Evaluation of Spa Medicine on the Example of Comprehensive Therapy in the Spa Resort Przerzeczyn Zdroj
Condition: Osteoarthritis; Degenerative Disc Disease
MeSH terms: Intervertebral Disc Degeneration
Study type: Interventional

Summary: 
      Observation conducted during the 21 days of treatment in the health resort of Przerzeczyn
      Zdroj. In a treatment of applied therapy: redon-sulfide baths, partial mud baths,
      kinesitherapy, terrain therapy, dry massage, laser therapy, low-frequency magnetic field,
      ultrasonotherapy, cryotherapy, electrotherapy, light therapy. Study group with joint or back
      pain due to osteoarthritis or degenerative disc disease. The control group was selected by
      the spa workers, healthy individuals, nonsmokers, who did not drink alcohol. It was
      recommended to retain the previous lifestyle and use of resort's facilities was prohibited.
      In both of these groups, appropriate pre- and post-treatment studies were performed.
    

Detailed description: 
      The observation was conducted during 21 days of medicinal stays in the health resort of
      Przerzeczyn Zdroj. The treatment included a comprehensive therapy: redon-sulfide baths,
      partial mud baths, kinesitherapy, terrain therapy, dry massage, laser therapy, low-frequency
      magnetic field, ultrasonotherapy, cryotherapy, electrotherapy, light therapy.

      The study group consisted of patients with joint or back pain due to osteoarthritis or
      degenerative disc disease.participating in therapy. On the day of admission to the SPA the
      patients were subjected to subjective and objective examination. Laboratory tests (lipids
      profile, CRP, smear blood morphology, TAS- total antioxidative potential, the concentration
      of endorphins and serotonin, bilirubin, uric acid, albumin) were performed before treatment
      on day 5 and after 18 days. In addition, before and after treatment, standard scales were
      used to assess pain intensity VAS scale and anxiety and depression levels - HADS scale.

      The control group was selected by the spa workers. On the day of admission to the SPA the
      patients were subjected to subjective and objective examination. Laboratory tests (lipids
      profile, CRP, smear blood morphology, TAS- total antioxidative potential, the concentration
      of endorphins and serotonin) were performed before treatment on day 5 and after 18 days. In
      addition, before and after treatment, standard scales were used to assess pain intensity: VAS
      scale and anxiety and depression levels - HADS scale.
    

Intervention name(s): Redon-sulfide baths; Partial Mud Baths; Kinesiotherapy; Terrain Therapy; Dry Massage; Laser Therapy; Low-frequency Magnetic Field; Ultrasonotherapy; Cryotherapy; Electrotherapy; Light Therapy
Intervention type(s): Procedure; Procedure; Procedure; Procedure; Procedure; Procedure; Procedure; Procedure; Procedure; Procedure; Procedure
Intervention description(s): Encompassing whole body or isolated limbs - upper and/or lower limbs - temperature: 37-38 degrees Celsius, duration: 20 minutes.; duration: 20 minutes, temperature 40-42 degrees Celsius; It is the therapeutic treatment of disease by passive and active muscular movements (as by massage) and of exercise. It is the core element of physiotherapy/physical therapy. Kinesiotherapy - duration of 30-45 min.; walking, outdoors physical activities,; Depending on the needs of each patient it involved cervical (CC), thoracic (TH), or lumbar spine (LS).; treatment parameters: sweeping, continuous, wavelength 808 nm, power 12 J, 400mV, duration 30s,; duration 20 minutes, impulse shape - rectangular, induction 5 mT, frequency 20-50Hz,; treatment parameters: 800kHz/6cm2 head, ultrasound impulse wave: 2ms - impulse, 9ms - break, dose 0.5-0.6 W/cm2 over 6 minutes,; ventilator, treatment duration 2-3 minutes, temperature - 80 to - 110 degrees Celsius,; Bernard's diadynamic currents - treatment parameters: DF1 CP4 LP4, Nemec interference currents (frequency range 0-100Hz), percutaneous electrostimulation (TENS) - rectangular impulse currents, impulse duration 0.2ms, frequency 40Hz, regulated current 0-100mA,; blue filter Sollux lamp, radiation distance 30-40 cm, duration 15 minutes, Bioptron lamp - radiation distance 10 cm, duration 5-10 minutes
Allocation: Non-Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Treatment