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KMID : 1039620150050020111
Korean Journal of Family Practice
2015 Volume.5 No. 2 p.111 ~ p.115
Changes of Knee Pain and Salivary Cortisol before and after Hot or Cold Mineral Water Balneotherapy in Men with Knee Arthritis
Hong Hyun-Pyo

Ahn Keun-Soo
Oh Eun-Jung
Kweon Hyuk-Jung
Kim Jong-Moon
Ahn Ah-Leum
Choi Jae-Kyung
Cho Dong-Young
Abstract
Background: Knee osteoarthritis worsens a patient¡¯s quality of life and increases medical care costs. Balneotherapy is a form of hydrotherapy that uses water containing many minerals. This study examined the changes in knee pain and stress by measuring the salivary cortisol levels of men with knee osteoarthritis before and after hot or cold mineral water balneotherapy.

Methods: Forty patients who were diagnosed as having knee arthritis were randomly assigned to the hot or cold balneotherapy group. Each group contained 20 patients. Knee pain, salivary cortisol levels, blood pressure, and blood sugar levels were measured in both groups.

Results: After hot or cold balneotherapy, knee pain was reduced in both the cold balneotherapy group (P=0.002) and hot balneotherapy group (P=0.003). However, the change in the salivary cortisol level was not statistically significant in either group. Differences in the change in knee pain and salivary cortisol level were not significant between the two groups.

Conclusion: Knee pain was reduced in the cold and hot mineral water balneotherapy groups but there was no significant difference in the degree of pain relief. There was no significant difference between the two groups in the change of salivary cortisol levels. Therefore, either cold or hot mineral water balneotherapy can be used as a rehabilitation treatment method for patients with knee arthritis.
KEYWORD
Balneotherapy, Knee Osteoarthritis, Pain, Salivary Cortisol
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