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The efficacy of balneotherapy, mud therapy and spa therapy in patients with osteoarthritis: an overview of reviews
International Journal of Biometeorology ( IF 3.0 ) Pub Date : 2021-03-19 , DOI: 10.1007/s00484-021-02102-3
Daniela D'Angelo 1 , Daniela Coclite 1 , Antonello Napoletano 1 , Alice Josephine Fauci 1 , Roberto Latina 1 , Silvia Gianola 2 , Greta Castellini 2 , Katia Salomone 1 , Francesca Gambalunga 3 , Francesca Sperati 4 , Laura Iacorossi 1 , Primiano Iannone 1
Affiliation  

Osteoarthritis is a degenerative disease considered a leading cause of functional disability. Its treatment is based on a combination of pharmacological and non-pharmacological interventions, but the role of these latter is still debated. This overview of systematic reviews aimed at evaluating the short-term efficacy of different thermal modalities in patients with osteoarthritis. We searched PubMed, Scopus, CINHAL, Web of Science, ProQuest and the Cochrane Database of Systematic Reviews from inception until October 2020, with no language restrictions. We selected the following outcomes a priori: pain, stiffness and quality of life. Seventeen systematic reviews containing 27 unique relevant studies were included. The quality of the reviews ranged from low to critically low. Substantial variations in terms of interventions studied, comparison groups, population, outcomes and follow-up between the included SRs were found. From a re-analysis of primary data, emerged that balneotherapy was effective in reducing pain and improving stiffness and quality of life, mud therapy significantly reduced pain and stiffness, and spa therapy showed pain relief. However, the evidence supporting the efficacy of different thermal modalities could be seriously flawed due to methodological quality and sample size, to the presence of important treatment variations, and to the high level of heterogeneity and the absence of a double-blind design. There is some encouraging evidence that deserves clinicians’ consideration, suggesting that thermal modalities are effective on a short-term basis for treating patients with AO.



中文翻译:

骨关节炎患者的浴疗法,泥疗法和水疗疗法的功效:综述

骨关节炎是一种退化性疾病,被认为是功能障碍的主要原因。它的治疗是基于药理学和非药理学干预的结合,但是对于后者的作用仍存在争议。本系统综述的概述旨在评估不同热模式对骨关节炎患者的短期疗效。从开始到2020年10月,我们搜索PubMed,Scopus,CINHAL,Web of Science,ProQuest和Cochrane系统评价数据库,没有语言限制。我们优先选择以下结果:疼痛,僵硬和生活质量。包括十七项系统评价,其中包含27项独特的相关研究。评论的质量从低到严重不等。就所研究的干预措施而言,存在很大差异,比较了包括的SR之间的比较组,人群,结局和随访情况。从对主要数据的重新分析中可以看出,balneotherapy可有效减轻疼痛并改善僵硬和生活质量,mud治疗可显着减轻疼痛和僵硬,而spa治疗则可缓解疼痛。但是,由于方法学质量和样品量,存在重要的治疗变异以及高度异质性和缺乏双盲设计,支持不同热模式功效的证据可能会严重存在缺陷。有一些令人鼓舞的证据值得临床医生考虑,这表明热疗方式在短期内可有效治疗AO患者。从对主要数据的重新分析中可以看出,balneotherapy可有效减轻疼痛并改善僵硬和生活质量,mud治疗可显着减轻疼痛和僵硬,而spa治疗则可缓解疼痛。但是,由于方法学质量和样品量,存在重要的治疗变异以及高度异质性和缺乏双盲设计,支持不同热模式功效的证据可能会严重存在缺陷。有一些令人鼓舞的证据值得临床医生考虑,这表明热疗方式在短期内可有效治疗AO患者。从对主要数据的重新分析中可以看出,balneotherapy可有效减轻疼痛并改善僵硬和生活质量,mud治疗可显着减轻疼痛和僵硬,而spa治疗则可缓解疼痛。但是,由于方法学质量和样品量,存在重要的治疗变异以及高度异质性和缺乏双盲设计,支持不同热模式功效的证据可能会严重存在缺陷。有一些令人鼓舞的证据值得临床医生考虑,这表明热疗方式在短期内可有效治疗AO患者。泥疗法可显着减轻疼痛和僵硬,而水疗疗法可缓解疼痛。然而,由于方法学质量和样本量,存在重要的治疗变异,高度的异质性和缺乏双盲设计,支持不同热模式有效性的证据可能会严重存在缺陷。有一些令人鼓舞的证据值得临床医生考虑,这表明热疗方式在短期内可有效治疗AO患者。泥疗法可显着减轻疼痛和僵硬,而水疗疗法可缓解疼痛。然而,由于方法学质量和样本量,存在重要的治疗变异,高度的异质性和缺乏双盲设计,支持不同热模式有效性的证据可能会严重存在缺陷。有一些令人鼓舞的证据值得临床医生考虑,这表明热疗方式在短期内可有效治疗AO患者。以及高度的异质性和缺乏双盲设计。有一些令人鼓舞的证据值得临床医生考虑,这表明热疗方式在短期内可有效治疗AO患者。以及高度的异质性和缺乏双盲设计。有一些令人鼓舞的证据值得临床医生考虑,这表明热疗方式在短期内可有效治疗AO患者。

更新日期:2021-03-19
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