOA) is still scarce. The aim of this preliminary study is to retrospectively evaluate the symptomatic effects of a cycle of mud-bath therapy in HOA patients. Two hundred twelve outpatients with primary bilateral HOA treated with 12 daily local mud packs and generalized thermal baths with a sulfurous-arsenical-ferruginous mineral water added to usual treatment were included in the study. Each patient was examined at baseline and at the end of thermal therapy (2 weeks). Primary outcome measures were global spontaneous hand pain on a Visual Analogue Scale (VAS) and the Functional Index for Hand Osteoarthritis (FIHOA) score; secondary outcomes were handgrip strength, duration of morning stiffness, Health Assessment Questionnaire (HAQ), Short Form Health Survey (SF-12), tolerability and patients' and physicians' global impression of treatment efficacy and tolerability. Our results demonstrated that the efficacy of mud-bath therapy was significant in all the assessed parameters at the end of therapy, except for the physical component score of SF-12. The thermal treatment was well tolerated. The patient's and the physician's global assessments showed a high level of satisfaction in terms of efficacy and safety. In conclusion, our results may suggest a short-term effectiveness of mud-bath therapy in controlling pain and improving functionality in HOA patients, supporting the role of this treatment as a complementary strategy in the management of HOA; however, further randomized controlled trials with a long-term follow-up are needed.


Assuntos
Arsenicais , Balneologia , Terapia por Lama , Osteoartrite , Força da Mão , Humanos , Medição da Dor , Estudos Retrospectivos , Resultado do Tratamento
14.
Medicine (Baltimore) ; 99(17): e19761, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32332614

RESUMO

The objective of this review is to systematically evaluate the short-term efficacy of mud therapy in the treatment of knee osteoarthritis (KOA).Randomized controlled trials, in which treatment of KOA is mud therapy, were included by systematically searching the PubMed, Embase, and the Cochrane Library databases.According to inclusion criteria and searching method, 11 articles, containing a total of 1106 patients, were included in the study. Our results showed significant differences in visual analog scale pain score and Western Ontario and McMaster Universities Osteoarthritis Index (pain, stiffness, function). In addition, the heterogeneity of study included is lower (I < 25%).According to the results of this meta-analysis, mud therapy can effectively alleviate the pain and improve joint function for KOA.


Assuntos
Terapia por Lama/normas , Osteoartrite do Joelho/terapia , Fatores de Tempo , Humanos , Terapia por Lama/métodos , Osteoartrite do Joelho/psicologia , Resultado do Tratamento
17.
J Bodyw Mov Ther ; 24(1): 77-81, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31987566

RESUMO

INTRODUCTION: Patients with osteoarthritis (OA) suffer from a degenerative disease that causes several physical disabilities and pain. Despite the few studies involving exercise combined with geotherapy (a therapy using poultices made from earth materials such as clay or mud) for patients with OA, this subject is still under debate, as effect of the earth material remains unclear. The aim of this study was to compare pain, joint stiffness and disability in patients who underwent kinesiotherapy (K) or geotherapy combined with kinesiotherapy (GK). METHOD: This was a clinical randomized single-blinded prospective study, in which 48 individuals participated. Volunteers were evaluated for pain perception, pressure pain tolerance thresholds, and responded to questionnaires about pain, joint stiffness and physical disability (WOMAC) and about symptoms and disability (Lequesne Algofunctional Index). Patients in K group underwent 15 twice-weekly sessions of kinesiotherapy consisting of stretching and strengthening exercises for lower limbs. GK patients received a poultice of powder dolomite mixed with hot water on the knees for 25 min before each of the 15 sessions of the same kinesiotherapy program. RESULTS: Both interventions were effective in reducing pain, joint stiffness and physical disability (p < 0.001), and in increasing pressure pain thresholds (p < 0.05); however, patients who underwent GK presented a more pronounced reduction in pain perception (p = 0.006) than those in K group. They also exhibited more tolerance to pain in all sites evaluated. CONCLUSION: Both interventions were effective in reducing pain, joint stiffness and physical disability, but GK produced significantly better results in pain perception.


Assuntos
Artralgia/terapia , Terapia por Exercício/métodos , Cinesiologia Aplicada/métodos , Terapia por Lama/métodos , Osteoartrite do Joelho/terapia , Artralgia/etiologia , Terapia Combinada , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Osteoartrite do Joelho/complicações , Medição da Dor , Estudos Prospectivos , Amplitude de Movimento Articular , Resultado do Tratamento
18.
Int J Biometeorol ; 64(6): 955-964, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31493013

