This study assessed the additional contribution of balneotherapy on physical therapy in subacute supraspinatus tendinopathy. Ninety patients with subacute supraspinatus tendinopathy were included. They were randomized into two equal groups. In group 1 ( n = 45), transcutaneous electrical nerve stimulation (TENS), hot pack, ultrasound treatments, and Codman’s and range of motion (ROM) exercises were performed. In group 2 ( n = 45), balneotherapy was added to the treatment program. In both groups, shoulder active ROM and handgrip strength were measured. Pain was evaluated using a Visual Analogue Scale (VAS) (rest, sleep, movement); functional assessment and quality of life were measured respectively with the Shortened Disabilities of the Arm, Shoulder and Hand Questionnaire (QuickDASH), and the Short Form-36 health survey (SF 36) form. All measurements were repeated before and after 15 treatment sessions. There were statistically significant differences between the before and after assessment parameters in group 1 (all p < 0.05), but not for SF-36 General Health Perceptions, SF-36 Mental Health sub-parameters, and handgrip strengths. However, there were statistically significant differences between all the evaluation before and after the treatment in group 2 (all p < 0.05). When the two groups were compared in terms of alpha gains, statistically significant differences were observed in favor of group 2 in all measurements (all p < 0.05) except for SF-36 Emotional Role Difficulty and SF-36 Mental Health sub-parameters. This study shows that the addition of balneotherapy to physical therapy for subacute supraspinatus tendinopathy can make additional contributions to shoulder ROM, pain, handgrip strength, functional status, and quality of life.

中文翻译：

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浴疗法对亚急性冈上肌腱病患者的物理治疗有附加作用吗？一项随机、对照、单盲研究

本研究评估了浴疗对亚急性冈上肌腱病物理治疗的额外贡献。包括 90 名亚急性冈上肌腱病患者。他们被随机分为两个相等的组。在第 1 组 (n = 45) 中，进行了经皮神经电刺激 (TENS)、热敷、超声治疗以及 Codman 和运动范围 (ROM) 练习。在第 2 组（n = 45）中，将浴疗添加到治疗计划中。两组均测量肩关节活动度和握力。使用视觉模拟量表 (VAS)（休息、睡眠、运动）评估疼痛；功能评估和生活质量分别使用手臂、肩部和手部残疾问卷 (QuickDASH) 和 Short Form-36 健康调查 (SF 36) 表进行测量。在 15 个疗程之前和之后重复所有测量。第 1 组前后评估参数之间存在统计学显着差异（所有 p < 0.05），但 SF-36 一般健康认知、SF-36 心理健康子参数和握力没有差异。然而，第2组治疗前后的所有评估之间存在统计学上的显着差异（均p <0.05）。当在 α 增益方面比较两组时，除了 SF-36 情绪角色难度和 SF-36 心理健康子参数外，在所有测量中都观察到有利于第 2 组的统计学显着差异（所有 p < 0.05）。