Efficiency of balneotherapy with highly mineralized sodium chloride water in the treatment of knee osteoarthritis

封面


如何引用文章

全文:

开放存取 开放存取
受限制的访问 ##reader.subscriptionAccessGranted##
受限制的访问 订阅或者付费存取

详细

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.

全文:

受限制的访问

作者简介

Evgenia Guryanova

I.N. Ulianov Chuvash State University; Postgraduate Doctors’ Training Institute

编辑信件的主要联系方式.
Email: z-guryanova@bk.ru
ORCID iD: 0000-0003-1519-2319
SPIN 代码: 1234-3410

MD, Dr. Sci. (Medicine), Professor

俄罗斯联邦, Cheboksary; Cheboksary

Nadezhda Zhuravleva

I.N. Ulianov Chuvash State University; Chuvashiyakurort Sanatorium

Email: zhuravlevanv@mail.ru
ORCID iD: 0000-0001-6470-7724
SPIN 代码: 9314-2480

MD, Cand. Sci. (Medicine), Associate Professor

俄罗斯联邦, Cheboksary; Cheboksary

Valentina Diomidova

I.N. Ulianov Chuvash State University; City Clinical Hospital No. 1

Email: diomidovavn@rambler.ru
ORCID iD: 0000-0002-3627-7971
SPIN 代码: 7628-8435

MD, Dr. Sci. (Medicine), Professor

俄罗斯联邦, Cheboksary; Cheboksary

Ksenia Maximova

I.N. Ulianov Chuvash State University

Email: ksenya.maksimova.94@internet.ru
ORCID iD: 0000-0002-2247-7235
SPIN 代码: 3276-6128
俄罗斯联邦, Cheboksary

