Evaluate the effectiveness of hydrotherapy versus land-based exercises outcome on pain and quality of life among patients with rheumatoid arthritis: triple-blind randomized controlled trial

R. K. Jinjwaria
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Abstract

Background: Evaluate the effectiveness of hydrotherapy versus land-based exercise outcomes to decrease pain and improve the quality of life among patients with rheumatoid arthritis. Methods: Triple-blind, randomized controlled, parallel-group, multiple arm trial was conducted between 29/09/2019 to 30/09/2021 at the Department of PMR, KG University Lucknow India and randomization was done through the SNSOE. Eligible 90 patients suffering from rheumatoid arthritis. The intervention (RJHLERA) was administered in both study groups. NRPS used for pain and RJQOL-22 Scale was used for QoL. Results: The pre-test results showed all the subject’s average pain scores and quality of life had either poor or neither poor nor good levels of the RJQOL-22 scale. At the post-test, in terms of pain, the hydrotherapy exercise group showed the maximum response with an average pain score of 3.64±1.89, the land-based exercises group showed the next to maximum response with an average pain score of 5.88±1.37 while the control group showed the least response with an average pain score of 7.63±1.41. and in terms of quality of life, the hydrotherapy exercise group showed the maximum response with 67.9% very good, and 21.4% good. The land-based exercises group showed the next to maximum response with 19.2% good while the group the clear control group showed the least response. Conclusions: Effectiveness of hydrotherapy versus land-based exercises, in comparison to land-based exercises the Hydrotherapy exercises group showed the maximum response to reduce the pain and improve the quality of life among chronic rheumatoid arthritis patients.
评估水疗法与陆上运动对类风湿关节炎患者疼痛和生活质量的影响:三盲随机对照试验
背景:评估水疗法与陆上运动在减轻类风湿性关节炎患者疼痛和改善生活质量方面的效果。方法:于2019年9月29日至2021年9月30日在印度勒克瑙KG大学PMR系进行三盲、随机对照、平行组、多组试验,通过SNSOE进行随机化。入选90例类风湿关节炎患者。两个研究组均采用干预(rjhera)。疼痛采用NRPS评分,生活质量采用RJQOL-22评分。结果:前测结果显示,所有受试者的平均疼痛评分和生活质量在RJQOL-22量表中为差或不差不好。后测时,在疼痛方面,水疗运动组反应最大,平均疼痛评分为3.64±1.89,陆地运动组反应次之,平均疼痛评分为5.88±1.37,对照组反应最小,平均疼痛评分为7.63±1.41。在生活质量方面,水疗运动组表现出最大的反应,67.9%非常好,21.4%良好。陆基演习组反应次之,良好率为19.2%,而明确对照组反应最低。结论:水疗法与陆上运动的有效性,与陆上运动相比,水疗法运动组在减轻慢性类风湿关节炎患者疼痛和改善生活质量方面表现出最大的反应。
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