Knee Osteoarthritis Treatment With Peloidotherapy and Aquatic Exercise.
Condition: Knee Osteoarthritis
MeSH terms: Osteoarthritis; Osteoarthritis, Knee
Study type: Interventional

Summary: 
      The aim was to observe the short and medium term effects of peloidotherapy and aquatic
      exercise applications in patients with knee osteoarthritis.
    

Detailed description: 
      Osteoarthritis (OA) is one of the most common musculoskeletal diseases in the world. It is a
      non-inflammatory chronic disease that starts from the articular cartilage and is
      characterized by mechanical wear and cartilage loss in the joints, and includes findings such
      as joint pain, stiffness, and limitation of movement. Its incidence increases with aging. OA
      is more common in the spine, hip, hand and knee joints. The knee, which is a load-bearing
      joint, is more affected. Knee osteoarthritis is one of the most common causes of disability.
      It is more common in women. The prevalence of symptomatic knee osteoarthritis in adults over
      the age of 55 was found to be 13% In the treatment guidelines, aquatic exercise and
      balneotherapy are among the recommendations for knee OA. Balneotherapy is a stimulus
      performed at a certain time interval and in a cure style, by using thermal and/or mineral
      waters, peloids (medical mud) and gases, in the form of bath, package, drinking and
      inhalation applications, whose methods and doses have been determined. compliance therapy.
      There are clinical studies showing that balneotherapy and mud pack applications reduce pain
      and increase functional capacity in knee osteoarthritis. Odabaşı et al. showed that
      peloidotherapy, one of the balneological methods, has not only thermic effect but also
      chemical effect in the treatment of knee OA. In patients with knee OA, pain, physical
      disability, quadriceps femoris muscle weakness and limitations in joint range of motion are
      observed. it reduces the level of physical activity, exercise capacity and quality of life in
      these people. The fact that the body is supported due to the buoyancy of the water in the
      exercises performed in the water reduces the load on the joints during the movement. For this
      reason, many movements that cannot be done on land can be done safely in water. On the other
      hand, because the density of water is higher than air, the muscles have to do more work even
      when performing a simple movement in water compared to the movements on land. Special
      rehabilitation programs based on water exercise programs have started to be one of the
      applications that can be done to increase muscle strength for these reasons.

      When the literature was reviewed, we could not find any study examining the combination of
      aquatic exercise and peloid application in patients with knee osteoarthritis.

      The aim of this study was to evaluate the effects of co-administration of peloid and aquatic
      exercises in knee osteoarthritis patients with a single-blind randomized controlled study.
    

Intervention name(s): aquatic exercise and peloidotherapy
Intervention type(s): Other
Intervention description(s): Treatment group received 30 minutes of aquatic exercise by a physiotherapist in a warmed up to 33° C tap water and 30 minutes of mud pack treatment at 42°C on both knees 5 weekdays for 2 consecutive weeks (totally 10 sessions).
Other intervention name(s): water based exercise and mud pack therapy
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: A Randomized, single blind, prospective, parallel 1:1 group study.
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: knee osteoarthritis; peloidotherapy; aquatic exercise; water based exercise; balneotherapy; aquatic rehabilitation