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[PMID]:29206009
[Au] Autor:Pinto Costa RM
[Ti] Título:Hydrotherapy and medical entrepreneurship: the "water spell" of Ricardo Jorge.
[So] Source:Dynamis;37(1):133-57, 2017.
[Is] ISSN:0211-9536
[Cp] País de publicação:Spain
[La] Idioma:eng
[Ab] Resumo:Between 1886 and 1893, the doctor and hygienist Ricardo Jorge was linked to a commercial and medical project on the waters of Gerês. Known for many centuries and used for therapeutic purposes, they were administered on an empirical basis. When new chemical analyses were first published, the empirical properties of these waters took on a new role in hydrotherapy based on their now proven mineral and medicinal qualities. The article discusses in detail Ricardo Jorge's business venture, framing it in the context of the economic collection and treatment potential of mineral waters and the revival of the phenomenon of hydrotherapy, legitimized by new developments in the chemical analysis of waters. The commercial failure to exploit the water resources highlights the difficulties of this project and the complexity of the professional practice of hydrological medicine, although it resulted in a strengthening of Ricardo's authority and prestige in the field of hydrotherapy.
[Mh] Termos MeSH primário: Contrato de Risco/história
Hidroterapia/história
Águas Minerais/história
[Mh] Termos MeSH secundário: História do Século XIX
Hidroterapia/economia
Hidroterapia/métodos
Águas Minerais/análise
Portugal
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Mineral Waters)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:QIS
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE


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[PMID]:28538307
[Au] Autor:Schimpchen J; Wagner M; Ferrauti A; Kellmann M; Pfeiffer M; Meyer T
[Ad] Endereço:1Institute of Sports and Preventive Medicine, Saarland University, Saarbrücken, Germany; 2Faculty of Sport Science, Ruhr University, Bochum, Germany; 3School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Australia; and 4Institute of Sports Science, Johannes-Gutenberg University, Mainz, Germany.
[Ti] Título:Can Cold Water Immersion Enhance Recovery in Elite Olympic Weightlifters? An Individualized Perspective.
[So] Source:J Strength Cond Res;31(6):1569-1576, 2017 06.
[Is] ISSN:1533-4287
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We investigated whether cold water immersion (CWI) after intensive training sessions can enhance recovery in elite Olympic weightlifters, taking into account each athlete's individual response pattern. The entire German male Olympic weightlifting national team participated in the study (n = 7), ensuring collection of data from elite athletes only. Using a randomized cross-over design, the athletes went through 2 high-intensity training microcycles consisting of 5 training sessions that were either followed by a CWI or passive recovery. Barbell speed in a snatch pull movement, blood parameters, and subjective ratings of general fatigue and recovery were assessed throughout the study. Physical performance at 2 snatch pull intensities (85% one repetition maximum [1RM]: -0.15% vs. -0.22%, p = 0.94; 90% 1RM: -0.7% vs. +1.23%, p = 0.25) did not differ significantly (condition × time). Although questionnaires revealed a significant decline in the ratings of overall recovery (p < 0.001) and a significantly higher rating of overall stress (p = 0.03) over time, no significant differences between conditions (p = 0.14; p = 0.98) could be revealed. Similarly, neither of the analyzed blood parameters changed significantly between conditions over time (creatine kinase: p = 0.53; urea: p = 0.43; cortisol: p = 0.59; testosterone: p = 0.53; testosterone:cortisol ratio: p = 0.69). In general, CWI did not prove to be an effective tool to enhance recovery in elite Olympic weightlifters over a 3-day intensive training period. However, even though the group was rather homogeneous with regard to performance, there were considerable intersubject differences in their response to CWI. It seems that athletes are best advised on a case-by-case basis.
