title: Effect of spa therapy in Tiberias on patients with rheumatoid arthritis and osteoarthritis.
abstract: Forty-one patients with rheumatoid arthritis were treated for 2 weeks at a Tiberias spa hotel. Randomized into 2 groups, Group 1 received a combination of mineral baths and mud packs, and Group 2 had tap water baths only. Both groups had a significant but temporary improvement in Ritchie index. Group 1 showed a significant improvement in grip strength. No improvement was noticed in morning stiffness, 15 meter walk time and laboratory variables of disease activity in either group. Twelve patients with osteoarthritis (OA) received 2 weeks of treatment with mineral baths and mud packs. Statistically significant improvement for a period of 6 months was noticed in night pain, pain on passive motion, tenderness on palpation and in the index of severity of OA of the knee.
authors.affiliation: Department of Rheumatology, Tel Aviv Souraski Medical Center, Ichilov Hospital, Israel.
authors.forename: O
authors.initials: O
authors.lastname: Elkayam
authors.forename: I
authors.initials: I
authors.lastname: Wigler
authors.forename: M
authors.initials: M
authors.lastname: Tishler
authors.forename: I
authors.initials: I
authors.lastname: Rosenblum
authors.forename: D
authors.initials: D
authors.lastname: Caspi
authors.forename: R
authors.initials: R
authors.lastname: Segal
authors.forename: B
authors.initials: B
authors.lastname: Fishel
authors.forename: M
authors.initials: M
authors.lastname: Yaron
mesh_terms: D001172:Arthritis, Rheumatoid / Q000503:physiopathology / Q000628:therapy*; D001452:Balneology; D005069:Evaluation Studies as Topic; D006801:Humans; D007719:Knee Joint; D010003:Osteoarthritis / Q000503:physiopathology / Q000628:therapy*; D010146:Pain; D012649:Self Concept; D012720:Severity of Illness Index