Efficiency of balneotherapy with highly mineralized sodium chloride water in the treatment of knee osteoarthritis
- Authors: Guryanova E.A.1,2, Zhuravleva N.V.1,3, Diomidova V.N.1,4, Maximova K.O.1, Kosov K.O.1,3
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Affiliations:
- I.N. Ulianov Chuvash State University
- Postgraduate Doctors’ Training Institute
- Chuvashiyakurort Sanatorium
- City Clinical Hospital No. 1
- Issue: Vol 30, No 4 (2024)
- Pages: 325-335
- Section: Original Research Articles
- Submitted: 21.02.2024
- Accepted: 17.07.2024
- Published: 09.09.2024
- URL: https://medjrf.com/0869-2106/article/view/627241
- DOI: https://doi.org/10.17816/medjrf627241
- ID: 627241
Cite item
Abstract
BACKGROUND: This analyzed the effectiveness of balneotherapy in patients with osteoarthritis of the knee joint.
AIM: This study aimed to examine the effectiveness of including baths with natural mineral sodium chloride water in the complex of sanatorium treatment and the effect of these baths on the dynamics of pain syndrome in patients with radiological II stage knee joint osteoarthritis.
METHODS: In the sanatorium “Chuvashiyakurort,” 59 patients received sanatorium treatment. They were divided into two groups: group 1 (main, n=35) received basic treatment and mineral baths, and group 2 (control, n=24) received therapeutic classes such as physical education, dry carbon dioxide baths, enteric oxygen therapy, halotherapy, massage according to indications, consultation to a clinical psychologist, or individual and (or) group psychotherapy. The pain syndrome was assessed using the visual analog scale, Leken scale, hоspital anxiеty and dеprеssiоn sсalе, and quality-of-life parameters.
RESULTS: During sanatorium treatment, the visual analog scale score for pain during movement syndrome decreased: in group 1, pain scores decreased by 39% of the initial level on day 10 (p <0.05) and by 60% on day 20 (p <0.05), whereas in group 2, it decreased by 21% on day 10 (p <0.05). The psychoemotional state of patients improved: by day 20 of treatment in group 1, signs of depression were leveled in 51% of women and 69% of men; in group 2, they decreased in a third of patients. The anxiety level decreased to normal in 60% of the patients in group 1 (p <0.05) and in more than half in group 2. Physical functioning improved by 40% (p <0.05) and general health by 35% (p <0.05). The greatest shifts were noted on the emotional and role functioning scales by 79% (p <0.05) and the mental health scale by 80% (p <0.05).
CONCLUSION: The use of baths with highly mineralized sodium chloride water demonstrated a positive effect in the form of pain reduction, which contributed to the improvement of the psychoemotional state and quality-of-life indicators.
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About the authors
Evgenia A. Guryanova
I.N. Ulianov Chuvash State University; Postgraduate Doctors’ Training Institute
Author for correspondence.
Email: z-guryanova@bk.ru
ORCID iD: 0000-0003-1519-2319
SPIN-code: 1234-3410
MD, Dr. Sci. (Medicine), Professor
Russian Federation, Cheboksary; CheboksaryNadezhda V. Zhuravleva
I.N. Ulianov Chuvash State University; Chuvashiyakurort Sanatorium
Email: zhuravlevanv@mail.ru
ORCID iD: 0000-0001-6470-7724
SPIN-code: 9314-2480
MD, Cand. Sci. (Medicine), Associate Professor
Russian Federation, Cheboksary; CheboksaryValentina N. Diomidova
I.N. Ulianov Chuvash State University; City Clinical Hospital No. 1
Email: diomidovavn@rambler.ru
ORCID iD: 0000-0002-3627-7971
SPIN-code: 7628-8435
MD, Dr. Sci. (Medicine), Professor
Russian Federation, Cheboksary; CheboksaryKsenia O. Maximova
I.N. Ulianov Chuvash State University
Email: ksenya.maksimova.94@internet.ru
ORCID iD: 0000-0002-2247-7235
SPIN-code: 3276-6128
Russian Federation, Cheboksary
Kirill O. Kosov
I.N. Ulianov Chuvash State University; Chuvashiyakurort Sanatorium
Email: kos_one97@mail.ru
Russian Federation, Cheboksary; Cheboksary
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