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
Keywords:Hydrotherapy Exercise, Land-Based Exercise, RJQOL-22 Scale, RJHLERA
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.
Centres for disease control and prevention, rheumatoid arthritis. Available at: https://www.cdc.gov/arthritis/ basics/rheumatoid-arthritis.html. Accessed on 20 January 2023.
Handa R, Rao UR, Lewis JF, Rambhad G, Shiff S, Ghia CJ. Literature review of rheumatoid arthritis in India. Int J Rheum Dis. 2016;19(5):440-51.
Gonzalez A, Maradit KH, Crowson CS, Nicola PJ, Davis JM 3rd, Therneau TM, Roger VL, Gabriel SE. The widening mortality gap between rheumatoid arthritis patients and the general population. Arthritis Rheum. 2007;56(11):3583-7.
Aletaha D, Smolen JS. Diagnosis and management of rheumatoid arthritis: a review. JAMA. 2018;320(13): 1360-72.
Siqueira US, Orsini Valente LG, de Mello MT, Szejnfeld VL, Pinheiro MM. Effectiveness of Aquatic Exercises in Women With Rheumatoid Arthritis: A Randomized, Controlled, 16-Week Intervention-The HydRA Trial. Am J Phys Med Rehabil. 2017;96(3): 167-75.
Al-Qubaeissy KY, Fatoye FA, Goodwin PC, Yohannes AM. The effectiveness of hydrotherapy in the management of rheumatoid arthritis: a systematic review. Musculoskeletal Care. 2013;11(1):3-18.
Khruakhorn S, Chiwarakranon S. Effects of hydrotherapy and land-based exercise on mobility and quality of life in patients with knee osteoarthritis: a randomized control trial. J Phys Ther Sci. 2021;33(4): 375-83.
Clinical trials. Available at: https://ctri.icmr.org.in/. Accessed on 20 February 2023.
Polit DF, Beck C.T, Nursing research- Creating and assessing evidence for nursing practice. 10th ed. USA: Lippincott William and Wilkins; 2011:193-213.
Katz P, Andonian BJ, Huffman KM. Benefits and promotion of physical activity in rheumatoid arthritis. Curr Opin Rheumatol. 2020;32(3):307-14.