Balneotherapy for osteoarthritis
Background Balneotherapy (or spa therapy, mineral baths) for patients with arthritis is one of the oldest forms of therapy. One of the aims of balneotherapy is to soothe the pain and as a consequence to relieve patients' suffering and make them feel well. In this update we included one extra st...
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| Veröffentlicht in: | Cochrane database of systematic reviews 2007-10, Vol.2010 (1), p.CD006864-CD006864 |
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| container_title | Cochrane database of systematic reviews |
| container_volume | 2010 |
| creator | Verhagen, Arianne P Bierma‐Zeinstra, Sita MA Boers, Maarten Cardoso, Jefferson Rosa Lambeck, Johan de Bie, Rob de Vet, Henrica CW Verhagen, Arianne P |
| description | Background
Balneotherapy (or spa therapy, mineral baths) for patients with arthritis is one of the oldest forms of therapy. One of the aims of balneotherapy is to soothe the pain and as a consequence to relieve patients' suffering and make them feel well. In this update we included one extra study.
Objectives
To assess the effectiveness of balneotherapy for patients with osteoarthritis (OA).
Search methods
We searched the following databases up to October 2006: EMBASE, PubMed, the Cochrane 'Rehabilitation and Related Therapies' Field database, PEDro, CENTRAL (Issue 3, 2006) and performed reference checking and communicated with authors to retrieve eligible studies.
Selection criteria
Randomised controlled trials (RCT) comparing balneotherapy with any intervention or no intervention. At least 90% of the patient population had to be diagnosed with OA.
Data collection and analysis
Two authors independently assessed quality and extracted data. Disagreements were solved by consensus. In the event of clinical heterogeneity or lack of data we refrained from statistical pooling.
Main results
Seven trials (498 patients) were included in this review. Two studies compared spa‐treatment with no treatment. One study evaluated baths as an add‐on treatment to home exercises and another compared thermal water from Cserkeszölö with tap water (placebo). Three studies evaluated sulphur or Dead Sea baths with no treatment or mineral baths with tap water baths or no treatment. Only one of the trials performed an intention‐to‐treat analysis and two studies provided data to perform an intention‐to‐treat analysis ourselves. A 'quality of life' outcome was reported by one trial.
We found:
silver level evidence concerning the beneficial effects on pain, quality of life and analgesic intake of mineral baths compared to no treatment (SMD between 1.82 and 0.34).
a statistically significant difference in pain and function of Dead Sea + sulphur versus no treatment, only at end of treatment (WMD 5.7, 95%CI 3.3 to 8.1), but not at 3 month follow‐up (WMD 2.6, 95%CI ‐1.1 to 6.3).
no statistically significant differences in pain or function at one or three months of Dead Sea baths versus no treatment (WMD 0.5, 95%CI ‐0.6 to 1.6) or at one or three months of sulphur baths versus no treatment (WMD 0.4, 95%CI ‐0.9 to 1.7).
Adverse events were not measured in the included trials.
