Thermotherapy is a commonly used mo

Thermotherapy is a commonly used modality in treating rheumatoid arthritis (RA). Thermotherapy modalities include superficial moist heat fomentations (hot packs) at different temperatures, cryotherapy (ice packs), paraffin wax baths and faradic baths. All studies included in this review (n=7) are randomized controlled trials (RCT).
This review found there were no significant effects for hot and ice packs applications and faradic baths on objective measures of disease activity including joint swelling, pain, medication intake, range of motion (ROM), grip strength, hand function or patient preference compared to control (no treatment) or active therapy. However, there were positive results for paraffin wax baths alone for arthritic hands on objective measures of ROM, pinch function, grip strength, pain on non-resisted motion, stiffness compared to control (no treatment) after four consecutive weeks of treatment.
There is no significant difference between wax and therapeutic ultrasound or between wax and faradic bath combined with ultrasound for any of the outcomes measures. The reviewers concluded that thermotherapy can be used as a palliative therapy or as an adjunct therapy combined with exercises for RA patients. Wax baths appear especially helpful in the treatment of arthritic hands. These conclusions are limited by methodological considerations such as the poor quality of trials

ผลลัพธ์ (แอฟริกา) 1:

Thermo is 'n algemeen gebruikte modaliteit in die behandeling van rumatoïede artritis (RA). Thermo modaliteite sluit oppervlakkige hitte fomentations klam (warm pakke) by verskillende temperature, krioterapie (ys pakke), paraffien was baddens en faradic baddens. Alle studies ingesluit in hierdie oorsig (N = 7) is gerandomiseerde beheerde proewe (RCT).
Dié resensie gevind daar was geen noemenswaardige uitwerking vir warm en ys pakke aansoeke en faradic baddens op objektiewe maatstawwe van siekte-aktiwiteit, insluitende gesamentlike swelling, pyn, medikasie inname , omvang van beweging (Rom), greep krag, hand funksie of pasiënt voorkeur in vergelyking met kontrole (geen behandeling) of aktiewe terapie. Daar was egter positiewe resultate vir paraffienwas baddens alleen vir artritiese hande op objektiewe maatstawwe van ROM, knippie funksie, greep krag, pyn op nie-weerstaan ​​beweging, styfheid in vergelyking met kontrole (geen behandeling) ná vier agtereenvolgende weke van behandeling.
Daar is geen beduidende verskil tussen wax en terapeutiese ultraklank of tussen wax en faradic bad gekombineer met ultraklank vir enige van die uitkomste maatreëls. Die beoordelaars die gevolgtrekking gekom dat thermo kan gebruik word as 'n palliatiewe terapie of as 'n toevoegsel terapie gekombineer met oefeninge vir RA pasiënte. Wax baddens verskyn veral nuttig in die behandeling van artritiese hande. Hierdie gevolgtrekkings word beperk deur metodologiese oorwegings soos die swak gehalte van die proewe