RESUMO

The treatment of OA using pharmaceutical and non-pharmaceutical measures remains a topical subject. The purpose of this study is to assess the effect of natural factors (mineral water and mud) on changes in the functional state of patients with knee joint OA. Ninety-two adult people with grade I-III knee joint OA according to the Kellgren and Lawrence scoring system participated in the study. The subjects received 10 mineral water bath plus physical therapy or mud application procedures plus physical therapy or physical therapy alone every other day. The effectiveness of the treatment was assessed on the basis of anthropometric changes of data, VAS, SF-36, KOOS questionnaire indicators. Significantly greater walking speed, test of 5 sit downs/stand ups, circumference of a knee joint, flexion and extension range, flexor and extensor strength after treatment lasting 1 month were obtained in the intervention group. After 1 month after treatment pain intensity scores over the past month and when changing position were significantly higher in the control group. The positive changes in SF-36 were identified after 1 month after treatment: physical activity increased and pain decreased in the intervention groups. There was no significant difference between the averages of any KOOS subscale in groups. However, average percentages of symptoms, stiffness, and pain in the intervention groups were significantly better after treatment and lasting 1 month after treatment. Balneotherapy and peloid therapy effectively reduce pain and improve the functional state of patients with OA of a knee joint.


Assuntos
Balneologia , Terapia por Lama , Osteoartrite do Joelho , Adulto , Humanos , Articulação do Joelho , Projetos Piloto , Método Simples-Cego , Resultado do Tratamento
19.
J Obstet Gynaecol ; 40(4): 520-525, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-31455176

RESUMO

The aim of this study was to evaluate whether balneotherapy might be effective in patients with chronic pelvic pain (CPP) in the short term. This was an open and prospective pilot study. The balneotherapy programme was performed in a spa resort located in Wando Island, Republic of Korea from August 26 2018 to September 1 2018. It consisted of 10 heated seawater baths (38 °C, 20 minutes) and 10 mud-pack applications (40 °C, 10 minutes) for five days. Sixteen patients were enrolled. Upon analysing responses from a patient questionnaire, we found improvement in parameters such as pain, bladder irrigation symptoms and quality of life after balneotherapy. Inflammatory marker IL-1 and TNF-α was significantly decreased after treatment compared to baseline. There were no adverse events during treatment. Our data suggest that five-day balneotherapy can be beneficial for patients with CPP in the short term.Impact statementWhat is already known on this subject? The majority of articles in the field of balneotherapy discuss the treatment of rheumatic or dermatological disease. However, data on the effectiveness of balneotherapy for chronic pelvic pain are very limited.What the results of this study add? Our study suggests that balneotherapy can be beneficial for patients with CPP in the short-term. The duration of balneotherapy was five days, which is shorter than that of the European studies. Intuitively, it may be doubtful whether short-term therapy has any practical effect. As most people living in Korea have a vacation period of about one week each in summer and winter, the choice of a five-day programme in our study reflects the reality of vacation schedules.What the implications are of these findings for clinical practice and/or further research? Further studies are necessary to demonstrate the persistence of these benefits on the long term, as well as their existence in appropriate control group and different duration of treatment.


Assuntos
Balneologia/métodos , Terapia por Lama/métodos , Dor Pélvica , Qualidade de Vida , Irrigação Terapêutica/métodos , Dor Crônica , Duração da Terapia , Feminino , Humanos , Interleucina-1/sangue , Masculino , Pessoa de Meia-Idade , Medição da Dor/métodos , Dor Pélvica/sangue , Dor Pélvica/etiologia , Dor Pélvica/psicologia , Dor Pélvica/terapia , Projetos Piloto , Estudos Prospectivos , República da Coreia/epidemiologia , Resultado do Tratamento , Fator de Necrose Tumoral alfa/sangue
20.
Int J Biometeorol ; 64(6): 937-941, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31342241

RESUMO

Mud-bath therapy (MBT) has been used as a treatment for rheumatic diseases and musculoskeletal complaints in the Euganean Thermal Area (near Padova, Italy) since ancient time. There is no consensus about the use of MBT in patients with inflammatory rheumatic diseases, although experimental studies have suggested a beneficial effect of MBT on chronic articular inflammation. To evaluate the effects of MBT in patients affected by seronegative spondyloarthritis, very common chronic inflammatory rheumatic diseases, randomized controlled trials (RCT) performed in the Euganean Thermal Area have been reviewed. A significant improvement of spondylitis parameters was observed in enteropathic spondylitis, without bowel symptom exacerbation. A long-term amelioration of clinical evaluation indices was found in ankylosing spondylitis. A significant improvement of cutaneous lesions, arthritis activity, and patient's functional ability was observed in psoriatic arthritis. MBT was usually well tolerated and adverse side effects were rarely reported. The review of the RCT suggests that MBT may exert additional beneficial effects in patients with seronegative spondyloarthritis treated with pharmacological therapy.


Assuntos
Terapia por Lama , Doenças Reumáticas , Espondilartrite , Espondilite Anquilosante , Humanos , Itália , Ensaios Clínicos Controlados Aleatórios como Assunto
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