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    Efeitos dos banhos de imersão em águas sulfurosas em pacientes com osteoartrite de joelho: ensaio clínico controlado e randomizado
    (Universidade Federal de São Paulo (UNIFESP), 2013-12-20) Branco, Marcelo [UNIFESP]; Trevisani, Virginia Fernandes Moca Trevisani [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    The aim of this study was to evaluate the effectiveness of immersion baths in sulphurous water in the treatment of knee osteoarthritis. A controlled experiment with blind assessment has been conducted. 140 knee osteoarthritis patients of both genders, average age 64.8 ± 8.9 years have been selected. These were randomized into three groups: Group sulphurous thermal water (n=47 patients), undergoing immersion baths in thermal water sulphurous; Group non-sulphurous thermal water (n=50 patients), undergoing immersion baths in non-sulphurous thermal water; Group C the control group (n=43 patients), that hasn’t been submited to any treatment. Patients of Group sulphurous thermal water and Group non-sulphurous thermal water have been submited to 30 individual treatment sessions, three times a week, lasting twenty minutes each session, for ten weeks. The evaluation took place at three points of time: before the therapy, refer in the data base to Baseline results; immediately after the complete therapy, refer in the data base to Endpoint results; two months after the Endpoint evaluation, refer in the data base to Follow-up results. The considered measures (parameters) analysed via different questionnaires were as follows: pain (visual analog scale); physical function (WOMAC, Lequesne and HAQ); quality of life (SF - 36) and use of pain medication. The comparisons have been made within and between groups and p values < 0.05 were considered statistically significant. Results: pain and physical function: the results showed a significant reduction in the levels of pain of the treated groups in comparison to the control group. The sulphurous water group indicated even a greater reduction in pain intensity in comparison to non-sulphurous water group. This significant improvement regarding the analysis of the 3 mentioned groups can be observed in the data base results of the questionnaires WOMAC A, WOMAC B, WOMAC C, HAQ and Lequesne. Parameter quality of life: in both treated groups a significant improvement in all 8 subitems of the SF-36 questionnaires have been observed. When comparing the 3 groups, the treated groups were significantly better than the control group C in all 8 SF-36 subitems. Paramenter use of pain medication: it has been observed that the treated groups made less use of pain medication in comparison to the control group, with statistically significant difference. Conclusion: It could be concluded that both methods “baths with sulphurous water” and “baths with non-sulphurous water” have been effective and have presented better results in comparison to the control group (non-treated group) regarding pain reduction, improved physical function, quality of life and reduction on the use of pain medication. Nevertheless it’s important to highlight the oberservation in this study that the sulphurous thermal water results were superior than the no-sulphurous water ones in the treatment of knee osteoarthritis.