Costantino Maria, Filippelli Amelia, Quenau Patrice, Nicolas Jean-Pierre, Coiro Vittorio
Association à but non lucratif F.I.R.S.Thermae (Formation interdisciplinaire, Recherches et Sciences Thermales), Division Médecine Thermale Impresa A. Minieri - Terme di Telese, Benevento, Italie.
Therapie. 2012 Jan-Feb;67(1):43-8. doi: 10.2515/therapie/2012002. Epub 2012 Apr 11.
Osteoarthritis (OA), the most common degenerative osteoarticular disease, is cause of pain and limitations in physical function with high disability that can conduct to a state of psycological stress, not always considered adequately, with negative impact on the quality of life. The mud and bath therapy can improve this aspect. However, these studies are insufficient. The objective of our research was to evaluate the impact of SPA therapy cycle on safety, efficacy and psychosocial disability in osteoarthritis.
The study was carried out on 99 subjects suffering from OA. The patients has treated for 12 days with applications of sulphurous mud-bath therapy from "Terme di Telese" (Benevento, Italy). At the beginning and at the end of the SPA therapy considered has assessed: 1) the adverse reactions; 2) the efficacy on the pain and functional limitations; c) the impact on the psychosocial function using the VAS scale, the SF-36 questionnaire, the WOMAC index and the SDS-Zung test. Statistical analysis of the data was performed by determining the mean ± SD. The results were compared with the Student "t" test or Wilcoxon test. A p value < 0.05 was considered significant.
In comparison to the basal values, this investigation has demonstrated that sulphurous mud and bath therapy has induced a significant (p < 0.01) improvement of overall quality of life with reduction of pain at rest (2.1 ± 1.5 → 1.2 ± 1.3) and during daily activities (2.3 ± 1.3 → 1.4 ± 1.3). This has facilitated the physical function and psychosocial disability as shown by the questionnaires SF-36, WOMAC and SDS Zung.
In conclusion our data suggest that mud-bath therapy with sulphurous mineral water can be considered as an important phase of the therapeutic strategy in OA.
骨关节炎（OA）是最常见的退行性骨关节疾病，是导致疼痛和身体功能受限的原因，其高致残率可导致心理压力状态，而这一点往往未得到充分重视，对生活质量产生负面影响。泥浴疗法可改善这一状况。然而，此类研究并不充分。我们研究的目的是评估水疗周期对骨关节炎患者安全性、疗效及心理社会残疾状况的影响。
对99例骨关节炎患者进行了研究。患者接受了来自意大利贝内文托省“泰莱斯温泉”的含硫泥浴疗法，为期12天。在水疗开始和结束时，评估了以下内容：1）不良反应；2）对疼痛和功能受限的疗效；3）使用视觉模拟量表（VAS）、简明健康状况调查问卷（SF-36）、西安大略和麦克马斯特大学骨关节炎指数（WOMAC）以及抑郁自评量表（SDS-Zung）测试评估对心理社会功能的影响。通过计算平均值±标准差对数据进行统计分析。结果采用学生“t”检验或威尔科克森检验进行比较。p值<0.05被认为具有统计学意义。
与基线值相比，本研究表明含硫泥浴疗法显著（p<0.01）改善了整体生活质量，静息时疼痛（2.1±1.5→1.2±1.3）和日常活动时疼痛（2.3±1.3→1.4±1.3）均有所减轻。如SF-36、WOMAC和SDS-Zung问卷所示，这促进了身体功能改善并减轻了心理社会残疾状况。
总之，我们的数据表明，含硫矿泉水泥浴疗法可被视为骨关节炎治疗策略中的一个重要阶段。
