Effectiveness of PELOID Therapy in Carpal Tunnel Syndrome: A Randomized Controlled Single Blind Study

Overview

Journal Int J Biometeorol

Specialty Biophysics

Date 2017 Feb 18

PMID 28210859

Citations 7

Authors

Burcu Metin Okmen

Meliha Kasapoglu Aksoy

Aygul Gunes

Riza Eroksuz

Lale Altan

Affiliations

Soon will be listed here.

Abstract

Carpal tunnel syndrome(CTS) is the most common neuromuscular cause of upper extremity disability. We aimed to investigate the effectiveness of peloid therapy in patients with CTS. This randomized, controlled, single-blind study enrolled 70 patients between the ages of 30 to 65 who had a diagnosis of either mild, mild-to-moderate, or moderate CTS. The patients were randomized into two groups using random number table. In the first group, (Group 1)(n = 35), patients were given splint (every night for 6 weeks) + peloid treatment(five consecutive days a week for 2 weeks) and in the second group, (Group 2)(n = 28), patients received splint treatment(every night for 6 weeks) alone. The patients were assessed by using visual analog scale(VAS) for pain, electroneuromyography(ENMG), the Boston Carpal Tunnel Syndrome Questionnaire(BCTSQ), hand grip strength(HGS), finger grip strength(FGS), and Short Form-12(SF-12). The data were obtained before treatment(W0), immediately after treatment(W2), and one month after treatment(W6). Both in Group 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). Comparison of the groups with each other revealed significantly better results for VAS, BCTSQ, mSNCV, SF-12 in Group 1 than in Group 2 at W2(p < 0.05). There was also a statistically significant difference in favor of Group 1 for VAS, BCTSQ, FGS and MCS at W6 when compared to W0 (p < 0.05). The results of our study demonstrated that in patients with CTS; peloid + splint treatment was more effective than splint treatment alone in pain, functionality and life quality both at after treatment(W2) and one month after treatment (W6). We may suggest peloid as a supplementary therapeutic agent in CTS.

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References

Pizzoferrato A, Garzia I, Cenni E, Pratelli L, Tarabusi C . [Beta-endorphin and stress hormones in patients affected by osteoarthritis undergoing thermal mud therapy]. Minerva Med. 2001; 91(10):239-45. View

Page M, Massy-Westropp N, OConnor D, Pitt V . Splinting for carpal tunnel syndrome. Cochrane Database Syst Rev. 2012; (7):CD010003. PMC: 7389822. DOI: 10.1002/14651858.CD010003. View

Abu-Shakra M, Mayer A, Friger M, Harari M . Dead Sea mud packs for chronic low back pain. Isr Med Assoc J. 2014; 16(9):574-7. View

Bagdatli A, Donmez A, Eroksuz R, Bahadir G, Turan M, Erdogan N . 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. 2015; 59(12):1905-11. DOI: 10.1007/s00484-015-0997-7. View

Aroori S, Spence R . Carpal tunnel syndrome. Ulster Med J. 2008; 77(1):6-17. PMC: 2397020. View

Fioravanti A, Cantarini L, Guidelli G, Galeazzi M . Mechanisms of action of spa therapies in rheumatic diseases: what scientific evidence is there?. Rheumatol Int. 2010; 31(1):1-8. DOI: 10.1007/s00296-010-1628-6. View

Lago R, Gomez R, Otero M, Lago F, Gallego R, Dieguez C . A new player in cartilage homeostasis: adiponectin induces nitric oxide synthase type II and pro-inflammatory cytokines in chondrocytes. Osteoarthritis Cartilage. 2008; 16(9):1101-9. DOI: 10.1016/j.joca.2007.12.008. View

Fioravanti A, Tenti S, Giannitti C, Fortunati N, Galeazzi M . Short- and long-term effects of mud-bath treatment on hand osteoarthritis: a randomized clinical trial. Int J Biometeorol. 2013; 58(1):79-86. DOI: 10.1007/s00484-012-0627-6. View

Mathiowetz V, Weber K, Volland G, Kashman N . Reliability and validity of grip and pinch strength evaluations. J Hand Surg Am. 1984; 9(2):222-6. DOI: 10.1016/s0363-5023(84)80146-x. View

10.

Mondelli M, Giannini F, Giacchi M . Carpal tunnel syndrome incidence in a general population. Neurology. 2002; 58(2):289-94. DOI: 10.1212/wnl.58.2.289. View

11.

Antunez L, Caro Puertolas B, Ibanez Burgos B, Porto Payan J, Torres Piles S . Effects of mud therapy on perceived pain and quality of life related to health in patients with knee osteoarthritis. Reumatol Clin. 2013; 9(3):156-60. DOI: 10.1016/j.reuma.2012.09.005. View

12.

Tenti S, Cheleschi S, Galeazzi M, Fioravanti A . Spa therapy: can be a valid option for treating knee osteoarthritis?. Int J Biometeorol. 2014; 59(8):1133-43. DOI: 10.1007/s00484-014-0913-6. View

13.

Werner R, Franzblau A, Gell N . Randomized controlled trial of nocturnal splinting for active workers with symptoms of carpal tunnel syndrome. Arch Phys Med Rehabil. 2005; 86(1):1-7. DOI: 10.1016/j.apmr.2004.05.013. View

14.

Gerritsen A, de Krom M, Struijs M, Scholten R, de Vet H, Bouter L . Conservative treatment options for carpal tunnel syndrome: a systematic review of randomised controlled trials. J Neurol. 2002; 249(3):272-80. DOI: 10.1007/s004150200004. View

15.

Sukenik S, Flusser D, Abu-Shakra M . The role of spa therapy in various rheumatic diseases. Rheum Dis Clin North Am. 1999; 25(4):883-97. DOI: 10.1016/s0889-857x(05)70108-3. View

16.

Levine D, Simmons B, Koris M, Daltroy L, Hohl G, Fossel A . A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome. J Bone Joint Surg Am. 1993; 75(11):1585-92. DOI: 10.2106/00004623-199311000-00002. View

17.

Codish S, Abu-Shakra M, Flusser D, Friger M, Sukenik S . Mud compress therapy for the hands of patients with rheumatoid arthritis. Rheumatol Int. 2003; 25(1):49-54. DOI: 10.1007/s00296-003-0402-4. View

18.

Fioravanti A, Bacaro G, Giannitti C, Tenti S, Cheleschi S, Gui Delli G . One-year follow-up of mud-bath therapy in patients with bilateral knee osteoarthritis: a randomized, single-blind controlled trial. Int J Biometeorol. 2014; 59(9):1333-43. DOI: 10.1007/s00484-014-0943-0. View

19.

Huisstede B, Hoogvliet P, Randsdorp M, Glerum S, van Middelkoop M, Koes B . Carpal tunnel syndrome. Part I: effectiveness of nonsurgical treatments--a systematic review. Arch Phys Med Rehabil. 2010; 91(7):981-1004. DOI: 10.1016/j.apmr.2010.03.022. View

20.

Cozzi F, Raffeiner B, Beltrame V, Ciprian L, Coran A, Botsios C . 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. 2015; 82(2):104-8. DOI: 10.1016/j.jbspin.2014.11.002. View