[Mh] Termos MeSH primário: Desempenho Atlético/fisiologia
Temperatura Baixa
Fadiga/terapia
Hidroterapia/métodos
Levantamento de Peso/fisiologia
[Mh] Termos MeSH secundário: Atletas
Creatina Quinase/sangue
Estudos Transversais
Exercício/fisiologia
Alemanha
Seres Humanos
Hidrocortisona/sangue
Masculino
Movimento/fisiologia
Testosterona/sangue
Água
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
059QF0KO0R (Water); 3XMK78S47O (Testosterone); EC 2.7.3.2 (Creatine Kinase); WI4X0X7BPJ (Hydrocortisone)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171101
[Lr] Data última revisão:
171101
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170525
[St] Status:MEDLINE
[do] DOI:10.1519/JSC.0000000000001591


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[PMID]:28444094
[Au] Autor:Malanotte JA; Kakihata CMM; Karvat J; Brancalhão RMC; Ribeiro LFC; Bertolini GRF
[Ad] Endereço:Universidade Estadual do Oeste do Paraná, Cascavel, PR, Brazil.
[Ti] Título:Jumping in aquatic environment after sciatic nerve compression: nociceptive evaluation and morphological characteristics of the soleus muscle of Wistar rats.
[So] Source:Einstein (Sao Paulo);15(1):77-84, 2017 Jan-Mar.
[Is] ISSN:2317-6385
[Cp] País de publicação:Brazil
[La] Idioma:eng; por
[Ab] Resumo:Objective: To evaluate the effect of jumping in aquatic environment on nociception and in the soleus muscle of trained and not trained Wistar rats, in the treatment of compressive neuropathy of the sciatic nerve. Methods: Twenty-five Wistar rats were distributed into five groups: Control, Lesion, Trained + Lesion, Lesion + Exercise, and Trained + Lesion + Exercise. The training was jumping exercise in water environment for 20 days prior to injury, and treatment after the injury. Nociception was evaluated in two occasions, before injury and seven after injury. On the last day of the experiment, the right soleus muscles were collected, processed and analyzed as to morphology and morphometry. Results: In the assessment of nociception in the injury site, the Control Group had higher average than the rest, and the Lesion Group was larger than the Trained + Lesion and Lesion + Exercise Groups. The Control Group showed higher nociceptive threshold in paw, compared to the others. In the morphometric analysis, in relation to Control Group, all the injured groups showed decreased muscle fiber area, and in the Lesion Group was lower than in the Lesion + Exercise Group and Trained + Lesion Group. Considering the diameter of the muscle fiber, the Control Group had a higher average than the Trained + Lesion Group and the Trained + Lesion + Exercise Group; and the Lesion Group showed an average lower than the Trained + Lesion and Lesion + Exercise Groups. Conclusion: Resistance exercise produced increased nociception. When performed prior or after nerve damage, it proved effective in avoiding hypotrophy. The combination of the two protocols led to decrease in diameter and area of the muscle fiber. Objetivo: Avaliar os efeitos do salto em meio aquático, na nocicepção e no músculo sóleo, em ratos Wistar treinados e não treinados, no tratamento de neuropatia compressiva do nervo isquiático. Métodos: Foram distribuídos em cinco grupos 25 ratos Wistar: Controle, Lesão, Treinado + Lesão, Lesão + Exercício e Treinado + Lesão + Exercício. O treino foi com exercício de salto em meio aquático durante 20 dias, prévio à lesão, e o tratamento ocorreu após a lesão. Foram realizadas avaliações da nocicepção, sendo uma pré-lesão e sete pós-lesão. No último dia de experimento, os músculos sóleos direitos foram coletados, processados e analisados por meio de morfologia e morfometria. Resultados: Na avaliação da nocicepção no local da lesão, o Grupo Controle apresentou média maior que os demais, e o Grupo Lesão foi maior que os Grupos Treinado + Lesão e Lesão + Exercício. O Grupo Controle apresentou limiar nociceptivo na pata maior com relação aos demais. Nas análises morfométricas, em relação ao Grupo Controle, todos os grupos lesionados apresentaram diminuição da área da fibra muscular; o Grupo Lesão apresentou-se menor que os Grupos Treinado + Lesão e Lesão + Exercício. No diâmetro da fibra muscular, o Grupo Controle apresentou média maior que os Grupos Treinado + Lesão e Treinado + Lesão + Exercício, e o Grupo Lesão apresentou média menor que os Grupos Treinado + Lesão e Lesão + Exercício. Conclusão: O exercício físico resistido produziu aumento da nocicepção. Quando realizado previamente ou após a lesão nervosa, mostrou-se eficaz em evitar a hipotrofia. A associação dos dois protocolos levou à diminuição do diâmetro e da área da fibra muscular.
