Article

Osteoarthritis (OA) is a public health problem that will probably
increase in the future with the aging of the population. Crenobalneotherapy is
commonly used to treat OA, but evidence from previous reviews was not sufficient.
This systematic review aimed to identify the best evidence for the clinical
effect of crenobalneotherapy for knee OA. METHODS:
We systematically searched
MEDLINE via PubMed, PEDRO and the Cochrane Central Register of Controlled Trials
for articles published up to September 2015. Articles were included if trials
were comparative, if one or more of the subgroups had knee OA with separate data,
and if spa therapy or any hydrotherapy techniques involving mineral water or
mineral mud was compared to any other intervention or no treatment. Statistical
validity, external validity and quality of side effects assessment were evaluated
by personal checklists. Risk of bias was assessed by the CLEAR NTP. RESULTS:
Treatments (hot mineral water baths, mud therapy, hot showers, and sometimes
massage and supervised water exercises) delivered in spa centers across Europe
and the Middle East seem to improve symptoms in knee OA. They may be effective
for pain and function. There are conflicting results about the effect on quality
of life and drug consumption. CONCLUSIONS: Improvements with spa therapy for knee
OA appear to be clinically relevant until 3 to 6 months and sometimes 9 months.
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Langue : ANGLAIS