Comparison of high-frequency intensive balneotherapy with low-frequency balneotherapy combined with land-based exercise on postural control in symptomatic knee osteoarthritis: a randomized clinical trial.
Balneotherapy
Exercise
Knee osteoarthritis
Older adult
Physical rehabilitation
Postural balance
Posturography
Journal
International journal of biometeorology
ISSN: 1432-1254
Titre abrégé: Int J Biometeorol
Pays: United States
ID NLM: 0374716
Informations de publication
Date de publication:
Sep 2019
Sep 2019
Historique:
received:
07
12
2018
accepted:
25
04
2019
revised:
24
04
2019
pubmed:
9
5
2019
medline:
12
10
2019
entrez:
9
5
2019
Statut:
ppublish
Résumé
Knee osteoarthritis (KOA) can generate postural control impairments which can increase fall risk. Land-based exercise (LBE) and balneotherapy are two modalities currently prescribed, but the impact of the latter on balance control has not been studied. This study aimed to compare two programs of balneotherapy with or without LBE to improve postural control, looking at frequency and duration of treatment. A total of 236 KOA patients (mean age = 64 years) were included in this prospective and randomized study: 122 patients went through 3 weeks of standardized continuous balneotherapy (high frequency/short duration) program (Gr1) and 114 went through 3 weeks of discontinuous (low frequency) balneotherapy program followed by 3 weeks of LBE (Gr2). The total number of treatment sessions was the same for both groups. Posturography was carried out before balneotherapy (W0) and at 3 (W3), 6 (W6), and 12 (W12) weeks after the beginning of treatment. Postural control increased in Gr1 from W0 to W3 and from W0 to W12 and in Gr2 from W0 to W6 and from W3 to W6. The improvement was greater in Gr1 from W0 to W3 and from W6 to W12 and in Gr2 from W3 to W6. High-frequency intensive balneotherapy improved posture control at 3 weeks, while low-frequency balneotherapy did not. This improvement persisted over a 12-week assessment period at the same level. LBE generated an improvement that did not persist over time. Sustained improvement of postural control requires high-frequency repetition of consecutive balneotherapy sessions.
Identifiants
pubmed: 31065841
doi: 10.1007/s00484-019-01727-9
pii: 10.1007/s00484-019-01727-9
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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