Authors' conclusions
We found silver level evidence (www.cochranemsk.org) concerning the beneficial effects of mi |
| doi_str_mv | 10.1002/14651858.CD006864 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_68399428</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>68399428</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4184-db13c3cf9bb68a3ae53d80fbe241b253e3cdb6bda29c132b64a75dfeb386171f3</originalsourceid><addsrcrecordid>eNp1kE9LAzEQxYMotlY_gBfpydvWTJLNJkdt_QcFL3oOSXZCV7amJluk394tbakXTzM83nsz_Ai5BjoBStkdCFmCKtVkOqNUKilOyHCrFVvx9M8-IBc5f1LKpWbVORlApQXXjA7J-MG2Xxi7BSa72oxDTOOYO4w2dYvUdE2-JGfBthmv9nNEPp4e36cvxfzt-XV6Py-8ACWK2gH33AftnFSWWyx5rWhwyAQ4VnLkvnbS1ZZpD5w5KWxV1gEdVxIqCHxEbne9qxS_15g7s2yyx7a1_XvrbKTiWgumeiPsjD7FnBMGs0rN0qaNAWq2WMwBizlg6TM3-_K1W2J9TOw59Aa1M_w0LW6Mj36R-sP_Vx67fwE7sGzu</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>68399428</pqid></control><display><type>article</type><title>Balneotherapy for osteoarthritis</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Verhagen, Arianne P ; Bierma‐Zeinstra, Sita MA ; Boers, Maarten ; Cardoso, Jefferson Rosa ; Lambeck, Johan ; de Bie, Rob ; de Vet, Henrica CW ; Verhagen, Arianne P</creator><creatorcontrib>Verhagen, Arianne P ; Bierma‐Zeinstra, Sita MA ; Boers, Maarten ; Cardoso, Jefferson Rosa ; Lambeck, Johan ; de Bie, Rob ; de Vet, Henrica CW ; Verhagen, Arianne P</creatorcontrib><description>Background
Balneotherapy (or spa therapy, mineral baths) for patients with arthritis is one of the oldest forms of therapy. One of the aims of balneotherapy is to soothe the pain and as a consequence to relieve patients' suffering and make them feel well. In this update we included one extra study.
Objectives
To assess the effectiveness of balneotherapy for patients with osteoarthritis (OA).
Search methods
We searched the following databases up to October 2006: EMBASE, PubMed, the Cochrane 'Rehabilitation and Related Therapies' Field database, PEDro, CENTRAL (Issue 3, 2006) and performed reference checking and communicated with authors to retrieve eligible studies.
Selection criteria
Randomised controlled trials (RCT) comparing balneotherapy with any intervention or no intervention. At least 90% of the patient population had to be diagnosed with OA.
Data collection and analysis
Two authors independently assessed quality and extracted data. Disagreements were solved by consensus. In the event of clinical heterogeneity or lack of data we refrained from statistical pooling.
Main results
Seven trials (498 patients) were included in this review. Two studies compared spa‐treatment with no treatment. One study evaluated baths as an add‐on treatment to home exercises and another compared thermal water from Cserkeszölö with tap water (placebo). Three studies evaluated sulphur or Dead Sea baths with no treatment or mineral baths with tap water baths or no treatment. Only one of the trials performed an intention‐to‐treat analysis and two studies provided data to perform an intention‐to‐treat analysis ourselves. A 'quality of life' outcome was reported by one trial.
We found:
silver level evidence concerning the beneficial effects on pain, quality of life and analgesic intake of mineral baths compared to no treatment (SMD between 1.82 and 0.34).
a statistically significant difference in pain and function of Dead Sea + sulphur versus no treatment, only at end of treatment (WMD 5.7, 95%CI 3.3 to 8.1), but not at 3 month follow‐up (WMD 2.6, 95%CI ‐1.1 to 6.3).
no statistically significant differences in pain or function at one or three months of Dead Sea baths versus no treatment (WMD 0.5, 95%CI ‐0.6 to 1.6) or at one or three months of sulphur baths versus no treatment (WMD 0.4, 95%CI ‐0.9 to 1.7).
Adverse events were not measured in the included trials.