[Mh] Termos MeSH primário: Hidroterapia/métodos
Músculo Esquelético/fisiopatologia
Síndromes de Compressão Nervosa/fisiopatologia
Síndromes de Compressão Nervosa/terapia
Nociceptividade/fisiologia
Neuropatia Ciática/fisiopatologia
Neuropatia Ciática/terapia
[Mh] Termos MeSH secundário: Animais
Masculino
Condicionamento Físico Animal/fisiologia
Distribuição Aleatória
Ratos Wistar
Valores de Referência
Reprodutibilidade dos Testes
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170829
[Lr] Data última revisão:
170829
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170427
[St] Status:MEDLINE


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[PMID]:28415952
[Au] Autor:Zeng J; Lai H; Zheng D; Zhong L; Huang Z; Wang S; Zou W; Wei L
[Ad] Endereço:1 College of Traditional Chinese Medicine, Southern Medical University, Guangzhou, China.
[Ti] Título:Effective treatment of ketamine-associated cystitis with botulinum toxin type a injection combined with bladder hydrodistention.
[So] Source:J Int Med Res;45(2):792-797, 2017 Apr.
[Is] ISSN:1473-2300
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Objective Ketamine-associated cystitis (KAC) has been described in a few case reports, but its treatment in a relatively large number of patients has not been documented. This study aimed to describe our experience of treatment of 36 patients with KAC. Methods Thirty-six patients (30 males and 6 females, aged 19-38 years) with KAC, who had previously taken a muscarinic receptor blocker and/or antibiotics, but without symptomatic relief, were treated with botulinum toxin A injection combined with bladder hydrodistention. Urodynamic testing, and the O'Leary-Sant interstitial cystitis symptom index (ICSI) and problem index (ICPI) were used to evaluate baseline values and improvement before and after the treatment. Results One month post-treatment, all patients achieved marked relief of symptoms. The nocturia time was markedly reduced, while bladder capacity, the interval between micturition, the void volume, and the maximum flow rate were remarkably increased at 1 month. Additionally, the ICSI and ICPI were significantly improved. Conclusion Botulinum toxin A injection along with bladder hydrodistention is effective for managing KAC.
[Mh] Termos MeSH primário: Toxinas Botulínicas Tipo A/uso terapêutico
Cistite/terapia
Hidroterapia/métodos
Expansão de Tecido/métodos
Bexiga Urinária/efeitos dos fármacos
[Mh] Termos MeSH secundário: Adulto
Anestésicos Dissociativos/efeitos adversos
Cistite/induzido quimicamente
Cistite/fisiopatologia
Feminino
Seres Humanos
Ketamina/efeitos adversos
Masculino
Estudos Prospectivos
Resultado do Tratamento
Bexiga Urinária/fisiopatologia
Micção/efeitos dos fármacos
Micção/fisiologia
Urodinâmica
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anesthetics, Dissociative); 690G0D6V8H (Ketamine); EC 3.4.24.69 (Botulinum Toxins, Type A)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170419
[St] Status:MEDLINE
[do] DOI:10.1177/0300060517693956


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[PMID]:28376565
[Au] Autor:Batten M; Stevenson E; Zimmermann D; Isaacs C
[Ti] Título:Implementation of a Hydrotherapy Protocol to Improve Postpartum Pain Management.
[So] Source:J Midwifery Womens Health;62(2):210-214, 2017 Mar.
