THE EFFECTS OF BALNEOTHERAPY IN ELDERLY PATIENTS WITH CHRONIC LOW BACK PAIN TREATED WITH PHYSICAL THERAPY: A PILOT STUDY

WOS: 000492145900004Objective: The aim of this study was to compare whether balneotherapy has a positive effect on the treatment of elderly individuals receiving physical therapy for chronic low back pain (CLBP). Methods: 244 participants were randomly placed into two groups. The first group was treated with physical therapy (PT), the second group was treated with PT and balneotherapy (BT). Assessments were made using the PainVAS, Quebec Back Pain Disability Scale (Quebec), Health Assessment Questionnaire (HAQ) before treatment (T0) and after treatment (T1). Results: In both groups, there was a statistically significantly decrease in terms of pain-VAS, Quebec and HAQ scores (p<0.001). When pain-VAS scores were compared between the two groups, pain-VAS T0 was significantly higher and pain-VAS T1 was significantly lower in the BT+PT group than the PT group (p=0.001). When the HAQ and Quebec values were compared between the groups, the T0 value was similar in the BT+PT and PT groups (HAQ p=0.068, Quebec p=0.495) while the BT+PT group HAQ and QuebecT1 scoreswere significantly lower than the PT group (p<0.001). The BT+PT group change values were significantly higher than the PT group (p<0.001). Conclusion: These results recommend that combining therapies may be more effective in treating CLBP and balneotherapy may increase the effectiveness of the treatment

Is the Duration of Spa Cure Treatment Important in Knee Osteoarthritis? A Randomized Controlled Study

PubMed ID: 30921795Background: Spa therapies are applied in varying durations. Today, the duration of spa therapy may be long for people with active lives. How should we determine the duration of treatment in order to minimize therapy costs and loss of labor force? Does the duration of treatment have an impact on pain, functional status, and quality of life of patients? Objective: Our aim was to investigate the role of application time on the efficacy of spa therapy in individuals undergoing the same treatment protocol. Methods: This was a randomized, controlled, single-blind clinical trial design. Sixty individuals were divided into two groups: 3 weeks of therapy (group 1) and 2 weeks of therapy (group 2). Pretreatment, posttreatment, and 30-day posttreatment findings were recorded using a visual analog scale (VAS), the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and the Nottingham Health Profile (NHP). Results: The measurements revealed significant improvement after treatment compared to those observed prior to the treatment in both groups, except for the social isolation subgroup. When the groups were compared to each other, significant improvement was observed in pain (VAS, WOMAC, NHP) in favor of group 1 at all measurement times. Conclusion: Our results suggest that spa therapy has positive effects on pain, physical activity, and quality of life in patients, and 15 sessions of therapy had even better effects on pain. We believe that the duration of therapy should be determined considering the efficacy of the therapy on pain as well as the functional situation and quality of life of patients regarding therapy costs. © 2019 S. Karger AG, Basel. All rights reserved

Effect of balneotherapy on pain and fatigue in elderly with knee osteoarthritis receiving physical therapy: a randomized trial

PubMed ID: 31367893This study aimed to investigate whether balneotherapy (BT) applied in combination with physical therapy (PT) has a more positive effect in patients aged 65 years and older with knee osteoarthritis (KOA) compared to PT alone. A total of 305 individuals were randomized into two groups. Group I was applied PT alone; group II was applied PT + BT. Assessments were made using the Pain (VAS), EQ-5D-3L Scale, Western Ontario And McMaster Universities Osteoarthritis Index (WOMAC), Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) Scale, Epworth Sleepiness scale (EPWORTH) and the Outcome Measures in Rheumatology-The Osteoarthritis Research Society International set of responder criteria for osteoarthritis (OMERACT-OARSI) at the beginning (T0) and at the end (T1) of treatment. Statistically significant interactions found between treatment (PT alone or PT + BT) and time (before treatment and after treatment) in terms of Pain-VAS, Pain-WOMAC, Stiffness-WOMAC, Physical Function-WOMAC, Total-WOMAC, EQ-5D, EQ-VAS, FACIT-F, and EPWORTH scores (p < 0.0001 for all). According to OMERACT-OARSI criteria, the responder rate was 89.04% in PT alone group and 98.74% in PT + BT group. Balneotherapy plus physical therapy was more effective than physical therapy alone in KOA patients aged over 65 years. Reducing pain, especially, positively contributes to functionality, quality of life, fatigue and sleepiness of KOA patients. © 2019, ISB

