Evaluation of Spa Medicine on the Example of Comprehensive Therapy in the Spa Resort Przerzeczyn Zdroj
NCT ID: NCT03405350
Last Updated: 2018-01-23
Study Results
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Basic Information
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COMPLETED
NA
127 participants
INTERVENTIONAL
2009-01-31
2011-12-31
Brief Summary
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Detailed Description
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The study group consisted of patients with joint or back pain due to osteoarthritis or degenerative disc disease.participating in therapy. On the day of admission to the SPA the patients were subjected to subjective and objective examination. Laboratory tests (lipids profile, CRP, smear blood morphology, TAS- total antioxidative potential, the concentration of endorphins and serotonin, bilirubin, uric acid, albumin) were performed before treatment on day 5 and after 18 days. In addition, before and after treatment, standard scales were used to assess pain intensity VAS scale and anxiety and depression levels - HADS scale.
The control group was selected by the spa workers. On the day of admission to the SPA the patients were subjected to subjective and objective examination. Laboratory tests (lipids profile, CRP, smear blood morphology, TAS- total antioxidative potential, the concentration of endorphins and serotonin) were performed before treatment on day 5 and after 18 days. In addition, before and after treatment, standard scales were used to assess pain intensity: VAS scale and anxiety and depression levels - HADS scale.
Conditions
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Study Design
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NON_RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Study Group
The treatment included a comprehensive therapy: redon-sulfide baths, partial mud baths, kinesiotherapy, terrain therapy, dry massage, laser therapy, low-frequency magnetic field, ultrasonotherapy, cryotherapy, electrotherapy, light therapy. On the day of admission to the SPA the patients were subjected to subjective and objective examination. Laboratory tests (lipids profile, CRP, smear blood morphology, TAS- total antioxidative potential, the concentration of endorphins and serotonin, bilirubin, uric acid, albumin) were performed before treatment on day 5 and after 18 days. In addition, before and after treatment, standard scales were used to assess pain intensity: VAS scale and anxiety and depression levels - HADS scale.
Redon-sulfide baths
Encompassing whole body or isolated limbs - upper and/or lower limbs - temperature: 37-38 degrees Celsius, duration: 20 minutes.
Partial Mud Baths
duration: 20 minutes, temperature 40-42 degrees Celsius
Kinesiotherapy
It is the therapeutic treatment of disease by passive and active muscular movements (as by massage) and of exercise. It is the core element of physiotherapy/physical therapy. Kinesiotherapy - duration of 30-45 min.
Terrain Therapy
walking, outdoors physical activities,
Dry Massage
Depending on the needs of each patient it involved cervical (CC), thoracic (TH), or lumbar spine (LS).
Laser Therapy
treatment parameters: sweeping, continuous, wavelength 808 nm, power 12 J, 400mV, duration 30s,
Low-frequency Magnetic Field
duration 20 minutes, impulse shape - rectangular, induction 5 mT, frequency 20-50Hz,
Ultrasonotherapy
treatment parameters: 800kHz/6cm2 head, ultrasound impulse wave: 2ms - impulse, 9ms - break, dose 0.5-0.6 W/cm2 over 6 minutes,
Cryotherapy
ventilator, treatment duration 2-3 minutes, temperature - 80 to - 110 degrees Celsius,
Electrotherapy
Bernard's diadynamic currents - treatment parameters: DF1 CP4 LP4, Nemec interference currents (frequency range 0-100Hz), percutaneous electrostimulation (TENS) - rectangular impulse currents, impulse duration 0.2ms, frequency 40Hz, regulated current 0-100mA,
Light Therapy
blue filter Sollux lamp, radiation distance 30-40 cm, duration 15 minutes, Bioptron lamp - radiation distance 10 cm, duration 5-10 minutes
Control Group
On the day of admission to the SPA the patients were subjected to subjective and objective examination. Laboratory tests (lipids profile, CRP, smear blood morphology, TAS- total antioxidative potential, the concentration of endorphins and serotonin, bilirubin, uric acid, albumin) were performed before treatment on day 5 and after 18 days. In addition, before and after treatment, standard scales were used to assess pain intensity: VAS scale and anxiety and depression levels - HADS scale.