[Is] ISSN:1542-2011
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: A growing number of women are seeking alternatives to traditional pharmacologic pain management during birth. While there has been an extensive array of nonpharmacologic options developed for labor, there are limited offerings in the postpartum period. The purpose of this quality improvement project was to implement a hydrotherapy protocol in the early postpartum period to improve pain management for women choosing a nonmedicated birth. PROCESS: The postpartum hydrotherapy protocol was initiated in a certified nurse-midwife (CNM) practice in an urban academic medical center. All women who met criteria were offered a 30-minute warm water immersion bath at one hour postpartum. Pain scores were assessed prior to the bath, at 15 minutes after onset, and again at the conclusion (30 minutes). Women who completed the bath were also asked to complete a brief survey on their experience with postpartum hydrotherapy. OUTCOMES: In women who used the bath (N = 45), there was a significant reduction in pain scores (P < .001) between the onset of the bath and scores at both 15 minutes and 30 minutes. There was no significant difference between pain scores at 15 minutes and 30 minutes (P = .97). Of those women who completed a survey (n = 43), 97.7% reported both that the bath reduced their pain and improved their birth experience. One hundred percent reported they would use it again in another birth. DISCUSSION: This project demonstrated successful implementation of a hydrotherapy protocol as an alternative or adjunct to medication for early postpartum pain management that significantly reduced pain and improved the birth experience for those who used it. It offers a nonpharmacologic alternative where there have traditionally been limited options.
[Mh] Termos MeSH primário: Hidroterapia
Parto Normal
Complicações do Trabalho de Parto
Manejo da Dor
Dor/etiologia
Período Pós-Parto
[Mh] Termos MeSH secundário: Protocolos Clínicos
Feminino
Seres Humanos
Imersão
Enfermeiras Obstétricas
Medição da Dor
Satisfação do Paciente
Gravidez
Água
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
059QF0KO0R (Water)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170913
[Lr] Data última revisão:
170913
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:170405
[St] Status:MEDLINE
[do] DOI:10.1111/jmwh.12580


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[PMID]:28276987
[Au] Autor:Sánchez-Ureña B; Martínez-Guardado I; Crespo C; Timón R; Calleja-González J; Ibañez SJ; Olcina G
[Ad] Endereço:a Human Movement and Quality Life School , Universidad Nacional de Costa Rica , Heredia , Costa Rica.
[Ti] Título:The use of continuous vs. intermittent cold water immersion as a recovery method in basketball players after training: a randomized controlled trial.
[So] Source:Phys Sportsmed;45(2):134-139, 2017 May.
[Is] ISSN:2326-3660
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: The main objective of this study was to compare two cold water immersion protocols, continuous or intermittent, on recovery in basketball players. METHODS: Ten male basketball players (age: 14 ± 0.4 years, body mass: 65.4 ± 9.1 kg, height: 175 ± 7.3 cm, body fat %: 10.3 ± 4) were included in the study. After three 90-minute training sessions (avg. heart rate 158 ± 11.92, 156 ± 7.06 and 151 ± 10.44 bpm), participants were grouped into a continuous immersion (12 min at 12 ± 0.4°C) group, intermittent immersion (4 x 2 min immersion at 12 ± 0.4 °C + 1 min out of water) group and a control group (CG). Countermovement jump (CMJ), muscle pain and thigh volume were measured. RESULTS: Both cold water immersion protocols were effective in reducing the pain 24 and 48 hours after training compared with the CG (F (3.54) = 2.91, p = 0.016, η = .24). Concerning CMJ change, % differences occurred at 24 (Z = 11.04, p = 0.004) and 48 hours (Z = 14.01, p < 0.001) in comparison with the CG. Regarding the muscle volume, the statistical analysis did not report a significant interaction (F (3.54) = 2.42, p = 0.058). CONCLUSION: Both cold water immersion CWI protocols are effective in improving recovery in basketball players.
[Mh] Termos MeSH primário: Basquetebol
Temperatura Baixa
Hidroterapia/métodos
Imersão
Dor Musculoesquelética/terapia
Água
[Mh] Termos MeSH secundário: Adolescente
Exercício
Teste de Esforço
Frequência Cardíaca
Seres Humanos
Perna (Membro)
Masculino
Movimento
Educação Física e Treinamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
059QF0KO0R (Water)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170310
[St] Status:MEDLINE
[do] DOI:10.1080/00913847.2017.1292832


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[PMID]:28207546
[Au] Autor:Chow GC; Yam TT; Chung JW; Fong SS
[Ad] Endereço:aSchool of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong bFaculty of Liberal Arts and Social Sciences cDepartment of Health and Physical Education, The Education University of Hong Kong, Hong Kong.
