Comparing the efficacy of mature mud pack and hot pack treatments for knee osteoarthritis.

Abstract

OBJECTIVE:

The objective of this study is to compare the efficacy of mature mud pack and hot pack therapies on patients with knee osteoarthritis.

DESIGN:

This study was designed as a prospective, randomized-controlled, and single-blinded clinical trial. Twenty-seven patients with clinical and radiologic evidence of knee osteoarthritis were randomly assigned into two groups and were treated with mature mud packs (n 15) or hot packs (n=12). Patients were evaluated for pain [based on the visual analog scale (VAS)], function (WOMAC, 6 min walking distance), quality of life [Short Form-36 (SF-36)], and serum levels of tumor necrosis factor-alpha (TNF-α), interleukin-6 (IL-6), and insulin-like growth factor-1 (IGF-1) at baseline, post-treatment, and 3 and 6~months after treatment.

RESULTS:

The mud pack group shows a significant improvement in VAS, pain, stifness, and physical function domains of WOMAC. The difference between groups of pain and physical activity domains is significant at post-treatment in favor of mud pack. For a 6 min walking distance, mud pack shows significant improvement, and the difference is significant between groups in favor of mud pack at post-treatment and 3 and 6 months after treatment. Mud pack shows significant improvement in the pain subscale of SF-36 at the third month continuing until the sixth month after the treatment. Significant improvements are found for the social function, vitality/energy, physical role disability, and general health subscales of SF-36 in favor of the mud pack compared with the hot pack group at post-treatment. A significant increase is detected for IGF-1 in the mud pack group 3 months after treatment compared with the baseline, and the difference is significant between groups 3 months after the treatment.

CONCLUSION:

Mud pack is a favorable option compared with hotpack for pain relief and for the improvement of functional conditions in treating patients with knee osteoarthritis.

• Authors: Ayşe Sarsan, Nuray Akkaya, Merih Ozgen, Necmettin Yildiz, Nilgun Simsir Atalay, Fusun Ardic
• Journal: Journal of back and musculoskeletal rehabilitation (J Back Musculoskelet Rehabil) Vol. 25 Issue 3 Pg. 193-9 ( 2012) ISSN: 1878-6324 [Electronic] Netherlands
• PMID: 22935858 (Publication Type: Journal Article, Randomized Controlled Trial)

Chemical References

• Interleukin-6
• Tumor Necrosis Factor-alpha
• Insulin-Like Growth Factor I

Topics

• Humans
• Hyperthermia, Induced (methods)
• Insulin-Like Growth Factor I (metabolism)
• Interleukin-6 (blood)
• Middle Aged
• Mud Therapy (methods)
• Osteoarthritis, Knee (blood, physiopathology, therapy)
• Pain Management (methods)
• Pain Measurement
• Prospective Studies
• Quality of Life
• Single-Blind Method
• Treatment Outcome
• Tumor Necrosis Factor-alpha (blood)