Effect of balneotherapy on pain and fatigue in elderly with knee osteoarthritis receiving physical therapy: a randomized trial

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dc.authoridKaki, Baris/0000-0002-5836-5438
dc.authoriddilekci, erdal/0000-0001-7507-2808
dc.authoridOzkuk, Kagan/0000-0001-6448-8146
dc.contributor.authorDilekci, Erdal
dc.contributor.authorOzkuk, Kagan
dc.contributor.authorKaki, Baris
dc.date.accessioned2024-09-25T19:58:47Z
dc.date.available2024-09-25T19:58:47Z
dc.date.issued2019
dc.departmentAbant İzzet Baysal Üniversitesien_US
dc.description.abstractThis study aimed to investigate whether balneotherapy (BT) applied in combination with physical therapy (PT) has a more positive effect in patients aged 65 years and older with knee osteoarthritis (KOA) compared to PT alone. A total of 305 individuals were randomized into two groups. Group I was applied PT alone; group II was applied PT+BT. Assessments were made using the Pain (VAS), EQ-5D-3L Scale, Western Ontario And McMaster Universities Osteoarthritis Index (WOMAC), Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) Scale, Epworth Sleepiness scale (EPWORTH) and the Outcome Measures in Rheumatology-The Osteoarthritis Research Society International set of responder criteria for osteoarthritis (OMERACT-OARSI) at the beginning (T0) and at the end (T1) of treatment. Statistically significant interactions found between treatment (PT alone or PT+BT) and time (before treatment and after treatment) in terms of Pain-VAS, Pain-WOMAC, Stiffness-WOMAC, Physical Function-WOMAC, Total-WOMAC, EQ-5D, EQ-VAS, FACIT-F, and EPWORTH scores (p<0.0001 for all). According to OMERACT-OARSI criteria, the responder rate was 89.04% in PT alone group and 98.74% in PT+BT group. Balneotherapy plus physical therapy was more effective than physical therapy alone in KOA patients aged over 65 years. Reducing pain, especially, positively contributes to functionality, quality of life, fatigue and sleepiness of KOA patients.en_US
dc.identifier.doi10.1007/s00484-019-01768-0
dc.identifier.endpage1568en_US
dc.identifier.issn0020-7128
dc.identifier.issn1432-1254
dc.identifier.issue12en_US
dc.identifier.pmid31367893en_US
dc.identifier.startpage1555en_US
dc.identifier.urihttps://doi.org/10.1007/s00484-019-01768-0
dc.identifier.urihttps://hdl.handle.net/20.500.12491/13741
dc.identifier.volume63en_US
dc.identifier.wosWOS:000501001500002en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofInternational Journal of Biometeorologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzYK_20240925en_US
dc.subjectKnee osteoarthritisen_US
dc.subjectBalneotherapyen_US
dc.subjectPhysical therapyen_US
dc.subjectElderlyen_US
dc.subjectFatigueen_US
dc.subjectSleepinessen_US
dc.titleEffect of balneotherapy on pain and fatigue in elderly with knee osteoarthritis receiving physical therapy: a randomized trialen_US
dc.typeArticleen_US

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