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Comparison of the clinical effectiveness of thermal cure and rehabilitation in knee osteoarthritis. A randomized therapeutic trial.

Ann Phys Rehabil Med. 2014 Dec;57(9-10):561-9. doi: 10.1016/j.rehab.2014.09.007. Epub 2014 Sep 27.
Comparison of the clinical effectiveness of thermal cure and rehabilitation in knee osteoarthritis. A randomized therapeutic trial.
Fazaa A1, Souabni L2, Ben Abdelghani K2, Kassab S2, Chekili S2, Zouari B3, Hajri R2, Laatar A2, Zakraoui L2.
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Abstract
OBJECTIVE:

To compare the benefits of a thermal cure and non-thermal rehabilitation in treatment of knee osteoarthritis (KOA).
METHODS:

Randomized therapeutic trial including patients with knee osteoarthritis (American College of Rheumatology criteria). Patients were randomly divided into two groups. Spa treatment consisted of underwater shower, massage-jet showers, hydromassage, pool rehabilitation and peloid therapy. Non-thermal rehabilitation consisted of analgesic physiotherapy, muscle strengthening and group physical rehabilitation. A blinded evaluation was carried out at day 21 and 12months following treatment. It was based on the visual analogic scale of pain (VAS), which represented the primary endpoint.
RESULTS:

Two hundred and forty patients were included (February-June 2005). The spa treatment and non-thermal rehabilitation groups included 119 and 121 patients respectively. Two hundred and thirty-three patients completed their treatments. Significant improvement of the visual analogic scale of pain was noted in the thermal cure group (61.6±15 at day 0 versus 46.5±22.4 at 12months, P CONCLUSION:

In our study, crenobalneotherapy had resulted, at 12months, in more pronounced long-term improvement of the painful symptoms of KOA than had non-thermal rehabilitation.

Copyright © 2014 Elsevier Masson SAS. All rights reserved.
KEYWORDS:

Controlled trial; Crenobalneotherapy; Crénobalnéothérapie; Cure thermale; Essai contrôlé; Gonarthrose; Knee osteoarthritis (KOA); Rehabilitation; Rééducation; Thermal cure

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