AB0589 STUDY OF THE EFFECTIVENESS OF PELOID THERAPY IN THE TREATMENT OF OSTEOARTHRITIS OF THE KNEE JOINTS IN THE CONDITIONS OF THE SANATORIUM “ CHUVASHIYAKURORT»
Authors: N. Zhuravleva, L. Karzakova, S. Kudryashov, A. Arkhipova
Journal: Annals of the Rheumatic Diseases (2021)

Background: Peloids are successfully used in the treatment of various diseases. The sapropel mud-silt deposits of freshwater reservoirs are the most widely used for joint diseases. The sapropel mud from the freshwater lake «Kogoyar» (Russia, Cheboksary) has unique properties. The right to extract and use sapropel belongs to the sanatorium “Chuvashiyakurort” (Russia) [1]. The organic biostimulants of the sapropel mud (bitumen, fatty and humic acids, amino acids, hormones, lipids) have a pronounced anti-inflammatory effect on cartilage. High humidity (87%) provides sapropel high thermal qualities. Objectives: The aim of the research was to study the effectiveness of peloid therapy in patients with osteoarthritis of the knee joints at the II X-ray stage using the sapropel mud of Lake «Kogoyar». Methods: The object of the study was 150 patients of the sanatorium “Chuvashiyakurort” aged from 55 to 62 years (89 women and 61 men). The patients were randomly divided into 2 groups. The first group (75 people) received basic therapy - chondroprotectors (Teraflex) and nonsteroidal anti-inflammatory drugs (NSAIDs) on demand. The second group (75 people) received basic therapy with the addition of peloid application. The peloid was used in the natural, minimally modified, undiluted form. The peloid therapy protocol: the peloid was heated to 50 °C before use and applied to the affected joint with a layer of 4-5 cm thick and wrapped with a warm cloth on top. The procedure took 30 minutes. Five three-day cycles of applications with one-day breaks were performed. At the end of the procedure, a patient was unraveled, the mud was removed from him and he took a warm shower. Then he had a rest for 30 to 40 minutes in the recreation room. Before the start of treatment and after its completion, a survey of patients was conducted with the fixation of pain on the VAS scale, the duration of morning stiffness, fatigue and decreased performance, general discomfort, dependence on taking NSAIDs. Results: The analysis of the survey results revealed a decrease in VAS pain and morning stiffness in both groups. However, patients in the second group had a more pronounced reduction in the average VAS pain score (26% lower compared to the first group) and the duration of morning stiffness (20% lower compared to the first group). In addition, the number of patients who indicated a decrease in dependence on taking NSAIDs was 28% higher than in the group that received only standard therapy. Conclusion: Peloid therapy enabled to reduce the pain on the back, reduce the frequency of the need for NSAIDs, improve the condition of patients, which is the reflection of the positive clinical dynamics in patients with osteoarthritis of the knee joints, and contributed to the effectiveness of treatment. References: [1]Sakharova A.S. Modern methods of medical rehabilitation in the practice of doctors of various specialties. Cheboksary: Publishing House of Chuvash State University, 2019: 110-115. Disclosure of Interests: None declared.