Ganzkörperkryotherapie bei Patienten mit entzündlich-rheumatischen Erkrankungen
| Autor: | Matthias May, Sabine Brookman-Amissah, Helmut Ernst, Katrin Geissler, Doris Ast, Kay-P. Braun |
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| Rok vydání: | 2009 |
| Předmět: | |
| Zdroj: | Medizinische Klinik. 104:192-196 |
| ISSN: | 1615-6722 0723-5003 |
| DOI: | 10.1007/s00063-009-1031-9 |
| Popis: | □ Background: As yet, whole-body cryotherapy is especially used for the therapy of chronic inflammatory arthritis. An analgetic effect has been described in several studies. However, only few data exist concerning the long-term effects of this therapy. □ Patients and Methods: A total of 60 patients with rheumatoid arthritis (n = 48), and ankylosing spondylitis (n = 12) was analyzed. Patients underwent treatment with whole-body cryotherapy twice a day. The average age was 55.7 ± 10.33. The study group consisted of 48 female and twelve male patients. The average number of therapeutic treatments with cryotherapy was 15.8 ± 8.37, the average follow-up 63.4 ± 63.48 days. □ Results: 13 patients (21.7%) discontinued treatment because of adverse effects. For patients with rheumatoid arthritis, DAS28 (Disease Activity Score) and VAS (visual analog scale) were determined. A significant reduction of both parameters was found (DAS 3.9 ± 1.22 vs. 3.4 ± 1.08; p < 0.01; VAS 51.4 ± 16.62 vs. 37.9 ± 19.13; p < 0.01). BASDAI (Bath Ankylosing Spondylitis Disease Activity Index) was analyzed for patients with ankylosing spondylitis, and also showed a significant reduction (4.4 ± 1.91 vs. 3.1 ± 1.34; p = 0.01). □ Conclusion: Thus, whole-body cryotherapy is an effective option in the concept of treatment of inflammatory rheumatic diseases. The relief of pain allows an intensification of physiotherapy. A significant reduction of pain over a period of 2 months could be shown. |
| Databáze: | OpenAIRE |
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