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Efficacy of peloid therapy in patients with chronic lateral epicondylitis: a randomized, controlled, single blind study

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Abstract

The aim of this study was to assess the effect of peloid on pain, functionality, daily life activities, and quality of life of lateral epicondylitis (LE) patients. In this randomized, controlled, single-blind study, 75 patients who were diagnosed with chronic LE were enrolled to the study. Patients were randomized into two groups using the random number table. The patients in the first group (group 1) (n = 33), were given lateral epicondylitis band (LEB) (during the day for 6 weeks) + peloid therapy (five consecutive days a week for 2 weeks), and the second group (group 2) (n = 32), received LEB treatment alone. The patients were assessed by using Patient Rated Tennis Elbow Evaluation (PRTEE) and Nottingham Health Profile (NHP). The data were obtained before treatment (W0), immediately after treatment (W2), and 1 month after treatment (W6). In analysis of the collected data, the Wilcoxon signed rank test for intra-group comparisons and Mann–Whitney U test for comparisons between groups were used. Both in groups 1 and 2, there was a statistically significant improvement in all the evaluation parameters at W2 and W6 when compared to W0 (p < 0.05). In comparison of difference scores between groups, although there was no statistically significant difference between the two groups at W2 when compared to W0 (p > 0.05), a statistically significant difference was found in favor of group 1 for all the evaluation parameters at W6 (p < 0.05). Our results have shown that peloid treatment could be effective in providing improvement in pain relief, function, daily life activities, and quality of life in LE patients.

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References

  • Abu-Shakra M, Mayer A, Friger M, Harari M (2014) Dead Sea mud packs for chronic low back pain. Isr Med Assoc J 16(9):574–577

    Google Scholar 

  • Ahmad Z, Siddiqui N, Malik SS, Abdus-Samee M, Tytherleigh-Strong G, Rushton N (2013) Lateral epicondylitis: a review of pathology and management. Bone Joint J 95-B(9):1158–1164

    Article  CAS  Google Scholar 

  • Altan L, Kanat E (2008) Conservative treatment of lateral epicondylitis: comparison of two different orthotic devices. Clin Rheumatol 27(8):1015–1019

    Article  CAS  Google Scholar 

  • Altan L, Ercan I, Konur S (2010) Reliability and validity of Turkish version of the patient rated tennis elbow evaluation. Rheumatol Int 30(8):1049–1054

    Article  Google Scholar 

  • Ardiç F, Ozgen M, Aybek H, Rota S, Cubukçu D, Gökgöz A (2007) Effects of balneotherapy on serum IL-1, PGE2 and LTB4 levels in fibromyalgia patients. Rheumatol Int 27:441–446

    Article  Google Scholar 

  • Bağdatlı AO, Donmez A, Eröksüz R, Bahadır G, Turan M, Erdoğan N (2015) Does addition of ‘mud-pack and hot pool treatment’ to patient education make a difference in fibromyalgia patients? A randomized controlled single blind study. Int J Biometeorol 59(12):1905–1911

    Article  Google Scholar 

  • Bellometti S, Galzigna L, Richelmi P, Gregotti C, Bertè F (2002) Both serum receptors of tumor necrosis factor are influenced by mud pack treatment in osteoarthrotic patients. Int J Tissue React 24:57–64

    CAS  Google Scholar 

  • Bhabra G, Wang A, Ebert JR, Edwards P, Zheng M, Zheng MH (2016) Lateral elbow tendinopathy: development of a pathophysiology-based treatment algorithm. Orthop J Sports Med 4(11):2325967116670635. Published online 2016 Nov 1. doi:10.1177/2325967116670635

    Article  Google Scholar 

  • Bisset L, Paungmali A, Vicenzino B, Beller E (2005) A systematic review and meta-analysis of clinical trials on physical interventions for lateral epicondylalgia. Br J Sports Med 39:411–422

    Article  CAS  Google Scholar 

  • Calfee RP, Patel A, DaSilva MF, Akelman E (2008) Management of lateral epicondylitis: current concepts. J Am Acad Orthop Surg 16:19–29

    Article  Google Scholar 

  • Codish S, Abu-Shakra M, Flusser D, Friger M, Sukenik S (2005) Mud compress therapy for the hands of patients with rheumatoid arthritis. Rheumatol Int 25(1):49–54

    Article  Google Scholar 

  • Coombes BK, Bisset L, Vicenzino B (2010) Efficacy and safety of corticosteroid injections and other injections for management of tendinopathy: a systematic review of randomised controlled trials. Lancet 376:1751–1767

    Article  CAS  Google Scholar 

  • Cozzi F, Raffeiner B, Beltrame V et al (2015) Effects of mud-bath therapy in psoriatic arthritis patients treated with TNF inhibitors. Clinical evaluation and assessment of synovial inflammation by contrast-enhanced ultrasound (CEUS). Joint Bone Spine 82(2):104–108

    Article  Google Scholar 

  • Emanet SK, Altan LI, Yurtkuran M (2010) Investigation of the effect of GaAs laser therapy on lateral epicondylitis. Photomed Laser Surg 28(3):397–403

    Article  Google Scholar 

  • Fioravanti A, Perpignano G, Tirri G et al (2007) Effects of mud-bath treatment on fibromyalgia patients: a randomized clinical trial. Rheumatol Int 27(12):1157–1161

