Department of Physical Medicine and Rehabilitation, University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey.
Department of Medical Ecology and Hydroclimatology, University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey.
Int J Biometeorol. 2017 Nov;61(11):1965-1972. doi: 10.1007/s00484-017-1386-1. Epub 2017 Jun 15.
The aim of this study was to assess the effect of peloid on pain, functionality, daily life activities, and quality of life of lateral epicondylitis (LE) patients. In this randomized, controlled, single-blind study, 75 patients who were diagnosed with chronic LE were enrolled to the study. Patients were randomized into two groups using the random number table. The patients in the first group (group 1) (n = 33), were given lateral epicondylitis band (LEB) (during the day for 6 weeks) + peloid therapy (five consecutive days a week for 2 weeks), and the second group (group 2) (n = 32), received LEB treatment alone. The patients were assessed by using Patient Rated Tennis Elbow Evaluation (PRTEE) and Nottingham Health Profile (NHP). The data were obtained before treatment (W0), immediately after treatment (W2), and 1 month after treatment (W6). In analysis of the collected data, the Wilcoxon signed rank test for intra-group comparisons and Mann-Whitney U test for comparisons between groups were used. Both in groups 1 and 2, there was a statistically significant improvement in all the evaluation parameters at W2 and W6 when compared to W0 (p < 0.05). In comparison of difference scores between groups, although there was no statistically significant difference between the two groups at W2 when compared to W0 (p > 0.05), a statistically significant difference was found in favor of group 1 for all the evaluation parameters at W6 (p < 0.05). Our results have shown that peloid treatment could be effective in providing improvement in pain relief, function, daily life activities, and quality of life in LE patients.
本研究旨在评估泥疗法对外侧肱骨上髁炎（LE）患者疼痛、功能、日常生活活动和生活质量的影响。在这项随机、对照、单盲研究中，共纳入 75 例慢性 LE 患者。患者采用随机数字表法分为两组。第一组（n=33）患者接受外侧肱骨上髁炎带（LEB）（白天 6 周）+泥疗（每周连续 5 天，2 周），第二组（n=32）患者接受单独 LEB 治疗。采用患者自评网球肘评估（PRTEE）和诺丁汉健康概况（NHP）对患者进行评估。在治疗前（W0）、治疗后即刻（W2）和治疗后 1 个月（W6）收集数据。在对收集的数据进行分析时，采用组内 Wilcoxon 符号秩检验和组间 Mann-Whitney U 检验。两组患者在 W2 和 W6 时所有评估参数与 W0 相比均有统计学显著改善（p<0.05）。组间差值比较时，两组在 W2 时与 W0 相比无统计学显著差异（p>0.05），但在 W6 时，组 1 所有评估参数均有统计学显著改善（p<0.05）。我们的结果表明，泥疗可有效缓解 LE 患者的疼痛、改善功能、日常生活活动和生活质量。
