Department of Rehabilitation Sciences, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
Department of Physical Therapy for Internal Diseases, Faculty of Physical Therapy, 6 October University, Giza, Egypt.
Medicine (Baltimore). 2023 Sep 15;102(37):e35105. doi: 10.1097/MD.0000000000035105.
Rheumatoid arthritis (RA) is a long-term autoimmune disease characterized by intra- and extra-articular manifestations. Sand therapy is traditionally indicated for RA, chronic pain, skin diseases, and musculoskeletal disorders. Many places in the world use sand therapy, including Siwa, which is a famous place in Egypt. This study investigated the exposure time to Siwan traditional therapy as a factor influencing central sensitization, pain severity, pain threshold, and kinesiophobia in RA by measuring the central sensory inventory (CSI), visual analogue scale, pressure algometer, and TAMPA kinesiophobia scale, respectively. Twenty-four patients with RA were recruited from 6 traditional healing centers, 24 RA patients were recruited and randomly assigned to 2 equal groups (GI and GII). The first received Siwan traditional therapy for 3 days, while the second received the same program for 5 days. The results revealed a significant difference in CSI between pre- and posttreatment within the GII (P = .038). The Tampa Scale score improved significantly in both groups (P = .004 and P = .014, respectively). Pain severity and pain threshold at all sites showed significant posttreatment improvements in the GII. Significant posttreatment changes were only found for GI in terms of pain severity and the most painful joint (P = .010 and P = .035, respectively). Significant changes were observed in kinesiophobia, pain severity, and pain threshold in the most painful joint 3 and 5 days after Siwan traditional therapy. Despite the nonsignificant differences in all parameters between the 2 groups, all the measured parameters produced favorable results after 5 days of treatment, suggesting the need for a long-term effect investigation.
类风湿关节炎（RA）是一种长期的自身免疫性疾病，其特征为关节内和关节外表现。沙疗传统上用于治疗 RA、慢性疼痛、皮肤病和肌肉骨骼疾病。世界上许多地方都使用沙疗，包括埃及的锡瓦。本研究通过测量中枢感觉量表（CSI）、视觉模拟量表、压力测痛计和坦帕运动恐惧量表，分别研究了在 RA 中 Siwan 传统疗法的暴露时间作为影响中枢敏化、疼痛严重程度、疼痛阈值和运动恐惧的因素。从 6 个传统治疗中心招募了 24 名 RA 患者，将 24 名 RA 患者随机分为 2 个相等的组（GI 和 GII）。第一组接受 Siwan 传统疗法 3 天，而第二组接受相同的方案 5 天。结果显示，GII 组治疗前后 CSI 差异有统计学意义（P = 0.038）。两组的坦帕量表评分均显著改善（P = 0.004 和 P = 0.014）。所有部位的疼痛严重程度和疼痛阈值在 GII 治疗后均显著改善。仅在 GI 中观察到疼痛严重程度和最痛关节的治疗后变化具有统计学意义（P = 0.010 和 P = 0.035）。在 Siwan 传统疗法治疗后 3 天和 5 天，运动恐惧、疼痛严重程度和最痛关节的疼痛阈值均观察到显著变化。尽管两组所有参数之间的差异无统计学意义，但所有测量参数在 5 天治疗后均产生了有利的结果，提示需要进行长期效果的研究。
