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The effect of the thermal mineral water of Nagybaracska on patients with knee joint osteoarthritis—a double blind study

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Abstract

To study the effect of thermal mineral water of Nagybaracska (Hungary) on patients with primary knee osteoarthritis in a randomized, double-blind clinical trial, 64 patients with nonsurgical knee joint osteoarthritis were randomly selected either into the thermal mineral water or into the tap water group in a non-spa resort village. The patients of both groups received 30-min sessions of bathing, 5 days a week for four consecutive weeks. The patients were evaluated by a blind observer immediately before and at the end of the trial using Western Ontario and McMaster Osteoarthritis (WOMAC) indices and follow-up assessment 3 months later. Twenty-seven patients of the 32 patients who received thermal mineral water and 25 of the 32 of those treated with tap water completed the trial. The WOMAC activity, pain, and total scores improved significantly in the thermal mineral-water-treated group. The improvement remained also at the end of the 3-month follow-up. The WOMAC activity, pain, and total scores improved significantly also in the tap water group at the end of the treatment course, but no improvement was detected at the end of the 3-month follow-up period. The treatment with the thermal mineral water of Nagybaracska significantly improved activity, pain, and total WOMAC scores of patients with nonsurgical OA of the knee. Even after 3 months, significant improvement was observed compared to the scores before the treatment or to tap water treatment.

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References

  1. Jackson R (1990) Waters and spas in the classical world. Med Hist Suppl (10):1–13

    PubMed  Google Scholar 

  2. Buchanan WW, Kean WF (2003) Dr. William Bruce (1835–1920), the Scottish highland spa at Strathpeffer; and a possible description of polymyalgia rheumatica. J R Coll Physicians Edinb 33(Suppl 12):29–35

    PubMed  CAS  Google Scholar 

  3. Rakic M, Forestier J, July 27, 1890–March 15, 1978 (1978) Arthritis Rheum 21:989–990

    Article  PubMed  CAS  Google Scholar 

  4. Bálint GP How to research the effect of hydro- and balneotherapy and spa treatment? In T. Bender and H.G. Pratzel (eds) Health Resort Medicine in 2nd Millennium. Steffen, GmBH, Friedland MV-Germany ISMH Verlag 2004 p137

  5. Szucs L, Ratkó I, Lesko T, Szoor I, Genti G, Bálint G (1989) Double-blind trial on the effectiveness of the Puspokladany thermal water on arthrosis of the knee-joints. J R Soc Health 109:7–9

    PubMed  CAS  Google Scholar 

  6. Kovacs I, Bender T (2002) The therapeutic effects of Cserkeszölö thermal water in osteoarthritis of the knee: a double blind, controlled, follow-up study. Rheumatol Int 21:218–221

    Article  PubMed  Google Scholar 

  7. Bálint G, Bender T, Szabó E (1993) Spa treatment in arthritis. J Rheumatol 20:1623–1625

    PubMed  CAS  Google Scholar 

  8. Guillemin F, Constant F, Collin JF, Boulange M (1994) Short and long-term effect of spa therapy in chronic low back pain. Br J Rheumatol 33:148–151

    Article  PubMed  CAS  Google Scholar 

  9. Konrad K, Tatrai T, Hunka A, Vereckei E, Korondi I (1992) Controlled trial of balneotherapy in treatment of low back pain. Ann Rheum Dis 51:820–822

    PubMed  CAS  Google Scholar 

  10. Normative Decision of Health Ministry (1999/74) The Official Journal of Hungary

  11. Altman, R, Asch E, Bloch D (1986) Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Association. Arthritis Rheum 29:1039–1049

    Article  PubMed  CAS  Google Scholar 

  12. Bellamy N, Goldsmith CH, Buchanan WW, Campbell J, Duku E (2002) Prior score availability: observations using the WOMAC osteoarthritis index. Br J Rheumatol 1991;30:150–151

    Article  CAS  Google Scholar 

  13. Geytenbeek J (2002) Evidence for effective hydrotherapy. Physiotherapy 88:514–529

    Article  Google Scholar 

  14. Bender T, Karagulle Z, Bálint GP, Gutenbrunner C, Bálint PV, Sukenik S (2005) Hydrotherapy, balneotherapy, and spa treatment in pain management. Rheumatol Int 25:220–224

