Effect of balneotherapy on pain and fatigue in elderly with knee osteoarthritis receiving physical therapy: a randomized trial
This 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 app...
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| Veröffentlicht in: | International journal of biometeorology 2019-12, Vol.63 (12), p.1555-1568 |
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| description | This 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 (
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| doi_str_mv | 10.1007/s00484-019-01768-0 |
| format | Article |
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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.</description><identifier>ISSN: 0020-7128</identifier><identifier>EISSN: 1432-1254</identifier><identifier>DOI: 10.1007/s00484-019-01768-0</identifier><identifier>PMID: 31367893</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Animal Physiology ; Arthritis ; Balneology ; Biocompatibility ; Biological and Medical Physics ; Biophysics ; Chronic illnesses ; Earth and Environmental Science ; Environment ; Environmental Health ; Fatigue ; Geriatrics ; Humans ; Knee ; Meteorology ; Original Paper ; Osteoarthritis ; Osteoarthritis, Knee ; Pain ; Physical therapy ; Physical Therapy Modalities ; Plant Physiology ; Quality of Life ; Sleep and wakefulness ; Sleepiness ; Statistical analysis ; Stiffness ; Treatment Outcome</subject><ispartof>International journal of biometeorology, 2019-12, Vol.63 (12), p.1555-1568</ispartof><rights>ISB 2019</rights><rights>International Journal of Biometeorology is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-1a8f6b1446562dbf5e16ad6998ef2781b962925ffad1b5c84b521fb24cb84bdc3</citedby><cites>FETCH-LOGICAL-c375t-1a8f6b1446562dbf5e16ad6998ef2781b962925ffad1b5c84b521fb24cb84bdc3</cites><orcidid>0000-0002-5836-5438 ; 0000-0001-6448-8146 ; 0000-0001-7507-2808</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00484-019-01768-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00484-019-01768-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27929,27930,41493,42562,51324</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31367893$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dilekçi, Erdal</creatorcontrib><creatorcontrib>Özkuk, Kağan</creatorcontrib><creatorcontrib>Kaki, Barış</creatorcontrib><title>Effect of balneotherapy on pain and fatigue in elderly with knee osteoarthritis receiving physical therapy: a randomized trial</title><title>International journal of biometeorology</title><addtitle>Int J Biometeorol</addtitle><addtitle>Int J Biometeorol</addtitle><description>This 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.</description><subject>Aged</subject><subject>Animal Physiology</subject><subject>Arthritis</subject><subject>Balneology</subject><subject>Biocompatibility</subject><subject>Biological and Medical Physics</subject><subject>Biophysics</subject><subject>Chronic illnesses</subject><subject>Earth and Environmental Science</subject><subject>Environment</subject><subject>Environmental Health</subject><subject>Fatigue</subject><subject>Geriatrics</subject><subject>Humans</subject><subject>Knee</subject><subject>Meteorology</subject><subject>Original Paper</subject><subject>Osteoarthritis</subject><subject>Osteoarthritis, Knee</subject><subject>Pain</subject><subject>Physical therapy</subject><subject>Physical Therapy Modalities</subject><subject>Plant Physiology</subject><subject>Quality of Life</subject><subject>Sleep and wakefulness</subject><subject>Sleepiness</subject><subject>Statistical analysis</subject><subject>Stiffness</subject><subject>Treatment 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of balneotherapy on pain and fatigue in elderly with knee osteoarthritis receiving physical therapy: a randomized trial</title><author>Dilekçi, Erdal ; Özkuk, Kağan ; Kaki, Barış</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-1a8f6b1446562dbf5e16ad6998ef2781b962925ffad1b5c84b521fb24cb84bdc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged</topic><topic>Animal Physiology</topic><topic>Arthritis</topic><topic>Balneology</topic><topic>Biocompatibility</topic><topic>Biological and Medical Physics</topic><topic>Biophysics</topic><topic>Chronic illnesses</topic><topic>Earth and Environmental Science</topic><topic>Environment</topic><topic>Environmental Health</topic><topic>Fatigue</topic><topic>Geriatrics</topic><topic>Humans</topic><topic>Knee</topic><topic>Meteorology</topic><topic>Original Paper</topic><topic>Osteoarthritis</topic><topic>Osteoarthritis, Knee</topic><topic>Pain</topic><topic>Physical therapy</topic><topic>Physical Therapy Modalities</topic><topic>Plant Physiology</topic><topic>Quality of Life</topic><topic>Sleep and wakefulness</topic><topic>Sleepiness</topic><topic>Statistical analysis</topic><topic>Stiffness</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dilekçi, Erdal</creatorcontrib><creatorcontrib>Özkuk, Kağan</creatorcontrib><creatorcontrib>Kaki, Barış</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Aqualine</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Water Resources Abstracts</collection><collection>Health & Medical 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Biometeorol</addtitle><date>2019-12-01</date><risdate>2019</risdate><volume>63</volume><issue>12</issue><spage>1555</spage><epage>1568</epage><pages>1555-1568</pages><issn>0020-7128</issn><eissn>1432-1254</eissn><abstract>This 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.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>31367893</pmid><doi>10.1007/s00484-019-01768-0</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0002-5836-5438</orcidid><orcidid>https://orcid.org/0000-0001-6448-8146</orcidid><orcidid>https://orcid.org/0000-0001-7507-2808</orcidid></addata></record> |
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| subjects | Aged Animal Physiology Arthritis Balneology Biocompatibility Biological and Medical Physics Biophysics Chronic illnesses Earth and Environmental Science Environment Environmental Health Fatigue Geriatrics Humans Knee Meteorology Original Paper Osteoarthritis Osteoarthritis, Knee Pain Physical therapy Physical Therapy Modalities Plant Physiology Quality of Life Sleep and wakefulness Sleepiness Statistical analysis Stiffness Treatment Outcome |
| title | Effect of balneotherapy on pain and fatigue in elderly with knee osteoarthritis receiving physical therapy: a randomized trial |
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