Authors' conclusions
We found silver level evidence (www.cochranemsk.org) concerning the beneficial effects of mineral baths compared to no treatment. Of all other balneological treatments no clear effects were found. However, the scientific evidence is weak because of the poor methodological quality and the absence of an adequate statistical analysis and data presentation. Therefore, the noted "positive findings" should be viewed with caution.</description><identifier>ISSN: 1465-1858</identifier><identifier>EISSN: 1465-1858</identifier><identifier>EISSN: 1469-493X</identifier><identifier>DOI: 10.1002/14651858.CD006864</identifier><identifier>PMID: 17943920</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Balneology ; Balneology - methods ; Balneotherapy ; Complementary & alternative medicine ; Humans ; Medicine General & Introductory Medical Sciences ; Non‐pharmacological treatment ; Osteoarthritis ; Osteoarthritis - therapy ; Randomized Controlled Trials as Topic ; Rheumatology ; Treatment [Non‐pharmocological interventions]</subject><ispartof>Cochrane database of systematic reviews, 2007-10, Vol.2010 (1), p.CD006864-CD006864</ispartof><rights>Copyright © 2010 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4184-db13c3cf9bb68a3ae53d80fbe241b253e3cdb6bda29c132b64a75dfeb386171f3</citedby><cites>FETCH-LOGICAL-c4184-db13c3cf9bb68a3ae53d80fbe241b253e3cdb6bda29c132b64a75dfeb386171f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17943920$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Verhagen, Arianne P</creatorcontrib><creatorcontrib>Bierma‐Zeinstra, Sita MA</creatorcontrib><creatorcontrib>Boers, Maarten</creatorcontrib><creatorcontrib>Cardoso, Jefferson Rosa</creatorcontrib><creatorcontrib>Lambeck, Johan</creatorcontrib><creatorcontrib>de Bie, Rob</creatorcontrib><creatorcontrib>de Vet, Henrica CW</creatorcontrib><creatorcontrib>Verhagen, Arianne P</creatorcontrib><title>Balneotherapy for osteoarthritis</title><title>Cochrane database of systematic reviews</title><addtitle>Cochrane Database Syst Rev</addtitle><description>Background
Balneotherapy (or spa therapy, mineral baths) for patients with arthritis is one of the oldest forms of therapy. One of the aims of balneotherapy is to soothe the pain and as a consequence to relieve patients' suffering and make them feel well. In this update we included one extra study.
Objectives
To assess the effectiveness of balneotherapy for patients with osteoarthritis (OA).
Search methods
We searched the following databases up to October 2006: EMBASE, PubMed, the Cochrane 'Rehabilitation and Related Therapies' Field database, PEDro, CENTRAL (Issue 3, 2006) and performed reference checking and communicated with authors to retrieve eligible studies.
Selection criteria
Randomised controlled trials (RCT) comparing balneotherapy with any intervention or no intervention. At least 90% of the patient population had to be diagnosed with OA.
Data collection and analysis
Two authors independently assessed quality and extracted data. Disagreements were solved by consensus. In the event of clinical heterogeneity or lack of data we refrained from statistical pooling.
Main results
Seven trials (498 patients) were included in this review. Two studies compared spa‐treatment with no treatment. One study evaluated baths as an add‐on treatment to home exercises and another compared thermal water from Cserkeszölö with tap water (placebo). Three studies evaluated sulphur or Dead Sea baths with no treatment or mineral baths with tap water baths or no treatment. Only one of the trials performed an intention‐to‐treat analysis and two studies provided data to perform an intention‐to‐treat analysis ourselves. A 'quality of life' outcome was reported by one trial.
We found:
silver level evidence concerning the beneficial effects on pain, quality of life and analgesic intake of mineral baths compared to no treatment (SMD between 1.82 and 0.34).
a statistically significant difference in pain and function of Dead Sea + sulphur versus no treatment, only at end of treatment (WMD 5.7, 95%CI 3.3 to 8.1), but not at 3 month follow‐up (WMD 2.6, 95%CI ‐1.1 to 6.3).
no statistically significant differences in pain or function at one or three months of Dead Sea baths versus no treatment (WMD 0.5, 95%CI ‐0.6 to 1.6) or at one or three months of sulphur baths versus no treatment (WMD 0.4, 95%CI ‐0.9 to 1.7).
Adverse events were not measured in the included trials.
