Affiliations: [a] Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Pamukkale University, Denizli, Turkey | [b] Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Eskisehir Osmangazi University, Eskisehir, Turkey
Correspondence:
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Address for correspondence: Nuray Akkaya, MD, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Pamukkale University, Kinikli, Denizli, Turkey. Tel.: +90 536 820 45 01; Fax: +90 258 211 81 29; E-mail: nrakkaya@gmail.com
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.
Keywords: Knee osteoarthritis, mud pack therapy, quality of life
