We found no statistically significant differences in pain on the McGill Question naire or in physical disability ( very low level of evidence ) between balneotherapy and the other interventions .
Overall evidence is insufficient to show that balneotherapy is more effective than no treatment , that one type of bath is more effective than another or that one type of bath is more effective than mudpacks , exercise or relaxation therapy
BACKGROUND No cure for rheumatoid arthritis ( RA ) is known at present , so treatment often focuses on management of symptoms such as pain , stiffness and mobility .
Treatment options include pharmacological interventions , physical therapy treatments and balneotherapy .
Balneotherapy is defined as bathing in natural mineral or thermal waters ( e.g. mineral baths , sulphur baths , Dead Sea baths ) , using mudpacks or doing both .
Despite its popularity , reported scientific evidence for the effectiveness or efficacy of balneotherapy is sparse .
This review , which evaluates the effects of balneotherapy in patients with RA , is an up date of a Cochrane review first published in 2003 and up date d in 2008 .
OBJECTIVES To perform a systematic review on the benefits and harms of balneotherapy in patients with RA in terms of pain , improvement , disability , tender joints , swollen joints and adverse events .
The Delphi list: a criteria list for quality assessment of randomized clinical trials for conducting systematic reviews developed by Delphi consensus.
Most systematic review s rely substantially on the assessment of the method ological quality of the individual trials . The aim of this study was to obtain consensus among experts about a set of generic core items for quality assessment of r and omized clinical trials ( RCTs ) . The invited participants were experts in the field of quality assessment of RCTs . The initial item pool contained all items from existing criteria lists . Subsequently , we reduced the number of items by using the Delphi consensus technique . Each Delphi round comprised a question naire , an analysis , and a feedback report . The feedback report included staff team decisions made on the basis of the analysis and their justification . A total of 33 international experts agreed to participate , of whom 21 completed all question naires . The initial item pool of 206 items was reduced to 9 items in three Delphi rounds . The final criteria list ( the Delphi list ) was satisfactory to all participants . It is a starting point on the way to a minimum reference st and ard for RCTs on many different research topics . This list is not intended to replace , but rather to be used alongside , existing criteria lists
We found no statistically significant differences in pain on the McGill Question naire or in physical disability ( very low level of evidence ) between balneotherapy and the other interventions .
Overall evidence is insufficient to show that balneotherapy is more effective than no treatment , that one type of bath is more effective than another or that one type of bath is more effective than mudpacks , exercise or relaxation therapy
BACKGROUND No cure for rheumatoid arthritis ( RA ) is known at present , so treatment often focuses on management of symptoms such as pain , stiffness and mobility .
Treatment options include pharmacological interventions , physical therapy treatments and balneotherapy .
Balneotherapy is defined as bathing in natural mineral or thermal waters ( e.g. mineral baths , sulphur baths , Dead Sea baths ) , using mudpacks or doing both .
Despite its popularity , reported scientific evidence for the effectiveness or efficacy of balneotherapy is sparse .
This review , which evaluates the effects of balneotherapy in patients with RA , is an up date of a Cochrane review first published in 2003 and up date d in 2008 .
OBJECTIVES To perform a systematic review on the benefits and harms of balneotherapy in patients with RA in terms of pain , improvement , disability , tender joints , swollen joints and adverse events .