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Ankilozan Spondilitte Balneoterapi İle Isıtılmış Çeşme Suyu Tedavisinin Karşılaştırılması

Balneotherapy and Heated Tap Water Therapy in Ankylosing Spondylitis

Journal Name:

  • Uludağ Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2009

Key Words:

Keywords (Original Language):

Author Name
Abstract (2. Language): 
The objective is to evaluate clinical efficacy of balneotherapy. 48 Ankylosing Spondylitis (AS) patients, selected according to the Modified New York diagnostic criteria, were randomized into 2 treatment groups; (in every group n=24) Balneotherapy (Group I) and Heated Tap Water Therapy (Group II) combined with exercises. Patients in Group I (N = 24) were treated with hot spring water (38ºC). The outcome measures were; Nottingham Health Profile (NHP), Bath AS Functional Index (BASFI), Bath AS Disease Activity Index (BASDAI), Dougados Functional Index (DFI), global well-being of the patient (GWB), erytrocyte sedimentation rate, morning stiffness, Modified Schober Test (Sch), fingertip-fibula head distance (FFD), chest expansion (CE), chin-manubrium distance and occiput-wall distance. The evaluations were done before treatment end at the 3rd month by double blinding procedure and ITT principle. Improvements were observed in BASDAI (p = 0.002); BASFI (p = 0.04); DFI (p = 0.03); NHP Pain (p= 0.01); GWB (p = 0.02); CE (p = 0.000); Sch (p = 0.04); and FFD (p = 0.03) were determined to be superior in Group I at the end of the 3rd month. The data presented reveals the short-term effectiveness of BT on pain intensity, disease activity, functional capacity, spinal motion and global well being of the AS patients when compared with heated tap water therapy.
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Abstract (Original Language): 
Çalışmanın amacı, balneoterapinin klinik etkinliğini araştırmaktır. 48 Ankilozan Spondilitli (AS) hasta, Modifiye New York tanı kriterlerine göre belirlendi ve egzersizle kombine Balneoterapi (Grup I) ve ısıtılmış çeşme suyu tedavisi (Grup II) olmak üzere (her biri n=24) 2 gruba randomize edilmiştir. Değerlendirme parametreleri; Notthingham Sağlık Profili (NSP), Bath AS Fonksiyonel İndeks (BASFI), Bath AS Hastalık Aktivitesi İndeksi (BASDAI), Dougados Fonksiyonel İndeks (DFI), Hastanın genel değerlendirmesi (HGD), eritrosit sedimentasyon hızı, sabah tutukluğu, modifiye Schober testi (Sch), parmak ucu fibula mesafesi (PFM), göğüs ekspansiyon (GE), çene-manubrium mesafesi ve oksiput-duvar mesafesidir. Değerlendirmeler tedavi öncesi ve tedavi sonrası 3.ay olmak üzere 2 kez çift kör ve ITT prensibine göre yapılmıştır. 3.ayda BASDAI’de (p=0,002), BASFI’de (p=0,04); DFI’de (p=0,03); NSP Ağrıda (p=0,01); HGD’de (p=0,02); GE’de (p=0,00); Sch’de (p=0,04) ve PFM’de (p=0,03) Grup I lehine anlamlı düzelmeler gözlendi. BT’nin kısa süreli izlemde ağrı, hastalık aktivitesi, fonksiyonel kapasite, spinal flexibilite ve hastanın genel değerlendirmesinde etkili olduğu gösterilmiştir.
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  • 3
131-136
  • Turkish

REFERENCES

References: 

