Original scientific paper
Influence of Non-pharmacological Treatment on Pain, Morning Stiffness, Fatigue, and Physical Function in Patients with Psoriatic Arthritis
Sanda Špoljarić Carević
; Special Hospital for Medical rehabilitation – Naftalan, Ivanić Grad, Croatia
Jasmina Car
; Special Hospital for Medical rehabilitation – Naftalan, Ivanić Grad, Croatia
Stjepan Čota
; Children’s Hospital Zagreb, Zagreb, Croatia
Valentina Delimar
; Special Hospital for Medical Rehabilitation Krapinske Toplice, Krapinske Toplice, Croatia
Porin Perić
; University Department for Rheumatology and Rehabilitation, Clinical Hospital Centre Zagreb, Zagreb, Croatia
Nadica Laktašić-Žerjavić
; University Department for Rheumatology and Rehabilitation, Clinical Hospital Centre Zagreb, Zagreb, Croatia
Abstract
Naphthalanotherapy (NT) is a therapeutic procedure that uses mineral oil
obtained from petroleum. The aim of this study was to investigate the influence of the
duration of NT combined with an individually adjusted rehabilitation program (IARP)
on pain, morning stiffness (MS), fatigue, and physical function in patients with psoriatic
arthritis (PsA). A total of 29 consecutive patients with PsA were divided into two
groups. Group 1 (n=17) participated in a two-week and Group 2 (n=12) in a three-week
intervention program. Pain (using the Visual Analogue Scale – VAS), fatigue (VAS and
Functional Assessment of Chronic Illness Therapy-Fatigue – FACIT-F), duration of MS
(minutes), and physical function (Health Assessment Questionnaire – HAQ) were assessed
before and after therapy. Statistical analysis was performed using SPSS version
20, with P<0.05. There was a significant improvement in VAS-pain, VAS-fatigue, MS, HAQ,
and FACIT-F before vs after therapy: Group 1:5.88±1.62 vs 3.94±1.25, P=0.001; 6.59±1.73
vs 4.35±1.73, P=0.001; 35.47±31.64 vs 23.71±29.30, P=0.001; 1.43±0.78 vs 1.23±0.74,
P=0.001; 25.88±10.89 vs 30.71±10.65, P=0.009; Group 2: 6.17±1.27 vs 3.92±1.44,
P=0.001; 6.50±1.93 vs 3.75±1.71, P=0.001; 38.42±32.00 vs 21.25±17.31, P=0.006;
1.47±0.79 vs 0.93±0.54, P=0.008; 25.00±9.87 vs 36.83±7.20, P=0.001, respectively. Regarding
the length of the therapy, significant difference was reached only in FACIT-F
(P=0.009). Two-week and three-week NT combined with IARP are equally efficient in
reduction of pain and MS, as well as in improving physical function in patients with PsA.
The three-week program showed an additional effect on reducing fatigue assessed by
the FACIT-F score.
Keywords
Hrčak ID:
281290
URI
Publication date:
16.9.2020.
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