Comparison of Outpatient and Inpatient Spa Therapy

Not Applicable

Completed

• Conditions: Osteoarthritis, Knee
• Interventions: Other: Spa therapy and conventional physical therapy

• Registration Number: NCT04531969
• Lead Sponsor: Abant Izzet Baysal University

Brief Summary

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.

Detailed Description

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.

Study Timeline

• Study First Submitted: 2020-08-26
• Study First Submitted QC: 2020-08-26
• Study First Posted: 2020-08-31
• Study Start: 2020-09-08
• Primary Completion: 2022-12-01
• Study Completion: 2022-12-15
• Status Verified: 2023-09
• Last Update Submitted: 2023-09-22
• Last Update Posted: 2023-09-25

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 74

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Outpatient group	Spa therapy and conventional physical therapy	Spa therapy,HP application, deep heater application, and TENS.
Inpatient group	Spa therapy and conventional physical therapy	Spa therapy,HP application, deep heater application, and TENS.

Primary Outcome Measures

Name	Time	Method
Western Ontario and McMaster University (WOMAC) osteoarthritis index	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 Outcome Measures

Name	Time	Method
Visual Analog Scale (VAS)	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).
Timed Up and Go (TUG)	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.

Trial Locations

Locations (1)

Abant Izzet Baysal University; 🇹🇷 Bolu, Merkez, Turkey