Please use this identifier to cite or link to this item: http://hdl.handle.net/11452/21263
Title: Improvement of the clinical outcome in ankylosing spondylitis by balneotherapy
Authors: Uludağ Üniversitesi/Tıp Fakültesi/Atatürk Rehabilitasyon Uygulama ve Araştırma Merkezi.
Yurtkuran, Merih
Ay, Alev
Karakoç, Yüksel
55408539300
6701739419
6701758003
Keywords: Ankylosing spondylitis
NSAID
Balneotherapy
Spa-exercise therapy
Issue Date: Jul-2005
Publisher: Elsevier France-Editions Scientifiques Medicales Elsevier
Citation: Yurtkuran, M. vd. (2005). "Improvement of the clinical outcome in ankylosing spondylitis by balneotherapy". Joint Bone Spine, 72(4), 303-308.
Abstract: Aims. - This study is designed to show the efficacy of balneotherapy and balneotherapy (BT) + nonsteroid anti inflammatory drug (NSAID) use in Ankylosing spondylitis (AS) patients. Methods. - In this prospective study, BT, BT+NSAID and NSAID therapy in 61 patients with AS were evaluated by ASAS core set. BT group (21 patients) was treated only with BT for 20 min, once a day, 5 days a week, over a period of 3 weeks. BT+NSAID group (20 patients) was treated with 1000 mg naproxen as well as BT.NSAID group (20 patients) was treated with 1000 mg naproxen. All of the participants did respiratory and postural exercises for 20 min a day and for the whole study period. Each patient was evaluated on admission (before treatment), at the end of the therapy and 6 months after the treatment. Results. - At the end of the Study, statistically significant improvement was observed in all the clinical parameters of the patients in BT (G1), BT+NSAID (G2) and NSAID (G3) groups. This significant symptomatic and clinical improvement was maintained even 6 months after the treatment. The changes front baseline to follow up were similar in G I and G2 except duration of morning stiffness (DMS) and chest expansion (CE). Improvements in CE and DMS were better in G I and G2, respectively. Improvements observed in G1 and G2 were superior to the improvements observed in G3 for the variables of morning pain, nocturnal pain, DMS, global well being of the patient, occiput-wall distance. CE, finger to floor distance and functional index. In Schober test, improvement observed in G I was statistically superior to G3. Conclusion. - We concluded that BT can be suggested as an effective symptomatic treatment modality in patients with AS. Furthermore, sufficient improvement in clinical parameters can be obtained by BT alone.
URI: https://doi.org/10.1016/j.jbspin.2004.06.006
https://www.sciencedirect.com/science/article/pii/S1297319X0400140X
http://hdl.handle.net/11452/21263
ISSN: 1297-319X
Appears in Collections:Scopus
Web of Science

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