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Medical Hydrology and Balneology: Environmental Aspects

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Effect of pelotherapy on the perception painful<br />

<strong>and</strong> drug use in patients diagnosed with<br />

knee osteoarthritis<br />

Espejo L (1) , Cardero M (2) , Torres S (1) , Caro B (1) , Ibañez B (3)<br />

(1) Departamento de Terapéutica Médico-Quirúrgica,<br />

Universidad de Extremadura, Badajoz, Spain<br />

(2) Centro Sociosanitario Puente Real, Badajoz, Spain<br />

(3) El Raposo Spa, Badajoz, Spain<br />

storres@unex.es<br />

Introduction <strong>and</strong> Objectives<br />

Given the active aging population <strong>and</strong> the current high level of interest in investigating<br />

what / physical agents is frequently used in the bathing establishments are<br />

most suitable in the treatment of osteoarthritis, the objectives of this paper are based<br />

to know the effects that the application of natural peloid on perceived pain <strong>and</strong><br />

consumption of drugs in patients diagnosed with knee osteoarthritis<br />

Materials <strong>and</strong> Methods<br />

Experimental, prospective, controlled, single blind. The experimental group<br />

(EG) consisted of 61 subjects who come to the Spa the Raposo (Badajoz) for treatment,<br />

whose average age was (69.13 ± 5.60 years) while the control group (CG)<br />

consisted of 60 subjects mean age 73.08 is ± 8.90 years.<br />

Inclusion criteria were a diagnosis of osteoarthritis according to the criteria of<br />

the American College of Rheumatology (Altman, 1986) <strong>and</strong> that were in the age<br />

range between 65 <strong>and</strong> 80. Exclusion criteria were to present partial denture or total<br />

knee <strong>and</strong> having done some physical therapy in the past two weeks. EG was applied<br />

to a total of 11 daily sessions of pelotherapy, with the duration of 60-72 minutes<br />

each. The CG did not receive any intervention continuing his routine. The sample<br />

was assessed before <strong>and</strong> after the intervention with respect to the perception of pain<br />

by Visual Analogue Scale (VAS) <strong>and</strong> the record of the evolution in the use of<br />

specific drugs for arthritic symptoms, setting the significance level to rule out the<br />

null hypothesis if p < 0.05. Data were analyzed using SPSS 19.0 statistical software<br />

Results<br />

Are obtained statistically significant changes (p ≤ 0.05) between pre-<strong>and</strong> posttest<br />

on pain perception in the EG (p ≤ 0.0001), from 4.53 to 2.55 points on the VAS<br />

scale, while the CG not get significant changes (p = 0.287), significant differences<br />

between groups (p ≤ 0.0001). In the EG significantly reduces the consumption of<br />

specific drugs (p = 0.021) in 48.1%, while 22.2% stop taking drugs. Both the GE<br />

Balnea 391<br />

ISBN: 978-84-669-1887-0<br />

978-84-669-3482-4<br />

2012, núm. 6, 391-392

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