Rehabilitation Sciences Department, Health and Rehabilitation Sciences College, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi Arabia.
Orthopedics and Orthopedic Surgery Department, Physical Therapy Faculty, Ahram Canadian University, Giza P.O. Box 12451, Egypt.
Medicina (Kaunas). 2022 Dec 27;59(1):54. doi: 10.3390/medicina59010054.
: The most frequent cause of mortality in rheumatoid arthritis (RA) patients is cardiovascular disease (CVD). Inflammation, dyslipidemia, and decreased physical activity are some of the main risk factors for CVD. Siwan sand therapy is a type of traditional therapy used in Egypt to treat RA. The approach of this therapy depends on the experience of the healers. The aim of the current study was to compare the effects of three sessions of Siwan traditional therapy to five sessions on common CVD risk factors and physical function in rheumatoid arthritis patients. Thirty patients (9 male and 21 female) were assigned into two groups of equal size: group (A) received three sessions of Siwan traditional therapy in the form of a sand bath. Group (B) received the same form of therapy for five days. Erythrocyte sedimentation rate (ESR), lipid profile, atherogenic index of plasma (AIP), and a health assessment questionnaire (HAQ) were measured before and after treatment. There was a significant increase above normal within group (A) for ESR ( = 0.001), triglycerides (TG; = 0.015), total cholesterol (Tot-Chol; = 0.0001), and low-density lipoprotein (LDL; = 0.0001). However, there were no considerable differences in high-density lipoprotein (HDL; = 0.106), very low-density lipoprotein (VLDL; = 0.213), AIP ( = 0.648), and HAQ ( = 0.875). For the second group, there were significant changes within group B only in Tot-Chol ( = 0.0001), HDL ( = 0.0001), VLDL ( = 0.0001), AIP ( = 0.008), and HAQ ( = 0.014). There was a significant difference between both groups regarding HDL ( = 0.027), LDL ( = 0.005), AIP ( = 0.029), ESR ( = 0.016), and HAQ ( = 0.036). For RA patients, five days of Siwan traditional therapy caused significant changes regarding inflammation, Tot-Chol, LDL, HDL, AIP, and functional activity when compared to three days of Siwan hot sand therapy.
类风湿关节炎（RA）患者死亡的最常见原因是心血管疾病（CVD）。炎症、血脂异常和体力活动减少是 CVD 的一些主要危险因素。Siwan 沙疗是埃及用于治疗 RA 的一种传统疗法。这种疗法的方法取决于治疗师的经验。本研究的目的是比较三次 Siwan 传统疗法和五次疗法对类风湿关节炎患者常见 CVD 危险因素和身体功能的影响。
三十名患者（9 名男性和 21 名女性）被分为两组，每组人数相等：组（A）接受三次沙浴形式的 Siwan 传统疗法。组（B）接受相同形式的五天治疗。治疗前后测量红细胞沉降率（ESR）、血脂谱、血浆致动脉粥样硬化指数（AIP）和健康评估问卷（HAQ）。
组内（A）ESR（=0.001）、三酰甘油（TG；=0.015）、总胆固醇（Tot-Chol；=0.0001）和低密度脂蛋白（LDL；=0.0001）均显著升高。然而，高密度脂蛋白（HDL；=0.106）、极低密度脂蛋白（VLDL；=0.213）、AIP（=0.648）和 HAQ（=0.875）无显著差异。对于第二组，仅在组 B 中观察到 Tot-Chol（=0.0001）、HDL（=0.0001）、VLDL（=0.0001）、AIP（=0.008）和 HAQ（=0.014）的显著变化。两组间 HDL（=0.027）、LDL（=0.005）、AIP（=0.029）、ESR（=0.016）和 HAQ（=0.036）存在显著差异。
对于 RA 患者，与三次 Siwan 热沙疗法相比，五天的 Siwan 传统疗法可显著改善炎症、总胆固醇、LDL、HDL、AIP 和功能活动。