Kirill Kosov

I.N. Ulianov Chuvash State University; Chuvashiyakurort Sanatorium

Email: kos_one97@mail.ru
俄罗斯联邦, Cheboksary; Cheboksary

参考

  1. Shi Y, Wu W. Multimodal non-invasive non-pharmacological therapies for chronic pain: mechanisms and progress. BMC Med. 2023;21(1):372. doi: 10.1186/s12916-023-03076-2
  2. Vitaloni M, Botto-van Bemden A, Sciortino Contreras RM, et al. Global management of patients with knee osteoarthritis begins with quality of life assessment: a systematic review. BMC Musculoskelet Disord. 2019;20(1):493. doi: 10.1186/s12891-019-2895-3
  3. Fertelli TK, Tuncay FO. Fatigue in individuals with knee osteoarthritis: Its relationship with sleep quality, pain and depression. Pak J Med Sci. 2019;35(4):1040–1044. doi: 10.12669/pjms.35.4.383
  4. Sun X, Zhen X, Hu X, et al. Osteoarthritis in the middle-aged and elderly in china: prevalence and influencing factors. Int J Environ Res Public Health. 2019;16(23):4701. doi: 10.3390/ijerph16234701
  5. Hunt MA, Charlton JM, Esculier JF. Osteoarthritis year in review 2019: mechanics. Osteoarthritis Cartilage. 2020;28(3):267–274. doi: 10.1016/j.joca.2019.12.003
  6. Yan H, Guo J, Zhou W, et al. Health-related quality of life in osteoarthritis patients: a systematic review and meta-analysis. Psychol Health Med. 2022;27(8):1859–1874. doi: 10.1080/13548506.2021.1971725
  7. Ren Y, Hu J, Tan J, et al. Incidence and risk factors of symptomatic knee osteoarthritis among the Chinese population: analysis from a nationwide longitudinal study. BMC Public Health. 2020;20(1):1491. doi: 10.1186/s12889-020-09611-7
  8. Arkhipova A, Zhuravleva NV, Guryanova EA, Diomidova VN. Rehabilitation of patients with оsteoarthritis of the knee using magnetic therapy. Annals of the Rheumatic Diseases. 2022;81(S1):1850–1851. EDN: LDDNCE doi: 10.1136/annrheumdis-2022-eular.583
  9. Kulchitskaya DB, Fesyun AD, Samoilov AS, Kolbasova SN. The physical factors application in rehabilitation programs for patients after total knee replacement. Bulletin of Rehabilitation Medicine. 2022;21(2):46–52. EDN: DBFNPO doi: 10.38025/2078-1962-2021-21-2-46-52
  10. Varzaityte L, Kubilius R, Rapoliene L, et al. The effect of balneotherapy and peloid therapy on changes in the functional state of patients with knee joint osteoarthritis: a randomized, controlled, single-blind pilot study. Int J Biometeorol. 2020;64(6):955–964. doi: 10.1007/s00484-019-01785-z
  11. Silva J, Martins J, Nicomédio C, et al. A novel approach to assess balneotherapy effects on musculoskeletal diseases-an open interventional trial combining physiological indicators, biomarkers, and patients’ health perception. Geriatrics (Basel). 2023;8(3):55. doi: 10.3390/geriatrics8030055
  12. Masiero S, Vittadini F, Ferroni C, et al. The role of thermal balneotherapy in the treatment of obese patient with knee osteoarthritis. Int J Biometeorol. 2018;62(2):243–252. doi: 10.1007/s00484-017-1445-7
  13. Dilekçi E, Özkuk K, Kaki B. Effect of balneotherapy on pain and fatigue in elderly with knee osteoarthritis receiving physical therapy: a randomized trial. Int J Biometeorol. 2019;63(12):1555–1568. doi: 10.1007/s00484-019-01768-0
  14. Özkuk K, Uysal B. Is the duration of spa cure treatment important in knee osteoarthritis? A randomized controlled study. Complement Med Res. 2019;26(4):258–264. (In Germany). doi: 10.1159/000498890
  15. Beasley J, Ward L, Knipper-Fisher K, et al. Conservative therapeutic interventions for osteoarthritic finger joints: a systematic review. J Hand Ther. 2019;32(2):153–164.e2. doi: 10.1016/j.jht.2018.01.001
  16. Fraioli A, Mennuni G, Fontana M, et al. Efficacy of spa therapy, mud-pack therapy, balneotherapy, and mud-bath therapy in the management of knee osteoarthritis. A systematic review. Biomed Res Int. 2018;2018:1042576. doi: 10.1155/2018/1042576
  17. Vaamonde-García C, Vela-Anero Á, Hermida-Gómez T, et al. Effect of balneotherapy in sulfurous water on an in vivo murine model of osteoarthritis. Int J Biometeorol. 2020;64(3):307–318. doi: 10.1007/s00484-019-01807-w
  18. Arden NK, Perry TA, Bannuru RR, et al. Non-surgical management of knee osteoarthritis: comparison of ESCEO and OARSI 2019 guidelines. Nat Rev Rheumatol. 2021;17(1):59–66. doi: 10.1038/s41584-020-00523-9
  19. Maccarone MC, Magro G, Solimene U, et al. From in vitro research to real life studies: an extensive narrative review of the effects of balneotherapy on human immune response. Sport Sci Health. 2021;17(4):817–835. doi: 10.1007/s11332-021-00778-z
  20. Razumov AN, Starodubov VI, Ponomarenko GN, editors. Sanatorium-resort treatment. National guide. Moscow: GEOTAR-Media; 2021. 752 p.
  21. Gálvez I, Torres-Piles S, Ortega-Rincón E. Balneotherapy, immune system, and stress response: a hormetic strategy? Int J Mol Sci. 2018;19(6):1687. doi: 10.3390/ijms19061687
  22. Eremushkin MA, Barashkov GN, Mukhina AA, et al. The use of sodium chloride brine in medical rehabilitation and sanatorium treatment programs: a methodological guide. Moscow: FSBI «NMIC RK»; 2019. 42 p. (In Russ.)
  23. Kamioka H, Nobuoka S, Iiyama J. Overview of systematic reviews with meta-analysis based on randomized controlled trials of balneotherapy and spa therapy from 2000 to 2019. Int J Gen Med. 2020;13:429–442. doi: 10.2147/IJGM.S261820
  24. de Moraes Silva MA, Nakano LC, Cisneros LL, Miranda F Jr. Balneotherapy for chronic venous insufficiency. Cochrane Database Syst Rev. 2023;1(1):CD013085. doi: 10.1002/14651858.CD013085.pub3
  25. Guryanova EA, Deomidov ES. Neuroendocrine and mast cells of the skin in the area of acupuncture. Medical Academic Journal. 2019;19(S):22–24.

补充文件

附件文件
动作
1. JATS XML
下载
2. Fig. 1. Dynamics of pain in the knee joint area at rest according to the visual analogue scale in the study groups before and after sanatorium treatment (in points) (р <0.05): * compared with baseline data; ** with control group.

下载 (91KB)
索引源数据
3. Fig. 2. Dynamics of pain in the knee joint area at moving according to the in the visual analogue scale study groups before and after sanatorium treatment (in points) (р <0.05): * compared with baseline data; ** with control group.

下载 (91KB)
索引源数据
4. Fig. 3. Dynamics of Lecen index in the study groups before and after sanatorium treatment (in points) (р <0.05): * compared with baseline data; ** with control group.

下载 (86KB)
索引源数据

版权所有 © Eco-Vector, 2024

许可 URL: https://eco-vector.com/for_authors.php#07
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия  ПИ № ФС 77 - 86296 от 11.12.2023 г. 
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ЭЛ № ФС 77 - 80632 от 15.03.2021 г.


##common.cookie##