No interventions assigned to this group
Interventions
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Redon-sulfide baths
Encompassing whole body or isolated limbs - upper and/or lower limbs - temperature: 37-38 degrees Celsius, duration: 20 minutes.
Partial Mud Baths
duration: 20 minutes, temperature 40-42 degrees Celsius
Kinesiotherapy
It is the therapeutic treatment of disease by passive and active muscular movements (as by massage) and of exercise. It is the core element of physiotherapy/physical therapy. Kinesiotherapy - duration of 30-45 min.
Terrain Therapy
walking, outdoors physical activities,
Dry Massage
Depending on the needs of each patient it involved cervical (CC), thoracic (TH), or lumbar spine (LS).
Laser Therapy
treatment parameters: sweeping, continuous, wavelength 808 nm, power 12 J, 400mV, duration 30s,
Low-frequency Magnetic Field
duration 20 minutes, impulse shape - rectangular, induction 5 mT, frequency 20-50Hz,
Ultrasonotherapy
treatment parameters: 800kHz/6cm2 head, ultrasound impulse wave: 2ms - impulse, 9ms - break, dose 0.5-0.6 W/cm2 over 6 minutes,
Cryotherapy
ventilator, treatment duration 2-3 minutes, temperature - 80 to - 110 degrees Celsius,
Electrotherapy
Bernard's diadynamic currents - treatment parameters: DF1 CP4 LP4, Nemec interference currents (frequency range 0-100Hz), percutaneous electrostimulation (TENS) - rectangular impulse currents, impulse duration 0.2ms, frequency 40Hz, regulated current 0-100mA,
Light Therapy
blue filter Sollux lamp, radiation distance 30-40 cm, duration 15 minutes, Bioptron lamp - radiation distance 10 cm, duration 5-10 minutes
Eligibility Criteria
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Inclusion Criteria
* age range 30-69 years;
* the written consent to participate in research;
* no impediment to comprehensive treatment at the spa.
Exclusion Criteria
* the age under 30 and over 70 years;
* the presence of diseases constituting a contraindication to therapy (compatible with the standard list of indications and contraindications to spa therapy);
30 Years
69 Years
ALL
No
Sponsors
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Wroclaw Medical University
OTHER
Responsible Party
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Jadwiga Kuciel-Lewandowska
Doctor of Medicine
Principal Investigators
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Jadwiga Kuciel-Lewandowska, MD
Role: STUDY_DIRECTOR
MD, Departament of Spa Treatment, History Physical Medicine and Balneology Medical University of Wroclaw
References
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Kuciel-Lewandowska J, Kasperczak M, Paprocka-Borowicz M. Assessment of Changes in the Hemoglobin Level under the Influence of Comprehensive Spa Therapy Using Therapeutic Radon-Sulfur Waters and Its Correlation with Free Radical Reactions. Evid Based Complement Alternat Med. 2020 Jul 20;2020:4637129. doi: 10.1155/2020/4637129. eCollection 2020.
Kuciel-Lewandowska J, Kasperczak M, Lewandowski LB, Paprocka-Borowicz M. Assessment of the Level of Pain Intensity and the Level of Anxiety Treated as State and Trait in Patients with Osteoarthritis of the Limbs. Pain Res Manag. 2020 Apr 23;2020:5904743. doi: 10.1155/2020/5904743. eCollection 2020.
Kuciel-Lewandowska J, Kasperczak M, Bogut B, Heider R, Laber WT, Laber W, Paprocka-Borowicz M. The Impact of Health Resort Treatment on the Nonenzymatic Endogenous Antioxidant System. Oxid Med Cell Longev. 2020 Jan 31;2020:8423105. doi: 10.1155/2020/8423105. eCollection 2020.
Other Identifiers
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KB 401/2008
Identifier Type: -
Identifier Source: org_study_id
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