    Article  Google Scholar 

  • Fioravanti A, Tenti S, Giannitti C, Fortunati NA, Galeazzi M (2014) Short- and long-term effects of mud-bath treatment on hand osteoarthritis: a randomized clinical trial. Int J Biometeorol 58(1):79–86

    Article  Google Scholar 

  • Fortunati NA, Fioravanti A, Seri G, Cinelli S, Tenti S (2016) May spa therapy be a valid opportunity to treat hand osteoarthritis? A review of clinical trials and mechanisms of action. Int J Biometeorol 60(1):1–8

    Article  Google Scholar 

  • Gomes C, Carretero MI, Pozo M (2013) Peloids and pelotherapy: historical evolution, classification and glossary. Appl Clay Sci 75:28–38

    Article  Google Scholar 

  • Kubota K, Kurabayashi H, Tamura K, Kawada E, Tamura J, Shirakura T (1992) A transient rise in plasma beta-endorphin after a traditional 47 degrees C hot-spring bath in Kusatsu-spa, Japan. Life Sci 51:1877–1880

    Article  CAS  Google Scholar 

  • Kücükdeveci AA, McKenna SP, Kutlay S, Gürsel Y, Whalley D, Arasil T (2000) The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res 23(1):31–38

    Article  Google Scholar 

  • Matz H, Orian E, Wolf R (2003) Balneotherapy in dermatology. Dermatol Ther 16:132–140

    Article  Google Scholar 

  • Melzack R, Wall PD (1965) Pain mechanism: a new theory. Science 150:971–979

    Article  CAS  Google Scholar 

  • Noteboom T, Cruver R, Keller J, Kellogg B, Nitz AJ (1994) Tennis elbow: a review. J Orthop Sports Phys Ther 19(6):357–366

    Article  CAS  Google Scholar 

  • Odabaşı E, Turan M, Erdem H, Tekbaş F (2008) Does mud pack treatment have any chemical effect? A randomized controlled clinical study. The Journal of Alternative and Complementary Medicine 14(5):559–565

    Article  Google Scholar 

  • Öncel S (2011) The effectiveness of balneotherapy in prevention and treatment of osteoarthritis. Turkish Journal of Geriatrics 14(Suppl 1):111–117

    Google Scholar 

  • Özkuk K, Gürdal H, Karagülle M, Barut Y, Eröksüz R, Karagülle MZ (2016) Balneological outpatient treatment for patients with knee osteoarthritis; an effective non-drug therapy option in daily routine? Int J Biometeorol. doi:10.1007/s00484-016-1250-8

  • Qian X, Lin Q, Wei K, Hu B, Jing P, Wang J (2016) Efficacy and safety of autologous blood products compared with corticosteroid injections in the treatment of lateral epicondylitis: a meta-analysis of randomized controlled trials. PMR 8(8):780–791

    Article  Google Scholar 

  • Sarsan A, Akkaya N, Ozgen M, Yildiz N, Atalay NS, Ardic F (2012) Comparing the efficacy of mature mud pack and hot pack treatments for knee osteoarthritis. J Back Musculoskelet Rehabil 25:193–199

    Article  Google Scholar 

  • Shiri R, Viikari-Juntura E, Varonen H, Heliövaara M (2006) Prevalence and determinants of lateral and medial epicondylitis: a population study. Am J Epidemiol 164(11):1065–1074

    Article  Google Scholar 

  • Sirico F, Ricca F, DI Meglio F, Nurzynska D, Castaldo C, Spera R, Montagnani S (2016) Local corticosteroid versus autologous blood injections in lateral epicondylitis: meta-analysis of randomized controlled trials. Eur J Phys Rehabil Med

  • Sukenik S, Flusser D, Abu-Shakra M (1999) The role of spa therapy in various rheumatic diseases. Rheum Dis Clin N Am 25:883–897

    Article  CAS  Google Scholar 

  • Tefner IK, Gaál R, Koroknai A, Ráthonyi A, Gáti T, Monduk P, Kiss E, Kovács C, Bálint G, Bender T (2013) The effect of Neydharting mud-pack therapy on knee osteoarthritis: a randomized, controlled, double-blind follow-up pilot study. Rheumatol Int 33:2569–2576

    Article  Google Scholar 

  • Tenti S, Cheleschi S, Galeazzi M, Fioravanti A (2015) Spa therapy: can be a valid option for treating knee osteoarthritis? Int J Biometeorol 59(8):1133–1143

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Physical Medicine and Rehabilitation, University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey

    Burcu Metin Ökmen, Lale Altan & Meliha Kasapoğlu Aksoy

  2. Department of Medical Ecology and Hydroclimatology, University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey

    Rıza Eröksüz

  3. Department of Physical Medicine and Rehabilitation, Uludag University Faculty of Medicine, Bursa, Turkey

    Lale Altan

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  1. Burcu Metin Ökmen
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  2. Rıza Eröksüz
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  3. Lale Altan
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  4. Meliha Kasapoğlu Aksoy
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Correspondence to Burcu Metin Ökmen.

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Informed consent was obtained from all individual participants included in the study.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Ökmen, B.M., Eröksüz, R., Altan, L. et al. Efficacy of peloid therapy in patients with chronic lateral epicondylitis: a randomized, controlled, single blind study. Int J Biometeorol 61, 1965–1972 (2017). https://doi.org/10.1007/s00484-017-1386-1

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  • DOI: https://doi.org/10.1007/s00484-017-1386-1

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