Effects of water therapy on disease activity, functional capacity, spinal mobility and severity of pain in patients with ankylosing spondylitis: a systematic review and meta-analysis

References

• Braun J, Sieper J. Ankylosing spondylitis. Lancet. 2007;369:1379–1390.
   PubMed Web of Science ®Google Scholar
• Braun J, Pincus T. Mortality, course of disease and prognosis of patients with ankylosing spondylitis. Clin Exp Rheumatol. 2002;20:S16–S22.
   PubMed Web of Science ®Google Scholar
• Feldtkeller E, Khan MA, Van dHD, et al. Age at disease onset and diagnosis delay in HLA-B27 negative vs. positive patients with ankylosing spondylitis. Rheumatol Int. 2003;23:61–66.
   PubMed Web of Science ®Google Scholar
• Hall CM, Brody LT. Therapeutic exercise, moving forward function. 3rd ed. Baltimore, Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins; 2011.
   Google Scholar
• Harrison R, Bulstrode S. Percentage weight-bearing during partial immersion in the hydrotherapy pool. Physiother Pract. 1987;3:60–63.
   Google Scholar
• Bender T, Karagulle Z, Balint GP, et al. Hydrotherapy, balneotherapy, and spa treatment in pain management. Rheumatol Int. 2005;25:220–224.
   PubMed Web of Science ®Google Scholar
• Altan L, Bingol U, Aslan M, et al. The effect of balneotherapy on patients with ankylosing spondylitis. Scand J Rheumatol. 2006;35:283–289.
   PubMed Web of Science ®Google Scholar
• Sukenik S, Flusser D, Abu-Shakra M. The role of spa therapy in various rheumatic diseases. Rheumatic Dis Clinics North Am. 1999;25:883–897.
   PubMed Web of Science ®Google Scholar
• Sukenik S, Buskila D, Neumann L, et al. Sulphur bath and mud pack treatment for rheumatoid arthritis at the Dead Sea area. Ann Rheum Dis. 1990;49:99–102.
   PubMed Web of Science ®Google Scholar
• Moher D, Liberati A, Tetzlaff J, et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6:e1000097.
   PubMed Web of Science ®Google Scholar
• Maher CG, Sherrington C, Herbert RD, et al. Reliability of the PEDro scale for rating quality of randomized controlled trials. Phys Ther. 2003;83:713–721.
   PubMed Web of Science ®Google Scholar
• Zochling J, Braun J. Assessment of ankylosing spondylitis. Clin Exp Rheumatol. 2005;23:S133.
   PubMed Web of Science ®Google Scholar
• Calin A, Garrett S, Whitelock H, et al. A new approach to defining functional ability in ankylosing spondylitis: the development of the Bath Ankylosing Spondylitis Functional Index. J Rheumatol. 1994;21:2281.
   PubMed Web of Science ®Google Scholar
• Jenkinson TR, Mallorie PA, Whitelock HC, et al. Defining spinal mobility in ankylosing spondylitis (AS). The Bath AS Metrology Index. J Rheumatol. 1994;21:1694–1698.
   PubMed Web of Science ®Google Scholar
• Kucukdeveci A, Mckenna SS, Gursel Y, et al. The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res Int Z Für Rehabilitationsforschung Rev Int de Recherches de Réadaptation. 2000;23:31.
   PubMed Web of Science ®Google Scholar
• Tishler M, Brostovski Y, Yaron M. Effect of spa therapy in tiberias on patients with ankylosing-spondylitis. Clin Rheumatol. 1995;14:21–25.
   PubMed Web of Science ®Google Scholar
• Aydemir K, Tok F, Peker F, et al. THE effects of balneotherapy on disease activity, functional status. Pulmonary function and quality of life in patients with ankylosing spondylitis. Acta Reumatologica Portuguesa. 2010;35:441–446.
   PubMed Web of Science ®Google Scholar
• van Tubergen A, Landewe R, van der Heijde D, et al. Combined spa-exercise therapy is effective in patients with ankylosing spondylitis: a randomized controlled trial. Arthr Rheum. 2001;45:430–438.
   PubMed Web of Science ®Google Scholar
• Gunay SM, Keser I, Bicer ZT. The effects of balance and postural stability exercises on spa based rehabilitation programme in patients with ankylosing spondylitis. J Back Musculoskelet Rehabil. 2018;31:337–346.
   PubMed Web of Science ®Google Scholar
• Annegret F, Thomas F. Long-term benefits of radon spa therapy in rheumatic diseases: results of the randomised, multi-centre IMuRa trial. Rheumatol Int. 2013;33:2839–2850.
