Department of Physical Therapy and Rehabilitation, Sağlık Bilimleri University Bursa Yüksek Ihtisas Training and Research Hospital, Bursa, Turkey.
Department of Physical Medicine and Rehabilitation, Uludağ University Faculty of Medicine, Bursa, Turkey.
Int J Biometeorol. 2017 Dec;61(12):2145-2152. doi: 10.1007/s00484-017-1419-9. Epub 2017 Aug 4.
Hand osteoarthritis (OA) is associated with pain, reduced grip strength, loss of range of motion (ROM), and joint stiffness, leading to impaired hand function and difficulty in performance of daily living activities. Mud bath therapy has been reported to play a primary role in the prevention and management of OA. Thus, we planned to conduct a study aimed at investigating the effects of peloid therapy on pain, functional state, grip strength, and the quality of life and performing a comparative analysis of the outcomes of peloid therapy. In this randomized, controlled, single-blind, pilot study, patients (n = 33) underwent peloid therapy over 2 weeks, 5 sessions a week, for a total of 10 sessions and home exercise program in group 1. Patients in group 2 (control, n = 30) received only the same home exercise program as in group 1. Patients were evaluated just before, and 2 and 6 weeks after the start of the study with Visual Analogue Scale (VAS), Australian/Canadian Hand Osteoarthritis Index (AUSCAN), Health Assessment Questionnaire (HAQ), hand grip strength (HGS), and pinch strength (PS). Statistically significant improvements were observed in all parameters assessed at week 2 and week 6 in the group 1 (p < 0.05). Statistically significant differences were observed in HGS scores in the group 2 at week 2 and in AUSCAN scores at week 6 (p < 0.05). Intergroup comparisons of the scores revealed significant differences between the peloid therapy group and control group in VAS, HAQ, AUSCAN, HGS, and PS scores at week 2 and week 6 (p < 0.05). This study demonstrates that peloid therapy might be an effective and confident treatment modality in the management of symptomatic osteoarthritis of the hand and may provide effective pain control and improvements in the hand functions, quality of life, and grip strength.
手部骨关节炎（OA）与疼痛、握力下降、活动范围（ROM）丧失和关节僵硬有关，导致手部功能受损，日常活动困难。泥浴疗法已被报道在 OA 的预防和管理中发挥主要作用。因此，我们计划进行一项研究，旨在调查泥疗对疼痛、功能状态、握力以及生活质量的影响，并对泥疗的结果进行比较分析。在这项随机、对照、单盲、初步研究中，患者（n=33）在第 1 组中接受为期 2 周的泥疗，每周 5 次，共 10 次，同时进行家庭运动方案。第 2 组（对照组，n=30）仅接受与第 1 组相同的家庭运动方案。患者在研究开始前、第 2 周和第 6 周时接受视觉模拟量表（VAS）、澳大利亚/加拿大手部骨关节炎指数（AUSCAN）、健康评估问卷（HAQ）、手部握力（HGS）和捏力（PS）评估。第 1 组在第 2 周和第 6 周时所有评估参数均有统计学显著改善（p<0.05）。第 2 组的 HGS 评分在第 2 周和 AUSCAN 评分在第 6 周时有统计学显著差异（p<0.05）。组间评分比较显示，泥疗组与对照组在第 2 周和第 6 周时的 VAS、HAQ、AUSCAN、HGS 和 PS 评分有显著差异（p<0.05）。这项研究表明，泥疗可能是手部症状性骨关节炎管理的一种有效且可靠的治疗方法，可有效控制疼痛，改善手部功能、生活质量和握力。
