Effect of balneotherapy on temporospatial gait characteristics of patients with osteoarthritis of the knee.

Abstract

Effects of balneotherapy on gait properties of patients with osteoarthritis of the knee were investigated prospectively. A total of 30 patients with knee osteoarthritis received balneotherapy consisting of two daily thermomineral water baths for 2 weeks. Patients were evaluated using gait analysis and clinical scores, both within 2 weeks, before and after spa treatment. Patients were walking faster in their control analyses (0.81 +/- A 0.21 to 0.89 +/- A 0.19 m/s; P = 0.017), with a shorter mean stance time (63.0 +/- A 3.3 to 61.8 +/- A 2.5% stride; P = 0.007), an increased cadence (96 +/- A 13.1 to 100 +/- A 11.9 steps/min; P = 0.094) and stride length (996 +/- A 174 to 1,058 +/- A 142 mm; P = 0.017). Balneotherapy also resulted in a significant decrease in Lequesne knee osteoarthritis index (12.1 +/- A 3.7 to 10.0 +/- A 3.3 points; P = 0.003), VAS for pain (58 +/- A 25 to 33 +/- A 15; P = 0.0001), VAS for patients' (56 +/- A 24 to 29 +/- A 19; P < 0.001) and investigator's global assessment (55 +/- A 20 to 26 +/- A 15; P < 0.0001) and WOMAC score (2.1 +/- A 0.7 to 1.6 +/- A 0.8; P = 0.0004). Balneotherapy has positive effects on gait properties and clinical health quality parameters of patients with knee osteoarthritis in short-term evaluations.