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Spa therapy and knee osteoarthritis: A systematic review.

Authors
  • Forestier, Romain1
  • Erol Forestier, Fatma Begüm2
  • Francon, Alain3
  • 1 Centre de Recherche Rhumatologique et Thermal, 15, avenue Charles-de-Gaulle, 73100 Aix-les-Bains, France. Electronic address: [email protected] , (France)
  • 2 Istanbul Physical Therapy Rehabilitation Training and Research Hospital, Istanbul, Turkey. , (Turkey)
  • 3 Centre de Recherche Rhumatologique et Thermal, 15, avenue Charles-de-Gaulle, 73100 Aix-les-Bains, France. , (France)
Type
Published Article
Journal
Annals of physical and rehabilitation medicine
Publication Date
Jun 01, 2016
Volume
59
Issue
3
Pages
216–226
Identifiers
DOI: 10.1016/j.rehab.2016.01.010
PMID: 26996955
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Osteoarthritis (OA) is a public health problem that will probably increase in the future with the aging of the population. Crenobalneotherapy is commonly used to treat OA, but evidence from previous reviews was not sufficient. This systematic review aimed to identify the best evidence for the clinical effect of crenobalneotherapy for knee OA. We systematically searched MEDLINE via PubMed, PEDRO and the Cochrane Central Register of Controlled Trials for articles published up to September 2015. Articles were included if trials were comparative, if one or more of the subgroups had knee OA with separate data, and if spa therapy or any hydrotherapy techniques involving mineral water or mineral mud was compared to any other intervention or no treatment. Statistical validity, external validity and quality of side effects assessment were evaluated by personal checklists. Risk of bias was assessed by the CLEAR NTP. Treatments (hot mineral water baths, mud therapy, hot showers, and sometimes massage and supervised water exercises) delivered in spa centers across Europe and the Middle East seem to improve symptoms in knee OA. They may be effective for pain and function. There are conflicting results about the effect on quality of life and drug consumption. Improvements with spa therapy for knee OA appear to be clinically relevant until 3 to 6 months and sometimes 9 months. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

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