Efficacy of mud plus bath therapy as compared to bath therapy in osteoarthritis of hands and knees: a pilot single-blinded randomized controlled trial

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...

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Autores principales:	C. Benini, G. Rubino, G. Paolazzi, G. Adami, C. Caimmi, O. Viapiana, D. Gatti, M. Rossini
Formato:	article
Lenguaje:	EN IT
Publicado:	PAGEPress Publications 2021
Materias:	Knee osteoarthritis hand osteoarthritis mud therapy bath therapy. Medicine R Internal medicine RC31-1245
Acceso en línea:	https://doaj.org/article/c30b4f3b7341412f9faed3249fbd9682
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spelling	oai:doaj.org-article:c30b4f3b7341412f9faed3249fbd96822021-11-23T08:18:53ZEfficacy of mud plus bath therapy as compared to bath therapy in osteoarthritis of hands and knees: a pilot single-blinded randomized controlled trial10.4081/reumatismo.2021.13940048-74492240-2683https://doaj.org/article/c30b4f3b7341412f9faed3249fbd96822021-11-01T00:00:00Zhttps://www.reumatismo.org/index.php/reuma/article/view/1394https://doaj.org/toc/0048-7449https://doaj.org/toc/2240-2683 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. C. BeniniG. RubinoG. PaolazziG. AdamiC. CaimmiO. ViapianaD. GattiM. RossiniPAGEPress PublicationsarticleKnee osteoarthritishand osteoarthritismud therapybath therapy.MedicineRInternal medicineRC31-1245ENITReumatismo, Vol 73, Iss 3 (2021)
institution	DOAJ
collection	DOAJ
language	EN IT
topic	Knee osteoarthritis hand osteoarthritis mud therapy bath therapy. Medicine R Internal medicine RC31-1245
spellingShingle	Knee osteoarthritis hand osteoarthritis mud therapy bath therapy. Medicine R Internal medicine RC31-1245 C. Benini G. Rubino G. Paolazzi G. Adami C. Caimmi O. Viapiana D. Gatti M. Rossini Efficacy of mud plus bath therapy as compared to bath therapy in osteoarthritis of hands and knees: a pilot single-blinded randomized controlled trial
description	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.
format	article
author	C. Benini G. Rubino G. Paolazzi G. Adami C. Caimmi O. Viapiana D. Gatti M. Rossini
author_facet	C. Benini G. Rubino G. Paolazzi G. Adami C. Caimmi O. Viapiana D. Gatti M. Rossini
author_sort	C. Benini
title	Efficacy of mud plus bath therapy as compared to bath therapy in osteoarthritis of hands and knees: a pilot single-blinded randomized controlled trial
title_short	Efficacy of mud plus bath therapy as compared to bath therapy in osteoarthritis of hands and knees: a pilot single-blinded randomized controlled trial
title_full	Efficacy of mud plus bath therapy as compared to bath therapy in osteoarthritis of hands and knees: a pilot single-blinded randomized controlled trial
title_fullStr	Efficacy of mud plus bath therapy as compared to bath therapy in osteoarthritis of hands and knees: a pilot single-blinded randomized controlled trial
title_full_unstemmed	Efficacy of mud plus bath therapy as compared to bath therapy in osteoarthritis of hands and knees: a pilot single-blinded randomized controlled trial
title_sort	efficacy of mud plus bath therapy as compared to bath therapy in osteoarthritis of hands and knees: a pilot single-blinded randomized controlled trial
publisher	PAGEPress Publications
publishDate	2021
url	https://doaj.org/article/c30b4f3b7341412f9faed3249fbd9682
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Efficacy of mud plus bath therapy as compared to bath therapy in osteoarthritis of hands and knees: a pilot single-blinded randomized controlled trial

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