1. Schned E. S. Ankylosing spondylitis, in: Paget S., Pellicci P.,
Beary JF. (eds): Manual of Rheumatology and Outpatient Orthopedic Disorders.Little, Brown and Company, third edition,
Boston, Toronto, London, 1993: pp 253-61
2. Pelster B. Ankylosing spondylitis and its management,
in:Pelster B (ed):Rheumatic Diseases and their Management,
Wiesbaden: Medical Tribune- Verlagsgesellschaft mbH, 1999:
pp 22-24
3. Sukenik S, Flusser D, Abu-Shakra (1999) The role of spa
therapy in various rheumatic disease. Rheum Dis North America 25:883-97.
4. Dagfinrud H, Kvien TK, Hagen KB. Physiotherapy interventions for Ankylosing Spondylitis. Cochrane Database of
Systematic Reviews 2008, Issue 1. Art. No.: CD002822. DOI:
10.1002/14651858. CD002822.pub3.
5. Altan l, Bingöl U, Aslan M, et al.The effect of balneotherapy
on patients with ankylosing spondylitis.Scand J Rheumatol.
2006 Jul-Aug;35(4):283-9
6. Yurtkuran M, Ay A, Karakoç Y. Improvement of the clinical
outcome in Ankylosing Spondylitis by balneotherapy.Joint
Bone Spine 2005;72:303-8
7. Yurtkuran M, Yurtkuran M, Alp A et al. Balneotherapy and tap
water therapy in the treatment of knee osteo arthritis.
Rheumatol Int 2006 Nov;27(1):19-27.
8. Karagülle M, Karagülle MZ, Karagülle O et al. A 10-day
course of SPA therapy is beneficial for people with severe knee
osteoarthritis. A 24-week randomised, controlled pilot
study.Clin Rhematol.2007 Dec;26(12):2063-71.
9. Karagülle MZ, Karagülle M. Balneotherapy and spa therapy of
rheumatic diseases in Turkey: a systematic review Forsch
Komplementarmed Klass Naturheilkd. 2004 Feb;11(1):33-41.
10. Van Tubergen A, Landewe R, Heuft-Dorenbosch L et al.
Assessment of disability with the World Health Organisation
Diasbility Assessment Schedule II in patients with Ankylosing
Spondylitis. Ann Rheum Dis 2003;62:140-5
11. Garrett S, Jenkinson T, Kennedy LG et al. A new approach to
defining disease status in Ankylosing Spondylitis: the Bath Ankylosing Spondylitis Disease Activity Index. J Rheumatol
1994;21:2286-91
12. Calin A, Garret S, Whitelock H et al. A new approach to defining functional ability in Ankylosing Spondylitis: the development of the Bath Ankylosing Spondylitis Functional Index. J
Rheumatol 1994;21:2281-5
13. Dougados M,Gueguen A, Nakache JP et al. Evaluation of a
functional index and an articular index in Ankylosing Spondylitis. J Rheumatol 1988;15:302-7
14. Van Der Heijde D, Calin A, Dougados M et al. Selection of
instruments in the Core Set for DC-ART, SMARD, Physical
Therapy and Clinical Record Keeping in Ankylosing Spondylitis. Progress Report of The ASAS Working Group. J Rheumatol 1999;26(4):951-4
15. Mander M, Simpson JM, McLellan A et al. Studies with an
enthesis index as a method of clinical assessment in Ankylosing
Spondylitis. Ann Rheum Dis 1987;46:197-202
16. Calin A, Mackay K, Santos H et al. A new dimension to outcome application of the Bath Ankylosing Spondylitis Radiology Index. J Rheumatol 1999;26:988-92
17. Martini CJM, and Waugh IM. A method for self Assessment of
disability before and after hip replacement operation. BMJ
1978;2:258-9
18. Kucukdeveci AA, Mckenna SP, Kutlay S et al. The development and psychometric assesment of the Turkish version of the
Nottingham Health Profile. Int J Rehabil Res. 2000;23:31-8.
19. Akkoç Y, Karatepe AG, Akar S et al. Turkish version of the
Bath Ankylosing Spondylitis Disease Activity Index: reliability
and validity. Rheumatol Int. 2005;25(4):280-4
20. Karatepe AG, Akkoç Y, Akar S et al. The Turkish versions of
Bath Ankylosing Spondylitis and Dougados Functional Indexes: reliability and validity. Rheumatol Int. 2005;25(8):612-8.
21. Codish S, Dobrovinsky S, Abu Shakra M et al.Spa therapy for
ankylosing spondylltis at the Dead Sea. Isr Med Assoc J. 2005
Jul;7(7):443-6.
22. Hashkes PJ. Beneficial effects of climatic therapy on inflammatory arthritis at Tiberias Hot Springs. Scand J Rheumatol
2002;31:172-7
23. Becker BE (1994) The biologic aspects of hydrotherapy. Journal of the Back and Musculoskeletal Rehabilitation 4:255-64.
24. Sukenik S (1994) Spa treatment for arthritis at the Dead Sea
area. Editorial. Israelian Journal of Medical Science 30:919-21
25. O’hare JP, Heywood A, Summerhayes C et al (1985) Observations on the effect of immersion in bath spa water. BMJ
291:1747-51
26. Shehata M, Schwarzmeier JD, Hilgarth M et al. Effect of
combined spa-exercise therapy on circulating TGF-beta1 levels
in patients with ankylosing spondylitis.Wien Klin Wochenschr.
2006 May;118(9-10):266-72.
27. Lehmann J and Lateur B (1994) Ultrasound, shortwave, microwave, laser, superficial heat and cold in the treatment of pain.
In: P. Wall and R. Melzack, Editors, Textbook of pain, Churchill Livingstone, London p1237–46
28. Lehmann JE eds (1990) Krusen’s handbook of physical Medicine and rehabilitation., Philadelphia: W.B. Saunders Company.
29. Yurtkuran M, Ulus H, Irdesel J (1993). The effect of balneotherapy on plasma endorphine level in patients with osteoarthritis.
Phys Rehab Kur Med 3:130-8
30. Davis B, R. Harrison R(1988) Treatment of specific conditions.
In: B. Davis and R. Harrison, Editors, Hydrotherapy in practise,
Churchill Livingstone, Singapore, p137–70

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