The efficacy of balneotherapy, mud therapy and spa therapy in patients with osteoarthritis: an overview of reviews

Autor: Daniela D'Angelo, Laura Iacorossi, Alice Fauci, Silvia Gianola, Daniela Coclite, Katia Salomone, Antonello Napoletano, Primiano Iannone, Francesca Gambalunga, Roberto Latina, Francesca Sperati, Greta Castellini
Přispěvatelé: D'Angelo D, Coclite D, Napoletano A, Fauci AJ, Latina R, Gianola S, Castellini G, Salomone K, Gambalunga F, Sperati F, Iacorossi L, Iannone P.
Rok vydání: 2021
Předmět:
Balneotherapy
Atmospheric Science
medicine.medical_specialty
010504 meteorology & atmospheric sciences
Health
Toxicology and Mutagenesis
medicine.medical_treatment
Population
Psychological intervention
Osteoarthritis
01 natural sciences
03 medical and health sciences
0302 clinical medicine
Quality of life (healthcare)
systematic review
nursing
medicine
Humans
education
0105 earth and related environmental sciences
Randomized Controlled Trials as Topic
030203 arthritis & rheumatology
education.field_of_study
Modalities
Ecology
business.industry
Balneology
Mud Therapy
medicine.disease
complemetary therapie
Settore MED/45 - Scienze Infermieristiche Generali
Cliniche E Pediatriche
Systematic review
Sample size determination
Physical therapy
Quality of Life
Mud pack therapy
Osteoarthriti
business
Systematic Reviews as Topic
Zdroj: International journal of biometeorology. 65(7)
ISSN: 1432-1254
Popis: Osteoarthritis is a degenerative disease considered a leading cause of functional disability. Its treatment is based on a combination of pharmacological and non-pharmacological interventions, but the role of these latter is still debated. This overview of systematic reviews aimed at evaluating the short-term efficacy of different thermal modalities in patients with osteoarthritis. We searched PubMed, Scopus, CINHAL, Web of Science, ProQuest and the Cochrane Database of Systematic Reviews from inception until October 2020, with no language restrictions. We selected the following outcomes a priori: pain, stiffness and quality of life. Seventeen systematic reviews containing 27 unique relevant studies were included. The quality of the reviews ranged from low to critically low. Substantial variations in terms of interventions studied, comparison groups, population, outcomes and follow-up between the included SRs were found. From a re-analysis of primary data, emerged that balneotherapy was effective in reducing pain and improving stiffness and quality of life, mud therapy significantly reduced pain and stiffness, and spa therapy showed pain relief. However, the evidence supporting the efficacy of different thermal modalities could be seriously flawed due to methodological quality and sample size, to the presence of important treatment variations, and to the high level of heterogeneity and the absence of a double-blind design. There is some encouraging evidence that deserves clinicians' consideration, suggesting that thermal modalities are effective on a short-term basis for treating patients with AO.
Databáze: OpenAIRE
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