    Article  PubMed  Google Scholar 

  15. Elkayam O, Wigler I, Tishler M et al (1991) Effect of spa therapy in Tiberias on patients with rheumatoid arthritis and osteoarthritis. J Rheumatol 18:1799–1803

    PubMed  CAS  Google Scholar 

  16. Yilmaz B, Goktepe AS, Alaca R, Mohur H, Kayar AH (2004) Comparison of a generic and a disease specific quality of life scale to assess a comprehensive spa therapy program for knee osteoarthritis. Joint Bone Spine 71:563–566

    Article  PubMed  Google Scholar 

  17. Guillemin F, Virion JM, Escudier P, De Talance N, Weryha G (2001) Effect on osteoarthritis of spa therapy at Bourbonne-les-Bains. Joint Bone Spine 68:499–503

    Article  PubMed  CAS  Google Scholar 

  18. Wigler I, Elkayam O, Paran D, Yaron M (1995) Spa therapy for gonarthrosis: a prospective study. Rheumatol Int 15:65–68

    Article  PubMed  CAS  Google Scholar 

  19. Verhagen AP, de Vet HC, de Bie RA, Kessels AG, Boers M, Knipschild PG (2000) Balneotherapy for rheumatoid arthritis and osteoarthritis. Cochrane Database Syst Rev 2:CD000518

    PubMed  Google Scholar 

  20. Franke A, Reiner L, Pratzel HG, Franke T, Resch KL (2000) Long-term efficacy of radon spa therapy in rheumatoid arthritis—a randomized, sham-controlled study and follow-up. Rheumatology 39:894–902

    Article  PubMed  CAS  Google Scholar 

  21. Sukenik S, Buskila D, Neumann L, Kleiner-Baumgarten A, Zimlichman S, Horowitz J (1990) Sulphur bath and mud pack treatment for rheumatoid arthritis at the Dead Sea area. Ann Rheum Dis 49:99–102

    Article  PubMed  CAS  Google Scholar 

  22. van Tubergen A, Landewe R, van der Heijde D et al (2001) Combined spa–exercise therapy is effective in patients with ankylosing spondylitis: a randomized controlled trial. Arthritis Rheum 45:430–438

    Article  PubMed  Google Scholar 

  23. Evcik D, Kýzýlay B, Gökçen E (2002) The effects of balneotherapy on fibromyalgia patients. Rheumatol Int 22:56–59

    Article  PubMed  Google Scholar 

  24. Neumann L, Sukenik S, Bolotin A et al (2004) The effect of balneotherapy at the Dead Sea on the quality of life of patients with fibromyalgia syndrome. Clin Rheumatol 20:15–19

    Article  Google Scholar 

  25. Sukenik S, Giryes H, Halevy S, Neumann L, Flusser D, Buskila D (1994) Treatment of psoriatic arthritis at the Dead Sea. J Rheumatol 21:1305–1309

    PubMed  CAS  Google Scholar 

  26. Van Tubergen A, Boonen A, Landewe R et al (2002) Cost effectiveness of combined spa–exercise therapy in ankylosing spondylitis: a randomized controlled trial. Arthritis Rheum 47:459–467

    Article  PubMed  Google Scholar 

  27. van Tubergen A, van der Linden S (2002) A brief history of spa therapy. Ann Rheum Dis 61:273–275

    Article  PubMed  Google Scholar 

  28. Bender T, Bálint PV, Bálint GP (2002) A brief history of spa therapy. Ann Rheum Dis 61:949

    Article  PubMed  CAS  Google Scholar 

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Acknowledgement

The authors would like to thank Pal Pacher for his technical help.

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Correspondence to Géza P. Bálint.

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W. Watson Buchanan: deceased

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Bálint, G.P., Buchanan, W.W., Ádám, A. et al. The effect of the thermal mineral water of Nagybaracska on patients with knee joint osteoarthritis—a double blind study. Clin Rheumatol 26, 890–894 (2007). https://doi.org/10.1007/s10067-006-0420-1

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  • DOI: https://doi.org/10.1007/s10067-006-0420-1

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