Balneotherapy and Peloid Therapy Impact Small Joint Diseases
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- Who runs it
- Lithuanian University of Health Sciences
- Trial code
- NCT06477393
- Record updated
- 26 October 2024
- Original description
This clinical trial investigates the effects of natural healing factors (mineral water and mud procedures) in combination with regular rehabilitation of patients with degenerative small joint disease. The study aims to assess the impact on functional status, quality of life, and socio-economic factors, including the reduction of temporary incapacity for work and disability and the improvement of patient participation. Participants will undergo a regular rehabilitation program incorporating these natural healing factors, measuring outcomes through various health metrics.Read full original descriptionShow less
The Inclusion of Natural Healing Factors in Complex Regular Rehabilitation of Patients with Degenerative Small Joints Disease: Impact on Changes in Functional Status, Quality of Life, and Socio-economic Significance in Reducing Temporary Incapacity for Work and Disability, Improving Participation
This clinical trial investigates the effects of natural healing factors (mineral water and mud procedures) in combination with regular rehabilitation of patients with degenerative small joint disease. The study aims to assess the impact on functional status, quality of life, and socio-economic factors, including the reduction of temporary incapacity for work and disability and the improvement of patient participation. Participants will undergo a regular rehabilitation program incorporating these natural healing factors, measuring outcomes through various health metrics.
Exclusion: Subjects who have suffered serious injuries in the last 6 months or who have undergone surgical interventions on the joints of the hands/feet; Taking Sy-SADOA symptomatic slow-acting OA drugs unless the dose is stable for ≥ 3 months; Intra-articular (IA) injection of corticosteroids (joints of hands and feet) within the last 1 month or IA injection of hyaluronic acid within 6 months; Subjects with autoimmune diseases that can affect the joints of the hands/feet (rheumatoid arthritis, systemic connective tissue diseases, seronegative spondyloarthropathies) or crystalline arthropathies; Diagnosed with thoracic outlet syndrome, carpal tunnel syndrome, Guyon's canal syndrome, cubital tunnel syndrome, diabetic neuropathy or cheiroarthropathy, palmar tenosynovitis, fibromyalgia and pain syndrome; The functional tests provided in the study cannot be performed due to advanced OA or other diseases; Diagnosed with oncological diseases or being investigated for oncological diseases; Diseases or conditions for which mud or mineral water baths are contraindicated; Constantly taking pain relievers for other conditions unless the dose is stable for ≥ 1 month; Subjects with skin lesions or sensitivity to the intended procedures; Pregnancy or planned pregnancy.
Inclusion Criteria:1. Adult (> 18 years); Subjects will be diagnosed with symptomatic (duration greater than 3 months) osteoarthritis of the hands and/or feet and meet the validated classification or diagnostic criteria for hand and/or foot OA published by EULAR/ACR (Altman et al., 1990; Zhang et al. et al., 2009). Hand and/or foot joint pain at baseline will be at least 40 mm on a 100 mm visual analogue scale (VAS) (0 = no pain; 10 = worst pain) without pain medication; Participants will be assessed for radiographic changes characteristic of osteoarthritis. This assessment will be based on the Kellgren-Lawrence (K-L) grading system, which is a widely used method for classifying the severity of osteoarthritis. The system is based on stages, with a minimum requirement of osteoarthritis in more than one joint and at least two stages of severity (Kellgren JH, 1957); Rehabilitation procedures, except physical exercises performed at home, will not be applied for at least 2 months; Subjects can sign the patient's informed consent form.