Authors' conclusions
We found silver level evidence (www.cochranemsk.org) concerning the beneficial effects of mineral baths compared to no treatment. Of all other balneological treatments no clear effects were found. However, the scientific evidence is weak because of the poor methodological quality and the absence of an adequate statistical analysis and data presentation. Therefore, the noted "positive findings" should be viewed with caution.</description><subject>Balneology</subject><subject>Balneology - methods</subject><subject>Balneotherapy</subject><subject>Complementary & alternative medicine</subject><subject>Humans</subject><subject>Medicine General & Introductory Medical Sciences</subject><subject>Non‐pharmacological treatment</subject><subject>Osteoarthritis</subject><subject>Osteoarthritis - therapy</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Rheumatology</subject><subject>Treatment [Non‐pharmocological interventions]</subject><issn>1465-1858</issn><issn>1465-1858</issn><issn>1469-493X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>RWY</sourceid><sourceid>EIF</sourceid><recordid>eNp1kE9LAzEQxYMotlY_gBfpydvWTJLNJkdt_QcFL3oOSXZCV7amJluk394tbakXTzM83nsz_Ai5BjoBStkdCFmCKtVkOqNUKilOyHCrFVvx9M8-IBc5f1LKpWbVORlApQXXjA7J-MG2Xxi7BSa72oxDTOOYO4w2dYvUdE2-JGfBthmv9nNEPp4e36cvxfzt-XV6Py-8ACWK2gH33AftnFSWWyx5rWhwyAQ4VnLkvnbS1ZZpD5w5KWxV1gEdVxIqCHxEbne9qxS_15g7s2yyx7a1_XvrbKTiWgumeiPsjD7FnBMGs0rN0qaNAWq2WMwBizlg6TM3-_K1W2J9TOw59Aa1M_w0LW6Mj36R-sP_Vx67fwE7sGzu</recordid><startdate>20071017</startdate><enddate>20071017</enddate><creator>Verhagen, Arianne P</creator><creator>Bierma‐Zeinstra, Sita MA</creator><creator>Boers, Maarten</creator><creator>Cardoso, Jefferson Rosa</creator><creator>Lambeck, Johan</creator><creator>de Bie, Rob</creator><creator>de Vet, Henrica CW</creator><creator>Verhagen, Arianne P</creator><general>John Wiley & Sons, Ltd</general><scope>7PX</scope><scope>RWY</scope><scope>ZYTZH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20071017</creationdate><title>Balneotherapy for osteoarthritis</title><author>Verhagen, Arianne P ; Bierma‐Zeinstra, Sita MA ; Boers, Maarten ; Cardoso, Jefferson Rosa ; Lambeck, Johan ; de Bie, Rob ; de Vet, Henrica CW ; Verhagen, Arianne P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4184-db13c3cf9bb68a3ae53d80fbe241b253e3cdb6bda29c132b64a75dfeb386171f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Balneology</topic><topic>Balneology - methods</topic><topic>Balneotherapy</topic><topic>Complementary & alternative medicine</topic><topic>Humans</topic><topic>Medicine General & Introductory Medical Sciences</topic><topic>Non‐pharmacological treatment</topic><topic>Osteoarthritis</topic><topic>Osteoarthritis - therapy</topic><topic>Randomized Controlled Trials as Topic</topic><topic>Rheumatology</topic><topic>Treatment [Non‐pharmocological interventions]</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Verhagen, Arianne P</creatorcontrib><creatorcontrib>Bierma‐Zeinstra, Sita MA</creatorcontrib><creatorcontrib>Boers, Maarten</creatorcontrib><creatorcontrib>Cardoso, Jefferson Rosa</creatorcontrib><creatorcontrib>Lambeck, Johan</creatorcontrib><creatorcontrib>de Bie, Rob</creatorcontrib><creatorcontrib>de Vet, Henrica CW</creatorcontrib><creatorcontrib>Verhagen, Arianne P</creatorcontrib><collection>Wiley-Blackwell Cochrane Library</collection><collection>Cochrane Library</collection><collection>Cochrane Library (Open Aceess)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Cochrane database of systematic reviews</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Verhagen, Arianne P</au><au>Bierma‐Zeinstra, Sita MA</au><au>Boers, Maarten</au><au>Cardoso, Jefferson Rosa</au><au>Lambeck, Johan</au><au>de Bie, Rob</au><au>de Vet, Henrica CW</au><au>Verhagen, Arianne P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Balneotherapy for osteoarthritis</atitle><jtitle>Cochrane database of systematic reviews</jtitle><addtitle>Cochrane Database Syst Rev</addtitle><date>2007-10-17</date><risdate>2007</risdate><volume>2010</volume><issue>1</issue><spage>CD006864</spage><epage>CD006864</epage><pages>CD006864-CD006864</pages><issn>1465-1858</issn><eissn>1465-1858</eissn><eissn>1469-493X</eissn><abstract>Background
Balneotherapy (or spa therapy, mineral baths) for patients with arthritis is one of the oldest forms of therapy. One of the aims of balneotherapy is to soothe the pain and as a consequence to relieve patients' suffering and make them feel well. In this update we included one extra study.
