Affordable Access

Access to the full text

Effects of balneotherapy and spa therapy on quality of life of patients with knee osteoarthritis: a systematic review and meta-analysis

Authors
  • Antonelli, Michele1, 2
  • Donelli, Davide3
  • Fioravanti, Antonella4
  • 1 Terme di Monticelli, Via delle Terme, Monticelli Terme, Parma, 43022, Italy , Monticelli Terme, Parma (Italy)
  • 2 University of Parma, Department of Medicine and Surgery, Institute of Public Health, Via Volturno 39, Parma, 43125, Italy , Parma (Italy)
  • 3 Arcispedale Santa Maria Nuova-IRCCS, Alta Intensità Medica, Department of Internal Medicine, Viale Risorgimento 80, Reggio Emilia, 42123, Italy , Reggio Emilia (Italy)
  • 4 University of Siena, Rheumatology Unit, Department of Medicine, Surgery and Neurosciences, Viale Bracci 1, Siena, 53100, Italy , Siena (Italy)
Type
Published Article
Journal
Rheumatology International
Publisher
Springer Berlin Heidelberg
Publication Date
Jun 12, 2018
Volume
38
Issue
10
Pages
1807–1824
Identifiers
DOI: 10.1007/s00296-018-4081-6
Source
Springer Nature
Keywords
License
Yellow

Abstract

Knee osteoarthritis (OA) is a degenerative disease which is expected to become one of the leading causes of disability by the next years. This work aims to assess if balneotherapy and spa therapy can significantly improve Quality of Life (QoL) of patients with knee OA. Medline via PubMed, Scopus, Web of Science, Cochrane Library, and PEDro were systematically searched for articles about trials involving patients with knee OA and measuring the effects of balneotherapy and spa therapy on study participants’ QoL with validated scales. A qualitative and quantitative syntheses were performed. Seventeen studies were considered eligible and included in the systematic review. Fourteen trials reported significant improvements in at least one QoL item after treatment. Ten studies were included in quantitative synthesis. When comparing balneological interventions with standard treatment, results favored the former in terms of long-term overall QoL [ES = − 1.03 (95% CI − 1.66 to − 0.40)]. When comparing balneological interventions with sham interventions, results favored the former in terms of long-term pain improvement [ES = − 0.38 (95% CI − 0.74 to − 0.02)], while no significant difference was found when considering social function [ES = − 0.16 (95% CI − 0.52 to 0.19)]. In conclusion, even though limitations must be considered, evidence shows that BT and spa therapy can significantly improve QoL of patients with knee OA. Moreover, reduction of drug consumption and improvement of algofunctional indexes may be other beneficial effects. Further investigation is needed because of limited available data.

Report this publication

Statistics

Seen <100 times