Diz Osteoartirtli Hastaların Balneolojik Tedavilerinde Süreye Alternatif Bir Yaklaşım

An Alternative Approach To The Duration Of Balneological Treatment Of Knee Osteoarthritis Patients Kağan ÖZKUK[1],Hatice GÜRDAL[2],Mine KARAGÜLLE[3],Müfit Zeki KARAGÜLLE[4]AİMS: This study aims to compare the effects of balneological treatments applied at traditional and alternative sessions in patients with knee osteoarthritis.METHODS: Randomized, controlled, single-blind clinical trial. 50 patients were divided into two groups. All patients were given a total of 10 sessions of balneotherapy. Group 1 received consecutive treatment for two weeks, while Group 2 received intermittent treatment for five weeks. Local peloid at 45°C were applied for 20 minutes, after a tap water (38°C) bath. Evaluations were conducted before, after treatment and at 12th week of post-treatment by Pain (VAS), doctor and patient's global assessment (VAS),Health Assessment Questionnaireand Lequesne Knee Index.RESULTS: In-group evaluation; all parameters were found to show a statistically significant improvement between the end of treatment and the 12th week measurements of both groups of treatments. There was no statistically significant difference between all the measurements of the two groups.CONCLUSİON: Our study suggest that traditional and intermittent balneological therapies have similar efficacy in patients with knee osteoarthritis. In terms of health tourism, spa resort managers can arrange alternative treatment combinations that do not require long-term accommodation, allowing many more people to benefit from their facilities.knee osteoarthritis,peloidotherapy,balneotherapy,spa-treatmen

The effects of inpatient versus outpatient spa therapy on pain, anxiety, and quality of life in elderly patients with generalized osteoarthritis: a pilot study

PubMed ID: 30022244This study aimed to investigate the effect of inpatient vs outpatient spa therapy on pain, quality of life, and anxiety in elderly patients with generalized osteoarthritis. A total of 150 patients were randomized into three groups. Group I was given medical treatment, group II was treated as outpatients, and group III was treated as inpatient spa therapy. Assessments were made using the Pain (VAS), EQ-5D-3L Scale, and State and Trait Anxiety Inventory (STAI) at the beginning of treatment (W0), at the end of treatment (W2), and at the fourth week after treatment (W6). The comparison of outpatient spa group and etodolac treatment group showed that outpatient spa group was superior to etodolac treatment group in all evaluated parameters at W2 vs W0 and W6 vs W0. The comparison of inpatient spa group and etodolac treatment group showed that inpatient spa group was superior to etodolac treatment group in all evaluated parameters at W2 vs W0 and W6 vs W0. The comparison of inpatient spa group and outpatient spa group showed that inpatient spa group was superior to outpatient spa group in all evaluated parameters except STAI-TXII at W2 vs W0 and in all evaluated parameters W6 vs W0. Spa therapy, either as an outpatient or inpatient basis, may have a positive effect on pain, anxiety, and quality of life in geriatric patients with generalized osteoarthritis. The inpatient spa therapy may be more beneficial than outpatient spa therapy. When the side effects of drug treatments are emphasized, spa therapy may be considered as an interesting option for elderly with osteoarthritis. © 2018, ISB

ASSESSMENT OF NUTRITIONAL STATUS AND BOWEL HABITS IN OSTEOPOROSIS: A CROSS-SECTIONAL, MULTICENTER STUDY OF TURKISH ELDERLY FEMALE POPULATION

World Congress on Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (WCO-IOF-ESCEO) -- APR 04-07, 2019 -- Paris, FRANCEWOS: 000475685501040Int Osteoporosis Fdn, ESCEO, Mylan, UCB, IBSA, Medimaps, Lilly, Hologic, Strax Corp, Kyowa Kirin, Galgo Med, EffRx, Amgen, Abiogen Pharma, Medi, Fidia Pharma Grp, TRB Chemedica Sa, AgNovos Healthcare GmbH, Expanscience Labs, Wisepress Com, GE, Pierre Fabre, Roche, Echolight, Thuasne, Theramex, Bindex, Gedeon Richter, Sinklar Conf Management B