Objectives
To assess the effectiveness of balneotherapy for patients with osteoarthritis (OA).
Search methods
We searched the following databases up to October 2006: EMBASE, PubMed, the Cochrane 'Rehabilitation and Related Therapies' Field database, PEDro, CENTRAL (Issue 3, 2006) and performed reference checking and communicated with authors to retrieve eligible studies.
Selection criteria
Randomised controlled trials (RCT) comparing balneotherapy with any intervention or no intervention. At least 90% of the patient population had to be diagnosed with OA.
Data collection and analysis
Two authors independently assessed quality and extracted data. Disagreements were solved by consensus. In the event of clinical heterogeneity or lack of data we refrained from statistical pooling.
Main results
Seven trials (498 patients) were included in this review. Two studies compared spa‐treatment with no treatment. One study evaluated baths as an add‐on treatment to home exercises and another compared thermal water from Cserkeszölö with tap water (placebo). Three studies evaluated sulphur or Dead Sea baths with no treatment or mineral baths with tap water baths or no treatment. Only one of the trials performed an intention‐to‐treat analysis and two studies provided data to perform an intention‐to‐treat analysis ourselves. A 'quality of life' outcome was reported by one trial.
We found:
silver level evidence concerning the beneficial effects on pain, quality of life and analgesic intake of mineral baths compared to no treatment (SMD between 1.82 and 0.34).
a statistically significant difference in pain and function of Dead Sea + sulphur versus no treatment, only at end of treatment (WMD 5.7, 95%CI 3.3 to 8.1), but not at 3 month follow‐up (WMD 2.6, 95%CI ‐1.1 to 6.3).
no statistically significant differences in pain or function at one or three months of Dead Sea baths versus no treatment (WMD 0.5, 95%CI ‐0.6 to 1.6) or at one or three months of sulphur baths versus no treatment (WMD 0.4, 95%CI ‐0.9 to 1.7).
Adverse events were not measured in the included trials.
Authors' conclusions
We found silver level evidence (www.cochranemsk.org) concerning the beneficial effects of mineral baths compared to no treatment. Of all other balneological treatments no clear effects were found. However, the scientific evidence is weak because of the poor methodological quality and the absence of an adequate statistical analysis and data presentation. Therefore, the noted "positive findings" should be viewed with caution.</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>17943920</pmid><doi>10.1002/14651858.CD006864</doi><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1465-1858 |
| ispartof | Cochrane database of systematic reviews, 2007-10, Vol.2010 (1), p.CD006864-CD006864 |
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| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Balneology Balneology - methods Balneotherapy Complementary & alternative medicine Humans Medicine General & Introductory Medical Sciences Non‐pharmacological treatment Osteoarthritis Osteoarthritis - therapy Randomized Controlled Trials as Topic Rheumatology Treatment [Non‐pharmocological interventions] |
| title | Balneotherapy for osteoarthritis |
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