[Ti] Título:Effects of postexercise ice-water and room-temperature water immersion on the sensory organization of balance control and lower limb proprioception in amateur rugby players: A randomized controlled trial.
[So] Source:Medicine (Baltimore);96(7):e6146, 2017 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: This single-blinded, three-armed randomized controlled trial aimed to compare the effects of postexercise ice-water immersion (IWI), room-temperature water immersion (RWI), and no water immersion on the balance performance and knee joint proprioception of amateur rugby players. METHODS: Fifty-three eligible amateur rugby players (mean age ±â€Šstandard deviation: 21.6 ±â€Š2.9 years) were randomly assigned to the IWI group (5.3 °C), RWI group (25.0 °C), or the no immersion control group. The participants in each group underwent the same fatigue protocol followed by their allocated recovery intervention, which lasted for 1 minute. Measurements were taken before and after the fatigue-recovery intervention. The primary outcomes were the sensory organization test (SOT) composite equilibrium score (ES) and the condition-specific ES, which were measured using a computerized dynamic posturography machine. The secondary outcome was the knee joint repositioning error. Two-way repeated measures analysis of variance was used to test the effect of water immersion on each outcome variable. RESULTS: There were no significant within- and between-group differences in the SOT composite ESs or the condition-specific ESs. However, there was a group-by-time interaction effect on the knee joint repositioning error. It seems that participants in the RWI group had lower errors over time, but those in the IWI and control groups had increased errors over time. The RWI group had significantly lower error score than the IWI group at postintervention. CONCLUSION: One minute of postexercise IWI or RWI did not impair rugby players' sensory organization of balance control. RWI had a less detrimental effect on knee joint proprioception to IWI at postintervention.
[Mh] Termos MeSH primário: Temperatura Baixa
Futebol Americano/fisiologia
Hidroterapia/métodos
Extremidade Inferior/fisiopatologia
Fadiga Muscular/fisiologia
Propriocepção/fisiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Exercício/fisiologia
Seres Humanos
Gelo
Masculino
Método Simples-Cego
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Ice)
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170315
[Lr] Data última revisão:
170315
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170217
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000006146


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[PMID]:28088380
[Au] Autor:Carroll LM; Volpe D; Morris ME; Saunders J; Clifford AM
[Ad] Endereço:St. Gabriel's Center, Dooradoyle, Limerick, Ireland. Electronic address: louisecarrollphysio@yahoo.co.uk.
[Ti] Título:Aquatic Exercise Therapy for People With Parkinson Disease: A Randomized Controlled Trial.
[So] Source:Arch Phys Med Rehabil;98(4):631-638, 2017 Apr.
[Is] ISSN:1532-821X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To evaluate the effects of aquatic exercise therapy on gait variability and disability compared with usual care for people with Parkinson disease (PD). DESIGN: Single-blind randomized controlled trial. SETTING: Community-based hydrotherapy pool. PARTICIPANTS: Individuals with PD (Hoehn-Yahr stages I-III) (N=21). INTERVENTIONS: Participants were randomly assigned to either an aquatic exercise therapy group (45min, twice a week for 6wk) or a group that received usual care. MAIN OUTCOME MEASURES: The primary outcome measure was gait variability as measured using a motion capture system. Secondary outcomes were quality of life measured on the Parkinson's Disease Questionnaire-39 and freezing of gait and motor disability quantified by the Unified Parkinson's Disease Rating Scale. Feasibility was evaluated by measuring safety, adverse events, and participant satisfaction. RESULTS: People in the aquatic therapy group and usual care group showed similar small improvements in gait variability. The aquatic therapy group showed greater improvements in disability than the usual care group (P<.01). No differences between groups or over time were identified for freezing of gait or quality of life. Aquatic therapy sessions were safe and enjoyable with no adverse events. CONCLUSIONS: Aquatic therapy appears feasible and safe for some people in the early stages of PD.
