Comparison of the clinical effectiveness of thermal cure and rehabilitation in knee osteoarthritis. A randomized therapeutic trial

16Citations
Citations of this article
89Readers
Mendeley users who have this article in their library.

Abstract

To compare the benefits of a thermal cure and non-thermal rehabilitation in treatment of knee osteoarthritis (KOA). Methods: Randomized therapeutic trial including patients with knee osteoarthritis (American College of Rheumatology criteria). Patients were randomly divided into two groups. Spa treatment consisted of underwater shower, massage-jet showers, hydromassage, pool rehabilitation and peloid therapy. Non-thermal rehabilitation consisted of analgesic physiotherapy, muscle strengthening and group physical rehabilitation. A blinded evaluation was carried out at day 21 and 12. months following treatment. It was based on the visual analogic scale of pain (VAS), which represented the primary endpoint. Results: Two hundred and forty patients were included (February-June 2005). The spa treatment and non-thermal rehabilitation groups included 119 and 121patients respectively. Two hundred and thirty-three patients completed their treatments. Significant improvement of the visual analogic scale of pain was noted in the thermal cure group (61.6 ± 15 at day 0 versus 46.5 ± 22.4 at 12. months, P<. 0.001), but not in the non-thermal group (64.1 ± 15 at day 0 versus 62 ± 29 at 12. months, P= 0.68). At day 21, comparison of the two groups revealed no significant difference on the VAS (P= 0.08). However, at 12. months, the thermal cure group was significantly more improved (P= 0.000). Conclusion: In our study, crenobalneotherapy had resulted, at 12. months, in more pronounced long-term improvement of the painful symptoms of KOA than had non-thermal rehabilitation.

Cite

CITATION STYLE

APA

Fazaa, A., Souabni, L., Ben Abdelghani, K., Kassab, S., Chekili, S., Zouari, B., … Zakraoui, L. (2014). Comparison of the clinical effectiveness of thermal cure and rehabilitation in knee osteoarthritis. A randomized therapeutic trial. Annals of Physical and Rehabilitation Medicine, 57(9–10), 561–569. https://doi.org/10.1016/j.rehab.2014.09.007

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free