   PubMed Web of Science ®Google Scholar
• Codish S, Dobrovinsky S, Abu Shakra M, et al. Spa therapy for ankylosing spondylltis at the Dead Sea. Isr Med Assoc J: IMAJ. 2005;7:443–446.
   PubMed Web of Science ®Google Scholar
• Helliwell PS, Abbott CA, Chamberlain M. A randomised trial of three different physiotherapy regimes in ankylosing spondylitis. Physiotherapy. 1996;82:85–90.
   Google Scholar
• Colina M, Ciancio G, Garavini R, et al. Combination treatment with etanercept and an intensive spa rehabilitation program in active ankylosing spondylitis. Int J Immunopathol Pharmacol. 2009;22:1125–1129.
   PubMed Web of Science ®Google Scholar
• Fernández García R, Sánchez Sánchez Lde C, López Rodríguez Mdel M, et al. Effects of an exercise and relaxation aquatic program in patients with spondyloarthritis: a randomized trial [Comparative Study; English Abstract; Journal Article; Randomized Controlled Trial]. Medicina Clinica. 2015;145:380–384.
   PubMed Web of Science ®Google Scholar
• Eksioglu E, Guercay E, Yuezer S, et al. Effects of exercise, spa and physical therapy methods on functional status, disease activity, and quality of life of patients with ankylosing spondylitis. EKLEM HAST CERRAHISI-Joint Dis Relat Surg. 2007;18:24–28.
   Web of Science ®Google Scholar
• Barnatskii VV. Effects of radon and peloid therapy on functional condition and quality of life in patients with seronegative spondyloarthritis. Vopr Kurortol Fizioter Lech Fiz Kult. 2005;3:26–30.
   Google Scholar
• Dischereit G, Goronzy JE, Muller-Ladner U, et al. Effects of serial mud baths on inflammatory rheumatic and degenerative diseases [Journal: Article in Press]. Z Rheumatol. 2019;78:143–154.
   PubMed Web of Science ®Google Scholar
• van Tubergen A, Wolter N, Falkenbach A, et al. Efficacy of spa therapy in patients with ankylosing spondylitis. Z Rheumatol. 2000;59:16.
   Google Scholar
• Nct. Stretching in water and on land for patients with ankylosing spondylitis, 2018. Available from: https://clinicaltrialsgov/show/nct03667625.
   Google Scholar
• Claudepierre P. Spa therapy for ankylosing spondylitis: still useful? Joint Bone Spine: Rev du Rhumatisme. 2005;72:283–285.
   PubMed Web of Science ®Google Scholar
• Karapolat H, Eyigor S, Zoghi M, et al. Are swimming or aerobic exercise better than conventional exercise in ankylosing spondylitis patients? A randomized controlled study. Eur J Phys Rehabil Med. 2009;45:449–457.
   PubMed Web of Science ®Google Scholar
• Dundar U, Solak O, Toktas H, et al. Effect of aquatic exercise on ankylosing spondylitis: a randomized controlled trial. Rheumatol Int. 2014;34:1505–1511.
   PubMed Web of Science ®Google Scholar
• Ciprian L, Lo Nigro A, Rizzo M, et al. The effects of combined spa therapy and rehabilitation on patients with ankylosing spondylitis being treated with TNF inhibitors. Rheumatol Int. 2013;33:241–245.
   PubMed Web of Science ®Google Scholar
• Yingying Yu X,G, Yang J, Mao L, et al. Effects of hydrogen rich water therapy on pain in patients with ankylosing spondylitis. Chin J Rehabil Med. 2019;34(02):192-193+203.
   Google Scholar
• Yurtkuran M, Ay A, Karakoc Y. Improvement of the clinical outcome in Ankylosing spondylitis by balneotherapy. Joint Bone Spine: Rev du Rhumatisme. 2005;72:303–308.
   PubMed Web of Science ®Google Scholar
• Wan J. On the effect of underwater setting-up exercises on spondylitis ankylosans. J Beijing Sports Univ. 2008;31:1096–1098.
   Google Scholar
• Gurcay E, Yuzer S, Eksioglu E, et al. Stanger bath therapy for ankylosing spondylitis: illusion or reality? Clin Rheumatol. 2008;27:913–917.
   PubMed Web of Science ®Google Scholar
• Zão A, Cantista P. The role of land and aquatic exercise in ankylosing spondylitis: a systematic review. Rheumatol Int. 2017;37:1979–1990.
   PubMed Web of Science ®Google Scholar
• Dougados M, Dijkmans B, Khan M, et al. Conventional treatments for ankylosing spondylitis. Ann Rheumatic Dis. 2002;61:40iii.
   Web of Science ®Google Scholar