[Mh] Termos MeSH primário: Terapia por Exercício/métodos
Transtornos Neurológicos da Marcha/reabilitação
Hidroterapia/métodos
Doença de Parkinson/reabilitação
[Mh] Termos MeSH secundário: Idoso
Avaliação da Deficiência
Feminino
Transtornos Neurológicos da Marcha/fisiopatologia
Seres Humanos
Masculino
Doença de Parkinson/fisiopatologia
Segurança do Paciente
Satisfação do Paciente
Qualidade de Vida
Método Simples-Cego
Inquéritos e Questionários
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170116
[St] Status:MEDLINE


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[PMID]:27883366
[Ti] Título:A Model Practice Template for Hydrotherapy in Labor and Birth.
[So] Source:J Midwifery Womens Health;62(1):120-126, 2017 Jan.
[Is] ISSN:1542-2011
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Parto Obstétrico
Hidroterapia
Imersão
Trabalho de Parto
Água
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Manejo da Dor
Gravidez
[Pt] Tipo de publicação:JOURNAL ARTICLE; PRACTICE GUIDELINE
[Nm] Nome de substância:
059QF0KO0R (Water)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:161125
[St] Status:MEDLINE
[do] DOI:10.1111/jmwh.12587


  10 / 1875 MEDLINE  
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[PMID]:27714506
[Au] Autor:Özkuk K; Gürdal H; Karagülle M; Barut Y; Eröksüz R; Karagülle MZ
[Ad] Endereço:Department of Medical Ecology and Hydroclimatology, Izzet Baysal Physical Medicine and Rehabilitation Training and Research Hospital, 14020, Bolu, Turkey. kagan_64@hotmail.com.
[Ti] Título:Balneological outpatient treatment for patients with knee osteoarthritis; an effective non-drug therapy option in daily routine?
[So] Source:Int J Biometeorol;61(4):719-728, 2017 Apr.
[Is] ISSN:1432-1254
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study aims to compare the effects of balneological treatments applied at consecutive and intermittent sessions without interfering with their daily routine in patients with knee osteoarthritis. This is a randomized, controlled, single-blind clinical trial. Fifty patients diagnosed with knee osteoarthritis were included. The patients were divided into two groups. All patients were given a total of ten sessions of balneological treatment consisting of hydrotherapy and mud pack therapy. Group 1 received consecutive treatment for 2 weeks, while group 2 received intermittent treatment for 5 weeks. Local peloid packs at 45 °C were applied for 20 min, after a tap water (38 °C) bath. Evaluations were conducted before, after treatment, and at 12th week of post-treatment by Pain (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and Short Form-36 (SF-36). Both balneological treatment regimens of knee osteoarthritis had statistically significant clinical effects as well as effects on the quality of life. Patients' well-being continued at 3 months, except for joint stiffness (WOMAC), role-emotional (SF-36), and vitality (SF-36) in group 1 and for mental health (SF-36) in both groups. Both patient groups had improved compared to baseline. However, at 3 months after the treatment, the well-being of group 2 was unable to be maintained in terms of role-physical (SF-36) parameter, while the well-being of group 1 was unable to be maintained in terms of pain, WOMAC (pain, physical functions, total), and SF-36 (physical functioning, role-physical, pain, role-emotional, and mental health) variables, compared to data obtained immediately after treatment. Our study suggests that traditional and intermittent balneological therapies have similar efficacy in patients with knee osteoarthritis.
[Mh] Termos MeSH primário: Hidroterapia
Terapia por Lama
Osteoartrite do Joelho/terapia
[Mh] Termos MeSH secundário: Idoso
Feminino
Seres Humanos
Masculino
Meia-Idade
Pacientes Ambulatoriais
Qualidade de Vida
Método Simples-Cego
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161008
[St] Status:MEDLINE
[do] DOI:10.1007/s00484-016-1250-8



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