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Efficacy and Tolerability of Mud Packs Therapy in Osteoarthritis of the Hand (mdph)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00773682
Recruitment Status : Completed
First Posted : October 16, 2008
Last Update Posted : November 17, 2011
Information provided by (Responsible Party):
fioravanti antonella, University of Siena

Brief Summary:


To assess both the short-term and the long term effectiveness of spa therapy in patients with primary hand osteoarthritis (OA) in a single blind, prospective controlled, randomized trial.

Condition or disease Intervention/treatment Phase
Osteoarthritis Other: local mud-pack therapy and balneotherapy Phase 4

Detailed Description:

Osteoarthritis is the most common form of joint disease and a major contributor of disability in older people. Current treatment of OA include pharmacological and non-pharmacological modalities. Spa therapy has a long history in the treatment of OA, but few articles have evaluated the effectiveness of thermal treatment in patients with primary OA of the hands.

The aim of this study is to assess the duration of the clinical effectiveness of mud-packs application and mineral bath in patients with primary OA of the hands in a single blind, controlled, randomized trial.

Our study will follow the patients for a longer period of time (12 months) than was done in previous studies.

60 outpatients will be enrolled; 30 patients will be treated with a combination of daily local mud packs and mineral bath water from the spa centre of Fonteverde Natural Spa Resort (San Casciano Terme, Siena, Italy) for two weeks; 30 patients will continue regular, routine ambulatory care. Patients will be assessed at baseline time, after 2 weeks, after 3, 6, 9 and 12 months following the beginning of the study and will be evaluated by VAS for spontaneous pain, Dreiser Algofunctional index, HAQ, AIMS1 and symptomatic drugs consumption.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 60 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Investigator)
Primary Purpose: Treatment
Official Title: Efficacy and Tolerability of Mud Packs Therapy in Osteoarthritis of the Hands: a One Year Follow-up
Study Start Date : June 2008
Actual Primary Completion Date : September 2009
Actual Study Completion Date : January 2010

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Osteoarthritis

Intervention Details:
  • Other: local mud-pack therapy and balneotherapy
    Patients will be treated with local mud-pack application on the hands for 20 minutes and thermal-mineral bath once a day for 15 days.

Primary Outcome Measures :
  1. Algofunctional state and quality of life [ Time Frame: two weeks, three , six, nine and twelve months ]

Secondary Outcome Measures :
  1. Consumption of symptomatic drugs and tolerability [ Time Frame: two weeks, three, six, nine and twelve months ]

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   50 Years to 75 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Patients suffering from osteoarthritis of the hands according to the ACR criteria

Exclusion Criteria:

  • Patients suffering from any other rheumatological disease other than osteoarthritis
  • Patients that have been treated with mud-pack therapy and balneotherapy in the last 9 months
  • Contraindications to mud-packs and balneotherapy

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00773682

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Rheumatology Unit Azienda Ospedaliera Universitaria Senese
Siena, Italy, 53100
Sponsors and Collaborators
University of Siena
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Principal Investigator: Antonella Fioravanti, md Rheumatology Unit- Azienda Ospedaliera Universitaria Senese-siena

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Responsible Party: fioravanti antonella, medical doctor, University of Siena Identifier: NCT00773682    
Other Study ID Numbers: 339/07
First Posted: October 16, 2008    Key Record Dates
Last Update Posted: November 17, 2011
Last Verified: September 2008
Keywords provided by fioravanti antonella, University of Siena:
mud-packs therapy
Osteoarthritis of the hands
Additional relevant MeSH terms:
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Joint Diseases
Musculoskeletal Diseases
Rheumatic Diseases