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NCT Number: NCT04531969

Comparison of Outpatient and Inpatient Spa Therapy

In this study, we aimed to compare the effectiveness of inpatient and outpatient physical therapy modalities and spa combination treatments on pain and functional status in patients with knee osteoarthritis.

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Key information

Conditions

Osteoarthritis, Knee Arthritis Joint Diseases Musculoskeletal Diseases Osteoarthritis Rheumatic Diseases

Age range

18 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Abant Izzet Baysal University

Bolu, Merkez, 14100, Turkey (Türkiye)

About this study

Osteoarthritis (OA) has an important place in musculoskeletal diseases and is the most common rheumatic joint disorder characterized by progressive cartilage degeneration. Osteoarthritis of the knee is the most common symptomatic osteoarthritis characterized by chronic knee pain, joint stiffness, limited daily activities, and decreased quality of life.

In this study, it was aimed to compare the effects of inpatient and outpatient applications of HP, US, TENS, spa combination treatments on pain and functional status in patients with knee osteoarthritis.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients diagnosed with primary knee osteoarthritis

Exclusion criteria

  • Patients who have secondary knee osteoarthritis due to various diseases
  • Patients with pronounced pathology in the waist, hip and ankle joint, patients with active tumors
  • Patients with febrile infectious disease
  • Having had serious surgical operations in the last 6 months
  • Patients who have undergone and/or have been injected with intraarticular steroid and hyaluronic acid into the knee joint
  • Patients who have received balneotherapy and peloidotherapy in the last one year
  • Patients with decompensated organ failure, those with inflammatory disease, those with pregnancy and breastfeeding
  • People with neurological diseases such as epilepsy, inner ear hearing aids, pacemakers and other individuals with a small metallic implant

Treatment and study plan

Spa therapy and conventional physical therapy

Other

HP application +deep heater application + TENS. HP application: A hotpack wrapped in a towel for 20 minutes will be placed on the knee and surrounding soft tissues.

Deep heater application: The application will be performed with a therapeutic ultrasound device at a dose of 1.5watt / cm2 for each string for 6 minutes.

TENS application:TENS device with two electrodes surrounding tendon will be performed for 30 minutes at low-frequency current application.

Spa therapy: A conventional water bath water at 38 ° C will be applied in the pool for 20 minutes a day.

Primary outcomes

  1. Western Ontario and McMaster University (WOMAC) osteoarthritis index

    Time frame: two weeks

    The form consists of three parts (pain, stiffness, and physical function) and 24 questions. High WOMAC values indicate an increase in pain and stiffness and impairment of physical function.

Secondary outcomes

  1. Visual Analog Scale (VAS)

    Time frame: two weeks

    The patient was asked to mark the severity of his or her pain with active motion on a horizontal line 100 millimeters in length. The intensity of the pain was calculated by measuring the area in which the individual marked between 0 (no pain) and 10 (the most severe pain I felt in my life).

  2. Timed Up and Go (TUG)

    Time frame: two weeks

    The patient starts in a seated position and stands up upon therapist's command: walks 3 meters, turns around, walks back to the chair and sits down. The time stops when the patient is seated. The subject is allowed to use an assistive device.

Sponsors and collaborators

Lead sponsor

Abant Izzet Baysal University

Other

Registry information

Official study title

Comparison of Outpatient and Inpatient Spa Therapy in Knee Osteoarthritis

Important dates

Study start
2020
Primary completion
2022
Study completion
2022
First posted
Aug 31, 2020
Registry last updated
Sep 25, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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