An Alternative Approach To The Duration Of Balneological Treatment Of Knee Osteoarthritis Patients

Öz

AİMS: This study aims to compare the effects of balneological treatments applied at traditional and alternative sessions in patients with knee osteoarthritis.

METHODS: Randomized, controlled, single-blind clinical trial. 50 patients were divided into two groups. All patients were given a total of 10 sessions of balneotherapy. Group 1 received consecutive treatment for two weeks, while Group 2 received intermittent treatment for five weeks.  Local peloid at 45°C were applied for 20 minutes, after a tap water (38°C) bath. Evaluations were conducted before, after treatment and at 12th week of post-treatment by Pain (VAS), doctor and patient's global assessment (VAS), Health Assessment Questionnaire and Lequesne Knee Index.

RESULTS: In-group evaluation; all parameters were found to show a statistically significant improvement between the end of treatment and the 12th week measurements of both groups of treatments. There was no statistically significant difference between all the measurements of the two groups.

CONCLUSİON: Our study suggest that traditional and intermittent balneological therapies have similar efficacy in patients with knee osteoarthritis. In terms of health tourism, spa resort managers can arrange alternative treatment combinations that do not require long-term accommodation, allowing many more people to benefit from their facilities.

Anahtar Kelimeler

• knee osteoarthritis,peloidotherapy,balneotherapy,spa-treatment

Diz Osteoartirtli Hastaların Balneolojik Tedavilerinde Süreye Alternatif Bir Yaklaşım

Öz

AMAÇ: Diz osteoartritli hastalarda uygulanan kaplıca küründe geleneksel ve alternatif uygulamaların etkinliğini karşılaştırmak

METOD: Çalışmaya diz osteoartriti olan 50 hasta alındı ve randomizasyonla 25’er kişilik iki gruba ayrıldılar. Tüm hastalara 20 dakika 38°C’de düz su ile banyo sonrasında her iki diz bölgesine 45°C sıcaklıkta kil niteliğinde peloid uygulandı. Geleneksel kür grubunda(Grup 1)  bulunan hastalara olarak 2 hafta süresince haftada 5 gün olacak şekilde ve alternatif grupta(Grup2)ise 5 hafta süresince haftada 2 seans olacak şekilde toplam 10 seans tedavi uygulandı.  Hastalar tedavi öncesinde, tedavi bitiminde ve tedavi sonrası 12. haftada hastanın ağrı değerlendirmesi (VAS), doktorun ve hastanın global değerlendirmesi (VAS), Health Assessment Questionnaire  ve Lequesne Diz İndeksi ile değerlendirildi.

BULGULAR: Grup içi değerlendirmede; tüm parametreler her iki grubun tedavi başına göre tedavi sonu ve 12. hafta ölçümleri arasında istatistiksel olarak anlamlı düzeyde iyileşme gösteren değişim saptandı. İki grup arası yapılan değerlendirmede tüm ölçümler arasında istatistiksel olarak anlamlı düzeyde fark saptanmadı.

SONUÇ: Diz osteoartritli hastalarda günlük yaşam tarzlarını değiştirmeden ve çalışma ortamından uzun süreli uzaklaşmasını gerektirmeden aralıklı verilecek kaplıca tedavi programının etkin bir tedavi seçeneği sağlayabileceğini düşündürmektedir.

Sağlık turizmi açısından alternatif uygulamalarla kaplıca tesis yöneticileri uzun süreli konaklama gerektirmeyen farklı tedavi kombinasyonları düzenleyerek çok daha fazla insanın tesislerinden faydalanmalarını sağlayabilirler.

Anahtar Kelimeler

• Diz Osteoartriti,Balneoterapi,Peloidoterapi,spaterapi

Kaynakça

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